The sexual history is an important part of the adolescent visit. In this episode, we will discuss the importance of the sexual history and how to handle patient confidentiality. We will introduce the 5Ps framework for the sexual history. We will also brieflyy discuss screening for sexually transmitted infections (STIs), including human immunodeficiency virus (HIV).

• Sexual History - why it is important
• Confidentiality
• 5 Ps Framework 
  • Partners
  • Practices
  • Protection of STIs
  • Past history of STIs
  • Pregnancy Intention
• STI Screening and Treatment
• HIV screening algorithm

References:

5 Ps Framework: 

• https://www.cdc.gov/std/treatment/SexualHistory.htm

STI Screening and Treatment: 

• https://www.cdc.gov/std/treatment-guidelines/provider-resources.htm#MobileApp
• https://www.cdc.gov/std/treatment-guidelines/default.htm

HIV screening algorithm:

• https://stacks.cdc.gov/view/cdc/50872

Links:

https://www.cdc.gov/std/treatment/SexualHistory.htm

About the Speaker:

Host: Jennifer Louis-Jacques, MD, MPH – Jennifer Louis-Jacques, MD, MPH is an Associate Professor of Pediatrics specializing in Adolescent Medicine at UVA Health. She trained at Columbia/NYU and completed her fellowship at Boston Children's Hospital, with special interests in eating disorders and menstrual disorders.

Clerkship Ready: Pediatrics is a podcast aimed at medical students doing their clinical clerkship in Pediatrics. The views expressed are the speakers' own and do not constitute medical advice.