Sexual History Taking Flashcards
1
Q
How to start sexual Hx taking
A
- apart from usual intro (name, DoB, introduce yourself, gain consent)
- explain that some of the questions you will need to ask will be sensitive in nature; you may need to ask details about sex and sexual partners
- stress confidentiality
2
Q
Simple model/ outline of sexual Hx
A
- HPC → explore presenting symptoms
- Sexual health system review
- Partners → in last 3 months
- High risk encounters
- Females → menstrual Hx, contraception
- PMH
- Vaccines
- Drug Hx
- SH
3
Q
What to ask in HPC?
A
Explore every symptom:
- timeframes
- symptom- specific questions
4
Q
Sexual health systems review
- components
A
- discharge (urethral/vaginal/rectal)
- dysuria
- swellings/growths/ulcers
- pain (anogenital, pelvic, dysparunia)
- PV bleeding (if female)
5
Q
Partners
- what to ask about
A
Current and recent partners (all partners in last 3 months)
- dates
- male/female
- condom use
- contact type (oral/vaginal/anal)
6
Q
High-risk encounters
- what to ask about
A
- sex with men (if male)
- partners from abroad
- bisexual partners
- sex with sex workers
7
Q
What to ask specifically about if a patient is female?
A
- Menstrual Hx (including LMP)
- current contraceptives and adherence
8
Q
PMH
- questions specific to sexual Hx
A
- previous STDIs and tests
- HIV and Hepatitis B/C status
- Vaccines (Hep B)
9
Q
Drug Hx
- questions specific to sexual Hx
A
- ask specifically about PrEP use if male (pre-exposure prophylaxis for HIV)
10
Q
Social Hx
- questions specific to sexual Hx
A
- alcohol use
- recreational drug use
- sharing needle
- ChemSex
