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Sexual History: Exploring Symptoms

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Roop Singh
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100 views1 page

Sexual History: Exploring Symptoms

Uploaded by

Roop Singh
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Sexual 

History 

Introduction 
 Wash hands; Introduce self; ask Patient’s name, DOB and what they like to be called; Explain and obtain consent
 Explain that some of the questions you will need to ask will be sensitive in nature and you may need to ask details about sex and
sexual partners
 Stress confidentiality
 Check the reason for attendance: check‐up or any symptoms (e.g. pain, discharge, ulcers, lumps)

History of presenting complaint 
 Explore every symptom 
o Timeframes
o Symptom‐specific questions (see notes on exploring symptoms)
 Sexual health systems review 
o Discharge (urethral/vaginal/rectal)
o Dysuria
o Swellings/growths/ulcers
o Pain (anogenital, pelvic, dyspareunia)
o PV bleeding and menstural history (if female)

Partners 
 Sexual orientation (‘do you have sex you men/women or both?’)
 Current partners
 Sexual contacts in last 3 months 
o Dates
o Male/female
o Country born
o Condom use
o Type of sex (oral/vaginal/anal)
 High risk encounters for HIV 
o Sex with men (if male)
o Sex with partners were born abroad, have sex with men, or who are known to be HIV‐positive
o Paying for (or being paid for) sex 
o ‘ChemSex’ (use of recreational drugs by men who have sex with men before or during sex, often with multiple partners)
o Needle sharing
o Tattoos/piercings/transfusions/medical treatment abroad

Past medical history 
 Previous STIs and tests
 HIV and hepatitis B/C status 
 Vaccination history (including hepatitis B)

Drug history 
 Regular medications and allergies
 Contraception and adherence 
 Use of PrEP (pre‐exposure prophylaxis for HIV)

Social history 
 Alcohol use
 Smoking
 Recreational drug use (including ChemSex and needle sharing) 

© 2013 Dr Christopher Mansbridge at www.OSCEstop.com, a source of free OSCE exam notes for medical students’ finals OSCE revision 

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