Sexual History Taking
· Purpose of sexual history is to determine:
· Whether or not there has been a risk of exposure to an STI including HIV
o If it is an appropriate time to take tests (window period – genital tests are not taken unless at least 14 days has elapsed from unprotected sex, unless symptomatic. For blood tests wait 3 months)
o Who else had been at risk and may need testing/treating
o „Going to ask personal questions – want to be able to offer right tests and care”
o Ask why they‟ve come
o Use patient‟s language
o Don‟t make assumptions about anyone
o Lot‟s of reassurance: STD‟s are common, confidentiality, support relationship issues – let them decide, continue at a later date
o Not interested in their orientation but what they do
o Are you sexually active?
o How many partners have you had in the last 6 months – male or female?
o Alcohol and drug history
o Do you suspect that you may be at risk from HIV or other STD?
o Need to ask about sexual abuse – won‟t volunteer it: Ever had sex when you didn‟t want to, ever been sexually assaulted?