Sexual History

Question 1

Key symptoms:

What 4 key symptoms would you ask about? D, D, D, SC

Answer 1

Discharge
Dysuria
Dyspareunia
Skin changes

Question 2

Key symptoms:

What symptoms do you ask about in women? - 3

What symptoms do you ask about in men? - 1

What systemic symptoms would you ask about?

Answer 2

Vaginal bleeding (PCB, IMB) 
Abdominal or pelvic pain
LMP/cycle 

Painful swollen testicles

Skin rash
Malaise
Weight loss
Fever

Question 3

Exploring each symptom:

Discharge - what you ask? - 4

Dysuria - what you ask? - 6

Dyspareunia - what you ask? - 2

Skin changes - what you ask? - 3

Answer 3

Volume
Colour
Consistency
Odour

Freq, vol, blood, smell, urgency, abdo/loin pain

Site - superficial or deep
Timing

Lumps or skin growths
Blisters or sores
Itching or soreness

Question 4

Questions to explore recent sexual activity?

9 QUESTIONS IN TOTAL

Answer 4

When did you last have sexual intercourse?

Man/women?

Regular/casual?

Was it consensual?

Where were they from? In which country/place did you have sex?

Type of sex? (Oral, vag, anal)

Condom use?

Does the partner have any symptoms?

Have you had any other partners in the last 3 months?
IF SO, REPEAT QUESTIONS?

Question 5

PMH:

What do you ask about?

What do you ask about in women?

Answer 5

Previous STIs
Previous sexual health screening
Significant illnesses or operations
Relevant vaccinations

In women:

• Previous gynae problems
• Previous gynae surgery
• Previous pregnancies and outcomes?
• Current contraception

Question 6

REST OF HISTORY THE SAME AS ALWAYS

Answer 6

REST OF HISTORY THE SAME AS ALWAYS