Sexual Health

#Sexual Health

S: Subjective

Reason for Presenting:
(-) Questions/concerns -> 
(-) Symptoms -> 
(-) STI contact -> 
(-) STI preventive health check -> 
(-) Other ->

STI Risk Assessment:
(5 Ps: partners, prevention of pregnancy, protection from STIs, practices, and past history of STIs)

1. Partners: (current or past sexual activity)
- Last activity: 
- Gender/s of partner/s? (M F Both): 
- Number of different partners in last 6 months:

2. Practices: (kinds of sexual activity - now and past)
(-) receptive oral sex (mouth on penis/vagina)
(-) insertive oral sex (mouth on penis/vagina)
(-) vaginal sex (penis in vagina)
(-) receptive anal sex (penis in rectum/anus)
(-) insertive anal sex (penis in rectum/anus)

3. Protection from STIs: 
(-) consistent condom use
(-) regular STI testing
(-) discussion with partners about STI prevention

4. Prevention of pregnancy (if applicable):
(-) current use of contraception/birth control - type -> 
(-) partner/s current use of contraception/birth control - type ->

5. Past history of STIs:
(-) previous testing for STIs and HIV
(-) previous diagnosis of STI - diagnosis/es -> 
(?) any partner/s diagnosed with an STI - type/s ->

6. Other HIV and viral hepatitis risk:
(-) you or any partner/s use injected drugs

Vaccination History:
(?) hepatitis A
(?) hepatitis B
(?) HPV

O: Objective

Examination:

A: Assessment

Clinical Summary:

Diagnosis / DDx:

P: Plan

Investigations: 
Key: (+) ordered, (-) not ordered; (x) recommended but declined

(-) Chlamydia NAAT PCR
  (-) Genital swab (preferred for women)
  (-) Urine^
  (-) Rectal swab (receptive anal sex)
(-) Gonorrhoea NAAT PCR
  (-) Genital swab (preferred for women)
  (-) Urine^
  (-) Oropharyngeal swab (oral sex)
  (-) Rectal swab (receptive anal sex)
(-) HSV PCR swab (symptomatic lesions)
(-) HIV serology (Ab/Ag)
(+) Syphilis serology
(-) Hepatitis A serology (MSM)
(+) Hepatitis B serology (HBsAg)
(+) Hepatitis C serology (HepCAb)
(-) Trichomonas NAAT PCR urine^ (at risk, eg ATSI people)
(-) Mycoplasma genitalium (persistent and recurrent non-gonococcal urethritis, cervicitis, pelvic inflammatory disease, post-coital bleeding, known sexual contact).

^First catch urine, any time of the day, > 20 minutes since last urination.

Treatment:

Referrals:

Patient Education / Home Care Advice:

Review:

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