Talking to Your Providers About Sexual Health: A Conversation Guide

Submitted on Jan 7, 2026
Image
Woman talking to healthcare provider.
©iStock.com/fizkes | Posed by models

Talking to your healthcare provider about sex, your sex life, and your overall sexual well-being can sometimes be uncomfortable, for all kinds of reasons. Speaking up for yourself is important, and your provider needs to know how to best assist you.

Through meaningful dialogue, rooted in shared decision-making and respect, your provider can make talking about sexual health, pleasure, and bodily autonomy, including HIV prevention, feel more comfortable and normalized. Below are considerations, talking points, and questions to help inspire these critical conversations.

This resource is part of SHE/HER/THEY (Sexual Health Education/HIV Empowerment Resources/Treating HIV Equally), The Well Project's educational outreach initiative focused on improving engagement in care, health outcomes, and well-being for women living with and vulnerable to HIV while promoting language justice and holistic wellness through a non-stigmatizing lens.

Considerations

  • You are the single best person to take up for yourself, because you are the expert in your own life. Speak up and speak often.
  • Your reasons are your own for seeking PrEP (pre-exposure prophylaxis), PEP (post-exposure prophylaxis), HIV testing, and other sexual health tools. Providers are encouraged to discuss PrEP with anyone who asks about it.
  • Your provider can only help you with the things they know are happening. You can communicate your needs in the way that is most comfortable to you.
  • Your pleasure is a part of your overall health. Sex is more than just reproductive choices and protection from STIs (sexually transmitted infections).
  • Your choices are valid and should be respected without judgment
  • You deserve trustworthy care. This means you can trust your provider’s suggestions and that your provider considers your lived experience in those suggestions.
    • In situations where you do not feel that you are being heard or respected, it is okay to seek a different care provider, or to use resources like The Well Project to help you find other options
  • Your real-life experience impacts your health. Sex may at times be connected to survival, substance use, housing, or money. If or when any of these are part of your sexual experience, focus and care should be given to harm reduction, not judgment.

How Do I Bring this Up to My Provider?

Below is a list of sample questions to help guide conversations with your provider about sexual health, STI prevention, and wellness.

Sexual Activity and Health
  • Are you comfortable with me asking questions about my sex life?
    • (If YES) Move on to discussion points
    • (If NO) Can you explain why? Are you able to refer me to someone who is?
  • Discussion points:
    • Since my last visit I have/haven't had sex.
    • Right now, my sex life looks like ________.
    • My ideal sex life looks like _________.
    • I would like to discuss PEP. I have had sex in the last 24 to 48 hours and am concerned about HIV exposure.*
    • The reasons I am currently engaging in sex include ________  (examples: pleasure, stress relief, survival, money or goods, threat of intimate partner violence, housing, etc.).
    • My main reason for engaging in sex is _________.
    • The parts of my body I use for sex are _______.

*PEP (post-exposure prophylaxis) may be taken within 72 hours of a potential HIV exposure to prevent HIV acquisition.

More about this:

 

STI Prevention and Testing
  • I have/have not been tested for sexually transmitted infections (including gonorrhea, trichomoniasis, syphilis, chlamydia, herpes, HIV, and others) in the past _________ years.
    • Do you include HIV testing in your STI testing panels?
    • Is there anything I need to know about how STI/HIV testing works?
      • What types of tests are there, and which is best for me?
      • Who will perform the test?
      • How will I receive the results?
  • The STI prevention methods I use are: ___________ (examples: condoms, pull-out method, creams, or gels, etc.).
    • I am/am not familiar with PrEP.
    • Are you willing to prescribe PrEP for me?
      • (If YES) Move on to discussion points
      • (If NO) Are you able to refer me to someone who can (such as another clinic, local pharmacy, or another provider)?
  • Discussion Points:
    • Could you explain the differences between the available PrEP options (daily oral pill or long-acting injectables)?
    • My hesitations about PrEP are: ________.
    • If PrEP is not right for me right now, could we discuss it in the future?

More about this:

 

Harm Reduction 
  • I have/have not engaged in exchanging sex for money, goods, or other needs/rewards.
  • I do/do not have a history of injection drug use.
    • I do/did not know that PrEP can reduce the chance of getting HIV from injection drug use by at least 74 percent
    • I am/am not interested in information on substance use disorder (SUD) treatment at this timehis time

More about this:


This project is supported by ViiV Healthcare's Positive Action Grant Program and Merck

1

Image

Members of The Well Project community at USCHA 2022.

Become a Member

Join our community and become a member to find support and connect to other women living with HIV.

Join now >

banner

Do you get our newsletter?

¿Recibe nuestro boletín?

Sign up for our monthly Newsletter and get the latest info in your inbox.

Suscríbase a nuestro boletín mensual y reciba la información más reciente en su bandeja de entrada.

You Can Help!

Together, we can change the course of the HIV epidemic…one woman at a time!

Please donate now!>