Sexual history
(This webpage 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 adolescence to menopause, Sexuality is an important and integral part of every woman's life. 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. As women's health care providers, obstetricians and gynecologists, 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. The general public's concern about sex is Common. Survey shows that two-thirds of women surveyed are concerned about sex. One-third of women lack sexual interest. 20% believe that sex is not always fun. 15% have experienced pain during sexual intercourse. 50% have experienced difficulties in arousing sexual interest. 50 % have difficulty reaching orgasm. 25% are unable to reach orgasm. Despite how important sex is to women's health, many women find it difficult to talk to their ob-gyns about sexual issues, and many physicians also discuss sex with their patients. 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 feel comfortable discussing sexual issues with their patients. Will ignore the sexual issues she may raise, and 68% believe that discussing sexual issues will embarrass doctors. A survey of primary doctors found that less than 50% would ask about the sexual history of newly diagnosed patients, and many doctors mistakenly use marriage, career, age To judge the patient's sexual history based on race and socioeconomic class. Asking about the sexual history gives doctors the opportunity to educate patients on how to prevent STDs, practice safe sex, evaluate the use of contraceptive methods, and dispel erroneous superstitions and myths. Asking about sexual concerns gives physicians an opportunity to educate patients about the risk for sexually transmitted infections (STIs), counsel patients about safe sex practices, evaluate patients' need for contraception, and dispel sexual myths and misconceptions. Discussing sexual issues in a professional, confidential and non-judgmental environment. Even though the patient initially felt uncomfortable discussing such a sensitive and thoughtful matter, she knew that if she had such problems in the future, the doctor would be tolerant and accepting. . Even if patients are initially uncomfortalble 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 a few open-ended questions to get a basic sex history.
Sexual practices sexual activity situations | Age at first onset, number of sexual partners, condom use, frequency, satisfaction, homosexuality/bisexuality, sexual intercourse method, fidelity |
Sexual Response Cycle | Desire phase, Arousal phase, Orgasm phase, Resolution phase |
Impact factor | Age, drugs, diseases, sexual dysfunction, cold syndrome, orgasmic disorder, sexual cramps, dyspareunia, |
Sex Assault | Childhood, Rape |
Some diseases are related to the number of sexual partners
Sexually Transmitted Infections (STIs) | AIDS, syphilis, BC hepatitis, HPV human papillomavirus, chlamydia, gonorrhea, cytomegalovirus,... |
TumorNeoplasms | Cervical cancer, prostate cancer, rectal and anal cancer, liver cancer, Kaposi sarcoma, Non-Hodgkin lymphoma... |
Number of sexual partners if = 0 | In Taiwan, unless the medical condition requires it and the patient agrees in writing, internal examination and vaginal ultrasound are avoided as much as possible to avoid damage to the hymen. |