II. Precautions
- Avoid assumptions about sexual orientation and practices
-
Gender Identity
- See Transgender Person
- Ask patients about both their Gender Identity and their sex assigned at birth
-
Trauma Informed Care
- See Sexual Abuse in Children
- See Sexual Assault
- Consider prior sexual Trauma when taking the history
III. History
- Approach
- Mnemonic: 5 "P"s (Partners, Practice, Protection, Past STI history, Pregnancy)
- Gender
- What is your birth gender?
- What gender do you identify with?
- What pronouns do you prefer?
- Sexual Activity
- Have you ever been sexually active?
- Are you sexually active currently (in the last 12 months)?
- Partners
- What are the birth genders of your partners and what gender do they identify with?
- How many partners have your had
- In last month?
- In last 6 months?
- In lifetime?
- Practices
- In which sexual practices do you engage?
- Oral sex?
- Vaginal sex?
- Anal sex?
- Do you protect yourself against Sexually Transmitted Infection (e.g. HIV)?
- Pregnancy planning
- See Preconception Counseling
- What method do you use for Contraception?
- Are you planning for pregnancy?
- In which sexual practices do you engage?
-
Sexually Transmitted Infection
- Have you ever had a Sexually Transmitted Infection (e.g. Chlamydia, Gonorrhea, Syphilis, HIV)
- HIV Risk Factors
- Are you interested in testing for Sexually Transmitted Infection?
- Functioning
- See Sexual Dysfunction
- Are you satisfied with you and your partner's sexual functioning?
- Has there been any change in your partner's libido?
- Do you have any pain with intercourse (e.g. Dyspareunia)?