Perlman S E, Postlethwaite D, Stump S, Bielan B, Rudy S J
Department of Obstetrics and Gynecology, University of Louisville School of Medicine, Louisville, Kentucky, USA.
J Reprod Med. 2001 Feb;46(2 Suppl):163-8.
After studying this article, the reader should be able to: 1. Describe the relationship of sexual history taking and counseling to the safe prescription of teratogenic drugs. 2. Define the scope of the problem of unintended pregnancy and the importance of sexual history taking and counseling. 3. Review the skills of sexual counseling and taking a sexual health history. Although the need to take a sexual history and counsel patients about conception and contraception appears in several clinical situations, the process can be uncomfortable, and some physicians may avoid it or do it incompletely. When a patient is receiving a teratogenic agent, the need for proper history taking and counseling is critical. This article reviews ways to make the process more comfortable and rewarding for both the patient and physician.
阅读本文后，读者应能够：1. 描述性病史采集与咨询与致畸药物安全处方之间的关系。2. 界定意外怀孕问题的范围以及性病史采集与咨询的重要性。3. 回顾性咨询技巧以及获取性健康史的方法。尽管在多种临床情况下都需要采集性病史并就受孕和避孕问题为患者提供咨询，但这个过程可能会让人感到不适，一些医生可能会回避或做得不完整。当患者正在接受致畸剂治疗时，进行恰当的病史采集和咨询至关重要。本文回顾了一些方法，以使这个过程对患者和医生而言都更加轻松且有益。
