Taking a sexual history Flashcards
1
Q
What are some of the risk factors for STIs?
A
Young adult Female gender - trasmit to women more easily Relationship status Contraception Number of sexual partners MSM Drug use Young age at first coitus Socioeconomic status
2
Q
When introducing yourself for a sexual history what points should you outline?
A
You will be asking sensitive questions about sexual partners
Highlight confidentiality
3
Q
How should you explore the history of presenting complaint?
A
Explore every symptoms thoroughly Sexual systems review: -Discharge -Dysuria -Ulcers -Pain -PV bleeding
4
Q
What are the two parts that the social history is split into?
A
Split into sexual contacts over last 3 months
Blood borne virus risks over life or until last test
5
Q
What questions should you ask in the sexual partners part of the history?
A
Do you hae sex with men or women or both? What sexual contact have you had in the last 3 months? For each partner: -Gender -Regular partner -Type of sex -Condom use -Partners country of origin -Partners diagnosis or symptoms
6
Q
What questions would you ask in your sexual history to find out about risk of Blood bourne viruses?
A
Have you ever had an HIV test, when, result? MSM Partner from abroad/IVDU/HIV positive Paying for sex Needle sharing Chemsex
