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Sexual history and examination 

Sexual history and examination
Chapter:
Sexual history and examination
Author(s):

Gary Brook

, Jackie Sherrard

, and Graz A. Luzzi

DOI:
10.1093/med/9780198746690.003.0190
Page of

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date: 07 March 2021

Sexually transmitted infections (STIs) are common, especially in young people, and it is important that doctors recognize both the need to obtain a sexual history and when to perform genital examination. STIs can present with generalized or extragenital symptoms, the significance of which might be missed. Examples include secondary syphilis, primary HIV infection, disseminated gonococcal infection, and herpes simplex meningitis. Failure to consider a sexually acquired infection in a differential diagnosis might delay diagnosis and treatment. This chapter gives advice on how to take a sexual history and perform genital examination in both sexes. It also summarizes the common symptoms and syndromes associated with STIs and their causative pathogens, cross-referring to other chapters in the textbook.

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