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Taking a sexual history. SHAHKUR SHABIR 2011. HOW TO START. Starting can be difficult- What would be a good sentence to start off with for a sexual history?

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Presentation Transcript
taking a sexual history

Taking a sexual history

SHAHKUR SHABIR

2011

how to start
HOW TO START

Starting can be difficult- What would be a good sentence to start off with for a sexual history?

“I hope you don’t mind but I need to take a few minutes to ask you some personal questions about your sexual history which are relevant to your problem.

Obviously anything we discuss will remain confidential.”

slide3
ASK OPEN QUESTION
  • How can I help?
  • Details of presenting problem
  • Time scale of the problem
  • Anything that happened to start this problem
direct questions
DIRECT QUESTIONS!

TALKING ABOUT SEXUAL PARTNERS

  • Do you have a sexual partner at the moment?
  • How long have you been with your partner?
  • Are they male or female or involved with both?
  • When did you last have a partner other than that one?
sexual practices
SEXUAL PRACTICES

It may be relevant to ask about specific sexual acts:

ORAL SEX: Risk of Herpes virus, Hep B, Gonorrhoea can all be transmitted oro-genitally.

  • ORAL-ANAL: Risk of Giardiasis.
  • ANAL SEX OR VAGINAL: Risk of HIV.
  • HOW TO ASK:

I am going to ask more detail about the kind of sex you have been having so I can understand what tests we might need to do.

protection
PROTECTION

ASK DIRECT

  • What do you do to protect yourself against STD or HIV?

If not using protection ask why?

Advise importance.

past history of std
PAST HISTORY OF STD
  • Have you ever had an STD?
  • If so what was the infection and when was it?
  • Also important to ask if their partner ever had STD.
questions to identify hiv or hepatitis risk
QUESTIONS TO IDENTIFY HIV OR HEPATITIS RISK
  • Have you or any of your partners ever injected drugs?
  • Have you or your partner ever had sex with prostitutes
  • Have you had the Hepatitis jabs
  • Have you ever been tested for HIV
finishing up
FINISHING UP
  • Is there anything else you would like to tell me you feel I may have missed out.
  • Thank the patient for their honesty!
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