Make it clear that you are open to discussing sexuality and that it is a legitimate topic for discussion. Like an anthropologist, adopt a nonjudgmental approach toward a patient's sexual background, accepting the influences of culture and religion. This is an important part of doing a complete health assessment. If any questions make you uncomfortable, just let me know. Activity and orientation.
Sexual orientation is perhaps the most delicate of all assessment topics.
The patient's sexual orientation and activity are crucial in the diagnosis and treatment of sexually transmitted diseases and in relationship to gynecological care. Even if a patient is currently not in a relationship or is celibate by choice, asking if he or she has ever been sexually active and asking about sexual orientation can be helpful. The response may provide useful clues about personality even in a patient who has never had sexual relations. Partners and behaviors. When conducting sexual history screening, assume that everyone engages in normative behaviors such as intercourse and masturbation.