sexual history taking

Question 1

barriers to sexual history taking

Answer 1

• embarrassment
• often poorly taught
• fear of too much information
• fear of offending or intruding
• presence of third party
• fear of disclosures of sexual abuse

Question 2

why take a sexual history

Answer 2

• assess risks of STIs
• identify problems with sexual function
• identify issues of past sexual abuse or risk of future abuse
• to assess overall sexual wellbeing and knowledge

Question 3

when o take a sexual history

Answer 3

• if someone request a sexual health check
• if someone is a contact of an STI
• if related to presenting symptoms:
  
  • genital or urinary symptoms
  • lower abdo pain (females)
  • ano-rectal symptoms
  • rash
• opportunistically e.g. smear, contraception, <29

Question 4

questions surrounding last sexual encounter

Answer 4

• when did you last have sex?
• regular or casual contact?
• male/female?
• oral, vaginal, anal
• protected/ unprotected?

Question 5

HEEADSSS assessment

Answer 5

Home
Education and/or employment
Eating
Activites
Drugs
Sexuality
Suicide & depression
Safety

Question 6

5 Ps for sexual history taking

Answer 6

• Past (history of STIs, testing, sexual health)
• partners (gender, number, past and current, relationships)
• pregnancy (contraception, fertility)
• practices (type of bevaiour and with whom)
• prevention (protection habits)