Table of Contents IntroductionHistory of presenting complaintPartnersPast medical historyDrug historySocial historyNow for some questions…And some stations… Introduction Wash hands Introduce self Ask Patient’s name, DOB and what they like to be called Explain and obtain consent Set the scene: explain that some of the questions you will need to ask will be sensitive in nature and you may need to ask details about sex and sexual partners Stress confidentiality Check the reason for attendance: check-up or any symptoms (e.g. pain, discharge, ulcers, lumps) History of presenting complaint Exploreevery symptom Timeframes Symptom-specific questions (see exploring symptoms) Sexual health systems review Discharge (urethral/vaginal/rectal) Dysuria Swellings/growths/ulcers Pain (anogenital, pelvic, dyspareunia) PV bleeding and menstural history (if female) Partners Sexual orientation (‘do you have sex you men/women or both?’) Current partners (casual/regular partners?) When last had sex When last had sex with anyone else Sexual contacts in last 3 months Male/female Country born Condom use Type of sex (oral/vaginal/anal) High risk encounters for HIV Sex with men (if male) Sex with partners who: were born abroad, have sex with men, or who are known to be HIV-positive Paying for (or being paid for) sex ‘ChemSex’ (use of recreational drugs by men who have sex with men before or during sex, often with multiple partners) Needle sharing Tattoos/piercings/transfusions/medical treatment abroad Past medical history Previous STIs and tests HIV and hepatitis B/C status Vaccination history (including hepatitis B) Drug history Regular medications and allergies Contraception and adherence Use of PrEP if male (pre-exposure prophylaxis for HIV) Social history Alcohol use Smoking Recreational drug use (including ChemSex and needle sharing) Now for some questions… What are the causes of genital ulceration? Please classify them by painful and non-painful. Oops! This section is restricted to members. What would be your differential diagnosis for genital discharge? Oops! This section is restricted to members. According to NICE, list the risk factors for HIV infection. Oops! This section is restricted to members. And some stations… Female sexual health history Urethral discharge Epididymo-orchitis And there’s lots more!