The Gynecologic Examination

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An understanding of the patient’s current and past sexual activity aids in assessment of sexually transmitted disease risk and contraceptive needs. The physician should strive to avoid assumptions about a patient’s sexuality. One way is to ask, “Are you sexually active with men, women, or both?” Similarly, inquiring whether the patient is interested in contraception rather than as- suming a patient is only choosing between birth control methods will lead to a more productive interaction. Current and prior expression of sexual identity may vary. The obstetric history includes live births as well as spontaneous or elective abortions. The standard shorthand for tallying the patient’s obstetric history begins with gravidity, which...

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