DIAGNOSIS OF SEXUALLY TRANSMITTED DISEASES

Where an STD exists or is suspected, it is likely that the patient will be embarrassed, fearful, or guilt-ridden. Patients may be less than frank about their sexual activities. Some patients concerned that their sexual behaviour or that of a partner has exposed them to risk may be unable to verbalise that concern. The patient may be belligerent and uncooperative. A patient presenting as the contact of a known case may be upset, angry or disbelieving and may direct these feelings at the practitioner.

The history of the patient’s present symptoms, sexual history and past medical history are important.

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