A Guide to Taking a Sexual History

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"A Guide to Taking a Sexual History" is a deleted CDC publication, preserved here in its unchanged original form. Developed by the Centers for Disease Control and Prevention (CDC), this guide provides a structured approach for healthcare providers to discuss sexual health with patients, ensuring comprehensive STI risk assessment, prevention counseling, and patient-centered care.

Key Features of the Guide:

  • Importance of Sexual History-Taking: Explains why sexual health discussions are essential for overall patient care, STI prevention, and reproductive health.

  • Creating a Welcoming Clinical Environment:

    • Establishing patient trust through trauma-informed, nonjudgmental communication.

    • Collecting gender identity, sexual orientation, and pronoun preferences.

    • Recognizing barriers to disclosure and patient comfort levels.

  • The Five "P"s Framework for Sexual History-Taking:

    1. Partners – Number and gender of partners, partner risk factors.

    2. Practices – Types of sexual activity (oral, vaginal, anal) and associated risks.

    3. Protection from STIs – Condom use, PrEP awareness, HPV and hepatitis vaccinations.

    4. Past History of STIs – Previous diagnoses, treatment history, and partner exposure.

    5. Pregnancy Intention – Desire for children, contraception use, and family planning discussions.

  • Patient-Centered Communication:

    • Sample dialogue prompts to ease sensitive discussions.

    • Open-ended questions to promote honest and inclusive conversations.

  • Addressing Trauma & Intimate Partner Violence (IPV):

    • Recognizing signs of abuse and connecting patients with resources.

    • Implementing confidential and supportive care for survivors.

Disclosure:

This document is presented in its unaltered form as originally published by the CDC before its removal.

"A Guide to Taking a Sexual History" is a deleted CDC publication, preserved here in its unchanged original form. Developed by the Centers for Disease Control and Prevention (CDC), this guide provides a structured approach for healthcare providers to discuss sexual health with patients, ensuring comprehensive STI risk assessment, prevention counseling, and patient-centered care.

Key Features of the Guide:

  • Importance of Sexual History-Taking: Explains why sexual health discussions are essential for overall patient care, STI prevention, and reproductive health.

  • Creating a Welcoming Clinical Environment:

    • Establishing patient trust through trauma-informed, nonjudgmental communication.

    • Collecting gender identity, sexual orientation, and pronoun preferences.

    • Recognizing barriers to disclosure and patient comfort levels.

  • The Five "P"s Framework for Sexual History-Taking:

    1. Partners – Number and gender of partners, partner risk factors.

    2. Practices – Types of sexual activity (oral, vaginal, anal) and associated risks.

    3. Protection from STIs – Condom use, PrEP awareness, HPV and hepatitis vaccinations.

    4. Past History of STIs – Previous diagnoses, treatment history, and partner exposure.

    5. Pregnancy Intention – Desire for children, contraception use, and family planning discussions.

  • Patient-Centered Communication:

    • Sample dialogue prompts to ease sensitive discussions.

    • Open-ended questions to promote honest and inclusive conversations.

  • Addressing Trauma & Intimate Partner Violence (IPV):

    • Recognizing signs of abuse and connecting patients with resources.

    • Implementing confidential and supportive care for survivors.

Disclosure:

This document is presented in its unaltered form as originally published by the CDC before its removal.