Sexual history taking and examination

Abstract

Taking a sexual history can feel daunting in medical practice as it is not a skill commonly used outside sexual health centres and acute care units. As with all skills, sexual history-taking needs practice and refinement before it feels comfortable. Sexual infections and their sequelae have a large range of presentations and require a thorough history and examination by clinicians. Consultations are also key to assessing patient risk, identifying safeguarding concerns and taking opportunities for health promotion. This article outlines a systematic approach to sexual history-taking and examination. It also covers the importance of confidentiality, communication and empathy when discussing sexual health topics.