Sexual Health: The Importance of Taking a Sexual History

Source: NYC Department of Health and Mental Hygiene

Today I am invited to give a lecture on the importance of taking a sexual history in the clinic. Sexually transmitted infections (STIs) are on the rise so the timing seems relevant. Click here for an excellent pictorial summary of STI rates from the CDC.


The benefits of taking a proper sexual history seem self evident. The purpose is to diagnose and treat sexual dysfunction AND STIs. Here is an informative full text review on the matter.


Many physicians do not delve into the sexual history as part of a patient encounter. Obstacles include inadequate training, lack of confidence, time pressure and perceived patient discomfort. I have always felt that a professional, non-judgmental, confidential, matter of fact discussion on sexual habits as a part of routine patient care facilitates the process. A certain way to make a patient uneasy is for the physician to appear uncomfortable while taking a sexual history. 


In addition, a discussion on sexual health serves to counsel and promote safe sex. Condom use cannot eliminate and prevent all STIs, however, the risk reduction can be significant (up to 90+%). The New York City Department of Health and Mental Hygiene has a novel and aggressive program for condom promotion. Learn about the NYC Condom by clicking on the corresponding hyperlink.