Practice 10-Minute Consultation

Sexual health consultation for men who have sex with men

BMJ 2010; 340 doi: https://doi.org/10.1136/bmj.c958 (Published 22 March 2010) Cite this as: BMJ 2010;340:c958
  1. William C W Wong, associate professor1,
  2. Christopher K Fairley, professor23
  1. 1Department of General Practice, Carlton, VIC 3053, Australia
  2. 2Melbourne Sexual Health Centre, Alfred Hospital, Melbourne
  3. 3Melbourne School of Population Health, University of Melbourne, Melbourne
  1. Correspondence to: W C W Wong w.wong{at}unimelb.edu.au
  • Accepted 25 January 2010

A 28 year old man goes to his general practitioner for a general check up including tests for sexually transmitted infections. He discloses that he has had sex with men and is worried that a recent contact may have HIV. He has never been tested and has no genitourinary symptoms.

The unease a patient may associate with attendance at a genitourinary clinic means this presentation in general practice may be the only opportunity to manage him. General practitioners need to be conscious of their attitudes to men who have sex with men and of how comfortable they are taking their sexual history. It would be helpful to have information about local sexual health services as well as the post-exposure prophylaxis policy and provision by your accident and emergency department at hand.

What you should cover

Ask what prompted him to come for testing. Some specific significant event may be responsible, for example …

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