Medical appointment

Sexual history

(This page is referenced and translated from the gynecology textbook Novack's Gynecoloy 13rd Ed. Chapter 11) Sexuality is an important and integral part of every woman’s life. From puberty to menopause, sex is an important part of every woman’s life. For sexual problems and concerns that span the life of a woman. Questions and concerns about sexuality span a woman's entire lifetime, from questions about puberty to concerns about change in sexual function with menopause and aging. Obstetricians and Gynecologists are women health care providers. Should routinely include sexual life history in women's health assessments. The obstetrician-gynecologist, as a primary health care provider for women, should include a sexual history as a routine part of a woman’s periodic health assessment. Common. Surveys show that two-thirds of the women who received attention are concerned about sex. One-third of women are sexually obsessed. 20% think that sex is not always fun. 15% have had sexual pain. 50% have experienced difficulties and evoke sexual interest. % Difficult to reach a climax. 25% can't reach a climax. Despite sex for women's health How important it is that many women find it difficult to speak to their gynaecologists about sexual issues, and many physicians are also very uncomfortable talking to patients about sexual issues. Despite the importance of these issues to their health care , many women find it difficult to talk to their physicians about sexual concerns, and many physicians are uncomfortable discussing sexual issues with their patients. 71% of adults think that the doctor will ignore the sexual issues she may ask, and 68% think that discussing sexual issues The problem will make doctors feel embarrassed. From the survey of primary physicians, it is found that less than 50% will ask about the sexual life history of newly diagnosed patients. Many doctors mistakenly judge the patient's sexual life history with the socio-economic stratum of the marriage age. Give physicians the opportunity to educate patients how to prevent sexually transmitted diseases, how to do a safe sex act, evaluate the use of contraceptive methods, and eliminate false beliefs and myths. Asking about sexual situations give physicians an opportuniy to educate patients about the risk for sexually transmitted infections (STIs), counsel patients about safe sex pract Further, the patient is allowed to talk about sexual issues in a professionally confidential and non-critical environment. Even if the patient initially feels that discussing such a sensitive and orderly matter, he or she will be able to discuss sexual issues. She is uncomfortable and uncomfortable, but she knows that if there are any problems in the future, the doctor’s attitude is tolerated. Even if patients are initially uncomfortableble discussing these senstive and private issues, they know that their physcian will be receptive if they want to Disscuss sexual concerns in the future. Ask several open questions to get the most basic sexual life history.
Sexual practices Initial age, number of sexual partners, use of condoms, frequency, satisfaction, homo/bisexual, sexual intercourse, loyalty
Sexual Response Cycle Response Period Desiring the Desire phase, Exciting Arousal phase, Orgasm phase, Dissolving Phase
Impact factor Age, Drug, Disease, Sexual Dysfunction, Cold Feeling, Orgasm Disorder, Sexual Paralysis, Sexual Intercourse Pain,
Sex Assault Childhood, Rape
Some diseases are related to the number of sexual partners
Sexually transmitted diseases (STIs) AIDS, syphilis, BC hepatitis, HPV human papillomavirus, chlamydia, gonorrhea, cytomegalovirus, .............
Neoplasms Cervical cancer, prostate cancer, rectal anal cancer, liver cancer, Kaposi sarcoma, Non-Hodgkin lymphoma .......
If the number of sexual partners = 0 In Taiwan, unless the condition requires, and the patient's written consent, try to avoid internal examination and vaginal ultrasound, so as not to damage the hymen