Sexual History-Taking
Presenting Complaints
Lesions
Lumps, ulcers, rashes in the urogenital area
Itch / Irritation
Pelvic, vulval / vaginal, testes, penile, anal
Pain
Pelvic, vulval / vaginal, testes, penile, anal
Pelvic Pain
SOCRATES
Penile Pain
Testicular Pain
Discharge & Bleeding
Vaginal, urethral, per rectal
Vaginal Discharge
Colour, consistency, associated symptoms
Urethral Discharge
Colour, consistency, associated symptoms
Abnormal Vaginal Bleeding
Menorrhagia, metrorrhagia, post-menopausal
Menorrhagia
Heavy bleeding during periods
Metrorrhagia
Bleeding between periods
Post-Menopausal Vaginal Bleeding
Onset, associated symptoms
Amenorrhoea
Onset, potential for pregnancy
Urinary Symptoms
Frequency, dysuria
Sexual Dysfunction
Libido, arousal, erection, ejaculation (early/late), orgasm
Reduced Libido
Erectile Dysfunction
Ejaculatory Dysfunction
Dyspareunia
Painful sexual intercourse
Systemic
Syphilis, HIV, HSV
Marital / Relationship Concern
Sexual, physical, mental, emotional
Infertility
How long they've tried, how they've tried
Menopausal Symptoms
Hot flushes, genitourinary, psychological, thin skin
Sexual Identity
Gender
Male / female / intersex
Sexual Preference
Same / opposite sex / both, Hx of ‘coming out'
Sexual Activity
Sexual Frequency
Intercourse or sexual activity without intercourse
Type of Sexual Activity
Anal / vaginal / oral / other
Before Sex
Anticipation, ability to arouse, turn-ons
During Sex
Foreplay, effect of lovemaking, # of climaxes
Current Relationship
Gender
Male / female / intersex
Monogamy
Monogamous / polygamous
Length of relationship
Weeks / months / years
Quality of Non-Sexual Relationship
Communication, overall happiness
Quality of Sexual Relationship
Frequency of sexual activity, enjoyment
Past Sexual History
Sexual education
At home or school
First Sexual Experience
Age, with who, perceptions
History of sexual abuse
Upsetting experiences in childhood / adolescence
Sex Work
For how long, type of work, contraception, sexual health checks
Past Medical History
Previous STIs & Sexual Health Issues
Symptoms, treatment, current status
Medications
Contraceptives, HRT, fertility medications
Menstrual History
LMP, regularity, volume, pain, age at menarche
Gynaecologic history
Pap smears
Obstetric history
Gravidity, parity, complications, abortions
Contraception
Methods, worry about pregnancy or STI
Family History
Parents' Relationship
Happily married / separated
Family Background
Ability to discuss sexual matters at home
Family Attitude Toward Sexual Issues
Masturbation, extramarital sex, menstruation, contraception
Shows of Affection
Healthy, unhealthy or non-existent
Substance History
Alcohol
Average per day / week, CAGE
Smoking
Pack-years, years since quitting
Recreational Drugs
