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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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Taking a sexual history

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Taking a sexual history l.jpg

Taking a sexual history

SHAHKUR SHABIR

2011


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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.”


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  • ASK OPEN QUESTION

  • How can I help?

  • Details of presenting problem

  • Time scale of the problem

  • Anything that happened to start this problem


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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?


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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.


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PROTECTION

ASK DIRECT

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

    If not using protection ask why?

    Advise importance.


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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.


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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


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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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THANK YOU


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