Sexual History

Question 1

What are the 5 P’s of the sexual history examination?

Answer 1

Partners 
Practices 
Prevention from Pregnancy 
Protection from STIs 
Past hx of STIs

Question 2

What are some example questions regarding partners?

Answer 2

• Do you have sex with men, women, or both?
• In the past 2 months how many partners have you had sex with?
• “…12 months?..” (same as above)
• Is it possible that any of your sex partners in the past 12 months had sex with someone else while they were still in a sexual relationship with you?

Question 3

What are some example questions regarding practices?

Answer 3

• To understand your risks for STIs, I need to understand the kind of sex you have had recently…
• Have you had vaginal sex? DO you use condoms?
• Have you had anal sex? Do you use condoms?
• Have you had oral sex?

Ask why they do not use condoms if no

Question 4

What are some example questions regarding prevention of pregnancy

Answer 4

What are you doing to prevent pregnancy?

Question 5

What are some example questions regarding protection from STIs

Answer 5

What do you do to protect yourself from STDS and HIV

Question 6

If you find out that your patient is in an Intimate Partner Violence, what are some follow up questions you NEED to ask?

Answer 6

• Has the physical violence increased over the past 6 months?
• Has tour partner used a weapon or threatened to use a weapon?
• Do you believe your partner is capable of killing you?
• Have you been beaten while pregnant?
• Is your partner violently and constantly jealous of you