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Sexual history (Important considerations (Avoid assumptions Especially…
Sexual history
Important
considerations
Avoid assumptions
Especially about orientation and type of sex
Terminology
Avoid sexuality labels e.g. gay, lesbian
Avoid medical jargon
Prepare for invasive questions
Flag beforehand, put into context
(assessing risk and where to take swabs)
Choice of Q
Only asked what is needed to know
Phrase in non-judgemental manner
Closed questions for intimate discussion (Yes/No)
Receptive or not for anal/oral sex
Privacy/confidentiality
See alone, reassure
Presenting
complaint
Pain
Discharge
Rash
Ulcers
Urinary symptoms
History of
PC
Men
Testicular pain/swelling
Female
Abdominal pain/dyspareunia
Both
Description of each symptom - site, onset, appearance, duration, changes over time
Associated symptoms - bladder/bowel, systemic
Skin changes - rash, warts, ulcers, lumps, sores, itch
Discharge - colour, amount, timing, smell, consistency
DH
Current meds
Recent abx
Allergies
Reproductive
history
Gynae
LMP, cycle duration and regularity
Abnormal bleeding (PCB, IMB, heavy/painful)
Any chance of pregnancy
Contraception
Smear history
Obstetrics
Gravity and parity
Method of delivery
Complications (preterm, stillbirth, infertility)
SH
Sexual
Contacts
Nature and duration (regular/casual)
Demographics (age, gender, location)
Partner symptoms/diagnosis
Other partners in last 3m and 12m
BBV
Previous HIV test when, result)
Born overseas/sex with overseas
IVDU/contact
Blood transfusions abroad
MSM sex or MSM contact
Exchanged money for sex
Act
Last act
Type (vaginal, oral anal; active or passive)
Contraception use
Other
Occupation (sex work etc.)
Living arrangements
Smoking, alcohol, drugs (IVDU)
PMH
Previous gynae
Previous STIs (reinfection, failed treatment, recurrence)
Was partner treated or not
Medical conditions
Abdo/pelvic surgery