Sexual history should be obtained in a professional and nonjudgmental way and includes the following: Frequency of sexual activity Number and sex of partners Use of contraception Participation in unsafe sex Effects of sexual activity (eg, pleasure, orgasm, dyspareunia) Transgender and gender nonconforming issues (1) Past gynecologic history includes questions about previous gynecologic symptoms (eg, pain), signs (eg, vaginal bleeding, discharge), and known diagnoses, as well the results of any testing.