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Abebe is feeling confused and uncertain about his sexuality and would never have felt comfortable exploring it further while living with his parents in Ethiopia. He is worried about anyone in his family finding out, particularly his father. Abebe has no significant medical history but has been feeling a little anxious lately.

Abebe has never smoked cigarettes but has been experimenting with some recreational drugs since coming to Australia. He drinks alcohol with friends on weekends drinks per occasion and has tried some MDMA. These occasions are also when he started to experiment having sex with men.

Harm reduction education is provided regarding drug use and linked into community organisation for ongoing support. He heard about PrEP and was unsure whether to consider taking it. He mostly uses condoms for anal sex and is versatile. No drug use, minimal alcohol use. He is worried that Tom has other partners. Angus identifies as heterosexual and is married with two children.

Angus and his partner Olivia year-old who identifies as female. Upon being told about his diagnosis Angus says on occasion has sex with male partners and notes Olivia is not aware of this. You discuss contact tracing options with Angus. He attends the sexual health centre for a routine STI screen. Junior regularly attends the clinic given he is a sex worker. Junior has sex with both male and female including people with a penis and vagina partners for work and uses condoms most of the time.

Junior has been searching the internet regarding his symptoms and signs. You address the misinformation from online platforms. Contact Us. Search Submit Clear. Gay men and other men who have sex with men. Culturally and linguistically diverse people MSM People who use drugs Key learnings and take away English as a second language - Despite Abebe appearing he could understand and speak English quite confidently from the start of the consult the clinician still confirmed the need for an interpreter.

This also assisted in the clinician in ascertaining all information required to perform a comprehensive sexual history. Role of assumptions — Simon mentioned his last STI screen only involved a urine tests and bloods. This demonstrates either assumptions were made about Simons sexual partners and practices or lack of knowledge what STI tests constitute a comprehensive sexual health check-up for a male having sexual contact with other men.

STI diagnosis MSM Key learnings and take away Normalising — Normalising the reasons for asking the types and depth of questions to determine what tests need to be performed. Role of assumptions — Without the right questioning in this scenario and an assumption being made about Angus being married it may have resulted in him not having the additional tests or not having a full understanding of his risk profile.

Role of assumptions — If assumed Angus was only having sex with his wife and no further history taking occurred this would have also missed an opportunity to discuss PEP and PrEP with him. Clinical indicator Culturally and linguistically diverse people Syphilis Outbreak region Sex worker MSM Key learnings and take away Normalising — Normalising the reasons for asking the types and depth of questions to determine what tests need to be performed.

Although Francisco is a regular patient and had previous sexual health check-ups this is still important. Normalising — The role of the internet when searching for answers related to health but also the way in which the internet may reinforce anxiety related to health concerns.