Discussing Sex With Your Gynaecologist

Understanding the 5 P’s of Sexual and Reproductive Health

Your guide to better conversations with your doctor

Your sexual and reproductive health is an important part of your overall well-being.
To help you and your healthcare provider talk openly, there is a simple tool called the 5 P’s. These are the five key areas of your sexual health that your doctor may ask about.

Talking honestly about these topics can help:

  • Prevent sexually transmitted infections (STIs)
  • Plan for or prevent pregnancy
  • Support your emotional and physical health

1. Partners

Who are you having sex with?

Your doctor may ask:

  • How many sexual partners have you had in the past 12 months?
  • What is the gender of your current and past partners?
  • Do you have one partner or multiple partners?

This helps assess your risk for STIs and guide appropriate care.

2. Practices

What kind of sexual activity do you engage in?

This includes:

  • Vaginal sex
  • Oral sex
  • Anal sex
  • Use of sex toys

These details help your doctor recommend the right type of STI screening.

3. Protection from STIs

How do you protect yourself and your partners?

You might be asked:

  • Do you use condoms or other barrier methods?
  • Are you vaccinated against HPV or hepatitis B?
  • Have you or your partners been tested for STIs?

Even if you feel fine, regular testing is important because many STIs have no symptoms.

4. Past history of STIs

Have you had any sexually transmitted infections before?

You may be asked about:

  • Any previous STIs you or your partner(s) have had
  • Treatments you’ve had
  • Ongoing symptoms or concerns

This helps guide your current treatment and prevention plan.

5. Prevention of Pregnancy

Do you want to become pregnant now, in the future, or not at all?

Questions may include:

  • Are you using any birth control methods (e.g., condoms, pills, IUD)?
  • Are you planning to get pregnant soon?
  • Would you like to talk about options?

This helps your doctor support your reproductive goals.

Why This Matters

  • These questions are normal and asked to support your health.
  • Your answers are private and kept confidential.
  • There is no judgment—only care, respect, and support.

Talk Openly, Ask Questions

Your healthcare provider is here to help you stay safe, healthy, and informed.
You have the right to ask questions and make choices that are right for you.