the sexual hx Flashcards
(12 cards)
transition statement for sexual hx
routine for all pts. i understand this feels uncomfortable or ? but is crucial for understanding your ?… this info is confidential
functions of the sexual hx
evaluation of sexual health
preventative health strategies
management of patient concerns
the 5 ps
Partners
Practices
Protection from sexually transmitted diseases
Past history of sexually transmitted diseases
Pregnancy plans
6th “P” = Pleasure
ExPLISSIT
Extended permission giving
Limited information
Specific suggestions
Intensive therapy
transition statement
“I am going to ask you a few questions about your sexual health and sexual practices. I understand that these questions are very personal, but they are important for your overall health.
Just so you know, I ask these questions to all of my adult patients, regardless of age, gender, or marital status. These questions are as important as the questions about other areas of your physical and mental health. Like the rest of our visits, this information is kept in strict confidence. Do you have any questions before we get started?”
partners questions
How do your partners identify? Do they identify as male, female, or another? or What are the genders of your partners?
How many partners have you had in the past month? The past six months? Your lifetime?
How satisfied are you with your (&/or your partner’s) sexual functioning?
Has there been any change in your (or your partner’s) sexual desire or the frequency of sexual activity?
practices questions
What type of sexual activities do you participate in?
Do you participate in vaginal sex? Oral sex? Anal sex?
past hx/protection questions
Have you ever had any sex-related diseases?
Do you have, or have you ever had, any risk factors for HIV? (List blood transfusions, needle stick injuries, intravenous drug use, sexually transmitted diseases, partners who may have placed the patient at risk.)*
Have you ever been tested for HIV? Would you like to be?
What do you do to protect yourself from contracting HIV?
pregnancy plans questions
Are you trying to become a parent? Would you like to get pregnant (or father a child)?
What method do you use for contraception?
pleasure questions
Do you (or your partners) use any particular devices or substances to enhance your sexual pleasure?
Do you ever have pain with intercourse? Do you have any difficulty with lubrication?
Do you have any difficulty achieving orgasm?
Do you have any difficulty obtaining and maintaining an erection?
Do you have difficulty with ejaculation?
5 questions to ask every pt bare minimum
- have you ever been sexually active
- what is/are the sex and gender of your
partners - how many partners in last 12 mo
- what types of sexual activity do you have?
- when was the last time you got tested for
STIs?
