sexual hx

Question 1

5 stages of the sexual response cycle

Answer 1

desire 
arousal 
plateau
orgasm 
reduction/resolution

Question 2

what type of information and men vs. women less likely to provide?

Answer 2

men- dysfunction

women- extramarital relations

Question 3

why take a sexual hx?

Answer 3

target STD screening
ensure safe practices
may be underlying reason for visit
could impact medication compliance

Question 4

what is the top concern for female sexual dysfunction?

Answer 4

lack of interest

Question 5

what is the top concern for male sexual dysfunction?

Answer 5

erectile dysfunction

premature ejaculation

Question 6

what percentage of people claim to have never had intercourse?

Answer 6

3%

Question 7

what percentage of women report being forced to engage in sexual acts by a loved one?

Answer 7

22%

Question 8

what percentage of male med students report erectile dysfunction?

Answer 8

38%

Question 9

what was the top concern of female med students?

Answer 9

painful intercourse

Question 10

times to take a sexual hx

Answer 10

anytime full H+P done
if child abuse suspected
any complaints regarding abdomen, pelvis, urinary system, sexual/physical abuse

Question 11

PLISSIT model of brief sexual counseling

Answer 11

permission
limited information
specific suggestions
intensive therapy

Question 12

what is periapsis?

Answer 12

abnormal, persistent erection

Question 13

% women and men with sexual dysfunction

Answer 13

women- 20-63%

men- 40%

Question 14

what is the most common concern for pts in regards to sexulaity?

Answer 14

“normality”

Question 15

% sexual problems in primary care

Answer 15

50%

Question 16

least effective way to teach sexual hx taking

Answer 16

admitting personal discomfort

Question 17

language guidelines in sexual hx taking

Answer 17

avoid euphemisms
avoid overly formal terms
use term appropriate to pts understanding
use language comfortable to pt and provider