Knowing Your Patients: Taking a History and ... - Fenway Health

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24 Magnitude of Risk, cont’d Sexual Contact Type Risks Unprotected sexual contact between women Sharing sex toys Digital-genital contact Vagina-vagina contact Risk of: HPV, bacterial vaginosis, genital herpes, chlaymdia, trichomonas, HIV Wet (French) kissing No known risk of HIV Risk of herpes (HSV-1)
Common Misconceptions about Risk � I can’t get HIV/STIs if I am the “top” (insertive partner in anal sex) � I can’t get STIs from oral sex � [for HIV- men] � I don’t need to use condoms with HIV- partners � My partner didn’t say he’s HIV+, so he must be HIV- � I don’t need to use condoms with an HIV+ partner if he is taking anti-retrovirals <strong>and</strong> his viral load is undetectable � [for HIV+ men] � I don’t need to use condoms with HIV+ partners � My partner didn’t want to use a condom, so he must be HIV+ � Lesbians are at low risk of STIs <strong>and</strong> therefore I don’t need to use protection 25
Page 1 and 2: Knowing Your Patients: Taking a His
Page 3 and 4: 3 Taking a Comprehensive History
Page 5 and 6: 5 Using a Cross-Cultural Approach t
Page 7 and 8: 7 Identified LGBT Health Concerns
Page 9 and 10: 9 LGBT Life Issues � Process of c
Page 11 and 12: 11 Taking a Sexual History Contextu
Page 13 and 14: Taking a Sexual History: Sexual Hea
Page 15 and 16: 15 Taking a Sexual History, cont’
Page 17 and 18: Considerations for Transgender Pati
Page 19 and 20: 19 Confidentiality � Assure patie
Page 21 and 22: Principles of Safer Sex � Assess
Page 23: 23 Magnitude of Risk Sexual Contact

Knowing Your Patients: Taking a History and ... - Fenway Health

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