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Questions for a Detailed Sexual History

By Mark Cichocki, R.N., About.com

Created: Tue May 16 2006

About.com Health's Disease and Condition content is reviewed by Susan Olender, MD

HIV specialists and primary care physicians should play a huge role in HIV and sexual transmitted disease prevention. Unfortunately, the detailed and accurate sexual histories necessary for good education and prevention often get lost among all the other responsibilites these medical professional have. There is only so much time for each doctor visit.

Knowing which questions to ask can help the busy medical professional get the information they need. But what are those questions? Here is a list of what experts feel are the most important.

  • Are you currently sexually active? Have you ever been?

  • Are your partners men, women, or both?

  • How many partners have you had in the past month? Six months? Lifetime?

  • How satisfied with your (and/or your partner's) sexual functioning are you?

  • Has there been any change in your (or your partner's) sexual desire or the frequency of sexual activity?

  • Do you have, or have you ever had, any risk factors for HIV? (List blood transfusions, needlestick injuries, IV drug use, STDs, partners who may have placed you at risk.)

  • Have you ever had any sexually related diseases?

  • Have you ever been tested for HIV? Would you like to be?

  • What do you do to protect yourself from contracting HIV?

  • What method do you use for contraception?

  • Are you trying to become pregnant (or father a child)?

  • Do you participate in oral sex? Anal sex?

  • Do you or your partner(s) use any particular devices or substances to enhance your sexual pleasure?

  • Do you ever have pain with intercourse?

  • Women: Do you have any difficulty achieving orgasm?

  • Men: Do you have any difficulty obtaining and maintaining an erection? Difficulty with ejaculation?

  • Do you have any questions or concerns about your sexual functioning?

  • Is there anything about your (or your partner's) sexual activity (as individuals or as a couple) that you would like to change?

Keeping these questions in mind can help medical professionals take a more accurate and detailed sexual history, which in turn will help them better educate their patients. After all, prevention starts with education.

Last updated: May 16, 2006.

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