It's a simple question that we as medical professionals often have to ask, but one that is a minefield when it comes to answers.
To take a cue from our former President, I suppose it depends on what the meaning of the word "active" is.
It's a simple question that we as medical professionals often have to ask, but one that is a minefield when it comes to answers.
To take a cue from our former President, I suppose it depends on what the meaning of the word "active" is.
Ask like this:
1. Have you ever used tobacco? (yes|no) How often? In what forms?
2. Have you ever had alcoholic drinks? (yes|no) How often? What kinds?
3. Have you ever had sex? (yes|no) How often? With what sort of partner?
4. Have you ever had surgery?.... etc.
Point being, if you precede it and follow it with a couple expected questions of the same format, you can make it all seem quite routine and eliminate a lot of discomfort.
Well, what *does* it mean, exactly? It's relatively easy to define if one is in an ongoing relationship and has sex every three nights like clockwork, but there's a lot of space between that and total virginity. What if I, the patient, had sex with a new partner the day after the last time I saw my doctor a year ago (so I might have acquired a new STD) but not since? What if I had sex three days ago, after which my partner and I broke up and I've vowed celibacy for at least a year? What if I'm married but my partner is depressed and we only have sex once every six months or so? I think it would be easier to answer if it was clear what the doctor really wanted to know.
As a regular blood donor, I am accustomed to such questions: Have you had sex with a gay male? Have you accepted money or drugs for sex? Have you lived in Britain?
Keep in mind- sex is like bridge: if you don't have a good partner you need a good hand.
Yeah, it's a bit vague as to how active is considered active by the medical community. However, it's quite disconcerting that these morons are having sex.
Speedwell has it right - it takes more than one question to get at the information we docs need, that's whay I always follow up with a second (and sometimes a third...)...And all my patient questionaires have the question "Any new sexual partners since your last visit?"
One of these days I will post the answers I get on the new patient questionaires to the question "Are you sexually active?" They are often (intentionally) hilarious. Patients, like us docs, can also have a sense of humor...
Sure beats...
Are you sexually active?
No.
When was the last time you had sex?
This morning.
I thought you said it were not sexually active.
I wasn't. I just laid there.
Sure beats...
Are you sexually active?
No.
When was the last time you had sex?
This morning.
I thought you said it were not sexually active.
I wasn't. I just laid there.
In the Bible Belt, the question is a little different.
'Are you married?'
'No.'
'Well, if you get married and think you might be pregnant...'
I wish the blood donation questions had an option:
"I haven't had sex with anyone in 10 years"
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It's been so long; I don't remember who brings the goat.
Back in the day before I was sexually active, I went for a gyno visit. The nurse asked me the last time I was sexually active, and I said I wasn't. She said, when was the last time? I said, I'm not sexually active. This went on for a bit and did take a Clintonian twist, and eventually I made something up to make her happy. It boggled my mind that it didn't occur to her that by "not sexually active" what I meant was "not sexually active" and I was unable to spell it out since she was so intent on my sexual activity that I started to think I was the crazy one and must be sexually active by some definition (although you would have had to have stretched the definition pretty damn far to think so). I don't think I got good medical care at that visit.
Similarly, back in high school one time when my doctor asked if I was sexually active during a checkup, I responded with a mournful/frustrated "Don't I wish!"
He had to stop for a minute to stifle the laughs. I must have caught him off guard.