Sunday, April 10, 2016

Step 2 CS: Asking for sexual history

Sexual history is always a dilemma for step 2 Cs exam takers. Here's a simplification.

Are you sexually active?
Patient will answer either "Yes" or "No"

If no: Don't ask why and make it awkward. If the patient has problems, he will tell you.

If yes: With whom if you don't mind sharing?

If wife: Don't ask further. Assume it's a monogamous perfect relationship xD

If girlfriend:
Do you use any contraception?
How many sexual partners have you had in the past one year?
Have you ever been diagnosed with a sexually transmitted disease?
(If yes, Are you sexually active with men, women or both?)

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