A simple step-by-step guide for taking a sexual history off a male patient. Ideal for OSCE/ISCE stations for medical students, or clinically for junior doctors.
Male Sexual History
Wash hands, introduce, check patient name and DOB
Systemic symptoms
- Explain that you need to take a sexual history - Fever – secondary to PID
- Will involve some personal questions, but we ask these to
- Malaise
everyone to assess risk of STI, so please don’t take any of the
questions personally. - Weight loss – HIV
- Everything you tell me today will be confidential, unless I felt - Rash
that you or someone else was in significant danger, in which - Swelling of large joints, conjunctivitis and
case I might have to break this confidentiality to prevent cervicitis (Reiter’s syndrome secondary to
harm
- If you would prefer not to answer a particular question, or
chlamydia)
would like to stop at any point, please just let me know.
Tell me about why you’ve come to see me today. Can
you tell me more about that?
PENIS QUESTIONS
Testicular pain/swelling
- Pain = Socrates
- Change to size of testicles
Causes = epididymo-orchitis – often secondary to
chlamydia/gonorrhoea
Itching/sore skin
- Itching around genitals?
- Skin around penis/testicles sore?
- Head of your penis sore?
Causes = candida, herpes simplex or genital warts
Skin lesions
- Any lumps/bumps/ulcers around
penis/testicles/anus?
- Are the lesions itchy or painful?
- Any tingling or burning in the area of lesions?
Causes = HPV or herpes simplex
Urethral discharge
- Have you noticed any discharge from your
penis?
Causes = chlamydia/gonorrhoea
Dysuria
- Any pain/burning when you pass urine?
- Are you passing urine more freq.?
- Is there any blood in your urine?
Causes = UTI, chlamydia/gonorrhoea/herpes
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