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Old 04-09-2012
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Question Single sexual partner and protection!

Hi all:

Just a short question. When we ask about sexual history and SP only has one sexual partner and they are not wearing condoms, do we still need to encourage SP to wear condoms? If I were SP, I can say: I trust my husband/wife, why do I need protection?
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Old 04-09-2012
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u cant advise a married couple for use of condom but if they re not married i shall ask them how long they ve been together if its for more than one year i shall refrain from talking about STD risk but if its somebody with a 2 mon relation n multiple partners in one yr ill definitely ask about condoms.
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Old 04-12-2012
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Quote:
Originally Posted by chienpolska View Post
Hi all:

Just a short question. When we ask about sexual history and SP only has one sexual partner and they are not wearing condoms, do we still need to encourage SP to wear condoms? If I were SP, I can say: I trust my husband/wife, why do I need protection?
You are right...if the patient has a single partner for a long duration, then you dont need to counsel regarding condoms.

Also there is no need to ask about protection from a patient who is above 50 years.

If the Sp has multiple sexual partners, then it becomes mandatory to counsel regarding safe sexual practices
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Old 04-13-2012
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Quote:
Originally Posted by preetishah View Post
...there is no need to ask about protection from a patient who is above 50 years...

I think there are two aspects to this question:
1. medical aspect protection from STD and/or contraception
2. moral aspect
We assume that couple of fertile. From medical aspect, age of 50 could be a possible cut-off for perhaps for contraception, but can not essentially predict sexual habits and so STD transmission should still be given consideration.
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Old 04-13-2012
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Quote:
Originally Posted by slumdog View Post

I think there are two aspects to this question:
1. medical aspect protection from STD and/or contraception
2. moral aspect
We assume that couple of fertile. From medical aspect, age of 50 could be a possible cut-off for perhaps for contraception, but can not essentially predict sexual habits and so STD transmission should still be given consideration.
during my exam i had a sp who said that he was just active with his wife and he and his wife were 55 years old. when i asked him about contraceptive methods, he replied "doc do i need to use contraception at my age?"
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Old 04-13-2012
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Ya that's what. As far as contraception is concerned, you could perhaps use age > 50 as a cut-off.

However, what i mean here is that the risk of transmission of STDs still remains a concern. I do not have the data about high risk activities among population >50. But there is an article posted on CDC's website that points to the fact that high risk behavior should not be underestimated among >50 SP:
http://www.cdc.gov/hiv/topics/over50/challenges.htm
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