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Research ArticlePraxis

Rapid recommendations

Updates from 2020 guidelines: part 3

Danielle O’Toole
Canadian Family Physician February 2022; 68 (2) 114-116; DOI: https://doi.org/10.46747/cfp.6802114
Danielle O’Toole
Practising family physician in Academic Family Medicine and Assistant Professor in the Department of Family Medicine at McMaster University in Hamilton, Ont.
MD MSc CCFP
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    Table 1.

    The 7 Ps approach to sexual and reproductive health

    THE 7 Ps TO DISCUSS WITH ADOLESCENTSPOINTERS
    PartnersDetermine the number of partners, whether partners are new, and the partners’ risk factors for sexually transmitted infections
    PracticesAssess knowledge regarding relationship safety, consent, sexting, and teen dating violence
    Protection from sexually transmitted infections
    Past history of sexually transmitted infections
    • Recommend condom use

    • Ensure human papillomavirus vaccination is up to date

    • Screen all sexually active patients younger than 25 y

    • Consider preexposure prophylaxis or postexposure prophylaxis if there are HIV risks

    Prevention of pregnancyDiscuss contraceptive options and provide pregnancy testing if most recent menstrual period occurred more than 4 wk ago
    Permission (consent)Be aware of consent laws
    Personal identityDiscuss gender identity
    • Based on information from Johnson N; Canadian Paediatric Society, Adolescent Health Committee. Comprehensive sexual health assessments for adolescents. Paediatr Child Health 2020;25(8):551. Available from: https://cps.ca/en/documents/position/comprehensive-sexual-health-assessments-for-adolescents. Accessed 2022 Jan 18.13

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Canadian Family Physician: 68 (2)
Canadian Family Physician
Vol. 68, Issue 2
1 Feb 2022
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Rapid recommendations
Danielle O’Toole
Canadian Family Physician Feb 2022, 68 (2) 114-116; DOI: 10.46747/cfp.6802114

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Canadian Family Physician Feb 2022, 68 (2) 114-116; DOI: 10.46747/cfp.6802114
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