PDCI 6 Sexual History Flashcards
(17 cards)
What clinical situations when you should do sexual history
1) comprehensive H&P
2) acute visit
3) adolescent
Why patient won’t want to talk about sexual history
- you’re a diff gender
- you’re young
- they’re gay/lesbian
- they have too much or too little experience
Which STD hurts?
HSV
Which STD doesn’t hurt?
Condyloma
Caused by HPV
Which STD has shallow sores?
HSV
Which STD has bumps?
Condyloma
Caused by HPV
Dyspareunia
Discomfort with intercourse (usually with women)
Superficial dyspareunia usually caused by
Atrophic vaginitis
Yeast infection
Deep dyspareunia usually caused by
Pelvic issues
Ovarian cyst
What do anti hypertensives (like beta blockers) do?
Erectile dysfunction
What do psychotropics like SSRIs do?
Decrease libido
What do psychotropics like trazodone and priapism do?
Cause sustained erection
If you have a hyper sexual patient, what can you prescribe?
SSRI
General questions to ask
Sexually active Frequency Partners Sexual preference Contraception Prevent STDs
What immunizations prevent STDs?
Gardisil for HPV
Hep A (fecal/oral)
Hep B
Specific questions
Satisfaction
Positions
High risk behavior (HIV)
Dysfunction
5 Ps of STIs
Partners Prevention of pregnancy Protection Practices Past history of STIs
