TABLE 2

The 5 P’s: Partners, Prevention of Pregnancy, Protection From STDs, Practices, and Past History of STDs

1. Partners
 • “Do you have sex with men, women, or both?”
 • “In the past 2 months, how many partners have you had sex with?”
 • “In the past 12 months, how many partners have you had sex with?”
 • “Is it possible that any of your sex partners in the past 12 months had sex with someone else while they were still in a sexual relationship with you?”
2. Prevention of pregnancy
 • “What are you doing to prevent pregnancy?”
3. Protection from STDs
 • “What do you do to protect yourself from STDs and HIV?”
4. Practices
 • “To understand your risks for STDs, I need to understand the kind of sex you have had recently.”
 • “Have you had vaginal sex, meaning ‘penis in vagina sex’?” If yes, “do you use condoms: never, sometimes, or always?”
 • “Have you had anal sex, meaning ‘penis in rectum/anus sex’?” If yes, “do you use condoms: never, sometimes, or always?”
 • “Have you had oral sex, meaning ‘mouth on penis/vagina’?”
For condom answers
 • If “never:” “why don’t you use condoms?”
 • If “sometimes:” “in what situations (or with whom) do you not use condoms?”
5. Past history of STDs
 • “Have you ever had an STD?”
 • “Have any of your partners had an STD?”
Additional questions to identify HIV and viral hepatitis risk include
 • “Have you or any of your partners ever injected drugs?”
 • “Have any of your partners exchanged money or drugs for sex?”
 • “Is there anything else about your sexual practices that I need to know about?”
  • Adapted from Workowski KA, Bolan GA; Centers for Disease Control and Prevention. Sexually transmitted diseases treatment guidelines, 2015. MMWR Recomm Rep. 2015;64(RR-03):1–137.