scholarly journals The Attitudes, Perspectives, and Barriers Among Primary Care Physicians Towards Addressing Sexual Health of Perimenopausal-Aged Women

2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Ali Farhat ◽  
Brian Henriksen
Keyword(s):  
Sexual Dysfunction ◽  
Family Medicine ◽  
Sexual Health ◽  
Primary Care Physicians ◽  
Structured Interviews ◽  
Medicine Physician ◽  
Vaginal Lubrication ◽  
Female Sexual Health ◽  
Potential Impact

Background/Objective: Menopause is the natural cessation of menstruation that typically occurs in women between ages 45 and 50. Menopause can lead to numerous issues regarding sexual health such as vulvovaginal atrophy, low desire, issues with vaginal lubrication, and an inability to achieve climax. Despite these issues, very few physicians initiate conversations about sexual health. Female patients generally feel uncomfortable bringing up the topic without first being asked by their physicians, so it is imperative to assess the reasons why physicians rarely discuss the topic. Methods: Sixteen semi-structured interviews were conducted with family medicine physician faculty and residents regarding barriers to discussing sexual health with their patients. Interviews were transcribed, reviewed, and coded for common themes. Generalizable categories were identified from these themes. Results: Patient embarrassment and cultural/religious norms were the most stated barriers to discussing sexual health. Adherence to norms and the lack of sexual education among patients were the most stated potential reasons for these barriers. The use of standardized questions and increasing efforts to directly discuss sexual dysfunction were the most stated potential solutions to these barriers. Better medical education regarding female sexual health and developing routines to ask about sexual health were the most stated strategies to help family medicine physicians to better serve this population. Conclusion and Potential Impact: This study established, from a family medicine perspective, the barriers and respective potential solutions towards improving the sexual health of women of menopausal age. Patients with suboptimal sexual health can affect other aspects of their health. If barriers to discussing this topic with patients can be reduced, more sexual dysfunction diagnoses can be made, and family medicine physicians can better guide and treat patients to resolve these issues and improve overall quality of life.

The impact of sexual dysfunction on the quality of life measured by MSQoL-54 in patients with multiple sclerosis

2008 ◽  
Vol 14 (8) ◽  
pp. 1131-1136 ◽  
Author(s):  
DK Tepavcevic ◽  
J Kostic ◽  
ID Basuroski ◽  
N Stojsavljevic ◽  
T Pekmezovic ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Multiple Sclerosis ◽  
Sexual Dysfunction ◽  
Sexual Function ◽  
Health Distress ◽  
Pain Subscale ◽  
Related Quality ◽  
Vaginal Lubrication ◽  
The Impact

Objective Sexual dysfunction (SD) is a common but often overlooked symptom in multiple sclerosis (MS). The aim of this study was to estimate the frequency, type, and intensity of SD in our patients with MS and to investigate its influence on all the domains of quality of life. Methods The study population comprised a cohort of 109 patients with MS (McDonald's criteria, 2001). SD was quantified by a Szasz sexual functioning scale. Health-related quality of life was measured by a disease-specific instrument MSQoL-54 (Serbian version). Results The presence of at least one symptom of SD was found in about 84% of the men and in 85% of the women. The main complaints in women were reduced libido, difficulties in achieving orgasm, and decreased vaginal lubrication; in men, the main complaints were reduced libido, incomplete erections, and premature ejaculation. In women, statistically significant negative correlations between the presence and level of SD and quality of life domains were reached for all subscales ( P < 0.01), except for the Pain subscale ( P = 0.112). In men, negative correlations were also observed for all domains, but they were statistically significant for physical health, physical role limitations, social function, health distress, sexual function, and sexual function satisfaction ( P < 0.01). We found that the presence of all the analyzed types of sexual problems statistically significantly lowered scores on the sexual function and the sexual function satisfaction subscales in both men and women ( P < 0.01). The most prominent impact on both domains was observed for the total loss of erection in men and for anorgasmia in women. Conclusions Our results reveal that frequent occurrence of SD in MS patients prominently affects all aspects of their quality of life.

Sexuality in older persons

2017 ◽  
pp. 1149-1156
Author(s):  
Marcello Maggio ◽  
Fulvio Lauretani ◽  
Gian Paolo Ceda
Keyword(s):  
Quality Of Life ◽  
Sexual Health ◽  
General Health ◽  
Primary Care Physicians ◽  
Older Persons ◽  
Early Recognition ◽  
Sexual Symptoms ◽  
Related Quality ◽  
Public Audience

Sexuality is defined as the dynamic outcome of physical capacity, motivation, attitudes, opportunity for partnership, and sexual conduct. Sexual health in older persons is a topic deserving increasing interest and attention for both a public audience and physicians. Over half of people over 65 years of age, report sexual dysfunction, women more so than men. Since sexual health is dependent on general health and can be considered a mirror of general health, its assessment should be part of the routine clinical assessment, even in older subjects. However, asking about sexual health especially in older persons is often a difficult or embarrassing task for many primary care physicians. In addition, many patients find difficult to raise sexual issues with their doctor. Early recognition of sexual symptoms is the first step to starting multimodal treatments aimed at improving sexual health and related quality of life in older persons.

scholarly journals The Impact of COVID−19 on Female Sexual Health

2020 ◽  
Vol 17 (19) ◽  
pp. 7152
Author(s):  
Anna Fuchs ◽  
Aleksandra Matonóg ◽  
Joanna Pilarska ◽  
Paulina Sieradzka ◽  
Mateusz Szul ◽  
...  
Keyword(s):  
Sexual Health ◽  
Sexual Function ◽  
Demographic Characteristics ◽  
World Health ◽  
Polish Version ◽  
The World ◽  
Female Sexual Health ◽  
Health Organization ◽  
The Impact

Introduction: Coronavirus disease (COVID−19), announced as a pandemic by the World Health Organization, recently has dominated people’s lifestyle. The impact of COVID−19 seems to be relevant to the sexual health as well. Methods: This prospective study was conducted on two occasions involving 764 female patients between March and April 2020—before and during the time of social quarantine. The sexual function was assessed using the Polish version of the Female Sexual Function Index (FSFI). Every patient filled out the survey concerning socio-demographic characteristics as well as the influence of SARS-CoV−2 pandemic on their lives. Results: The overall FSFI score before the pandemic was 30.1 ± 4.4 and changed to 25.8 ± 9.7 during it. Scores of every domain: desire, arousal, lubrication, orgasm, satisfaction and pain decreased as well (p < 0.001). There was statistically significant association between the workplace and the change of FSFI scores before and during COVID−19 pandemic (p < 0.01). We noticed the biggest decrease in FSFI score in the group of women who did not work at all (5.2 ± 9.9). Religion had a statistically important impact on level of anxiety (p < 0.01). Conclusion: The main finding of our study was the influence of COVID−19 pandemic on the quality of sexual lifestyle and frequency of intercourse among Polish women.

“They really hear you out”: Lessons on providing contraceptive care from a community-based sexual health clinic

2021 ◽  
pp. e20210018
Author(s):  
Karyn Fulcher ◽  
Amber Archibald ◽  
Jenny Francoeur
Keyword(s):  
Sexual Health ◽  
Best Practice ◽  
Family Doctor ◽  
Health Clinic ◽  
Task Sharing ◽  
Structured Interviews ◽  
Community Based ◽  
Sexual Health Care ◽  
Supportive Environment

Individuals in Canada may obtain prescription contraception from a family doctor, a walk-in clinic, or sexual health clinic. While there are guidelines for best practice in contraceptive care, the quality of this care varies widely. Access to any contraceptive care is also a concern, partly due to increasing pressures on physicians’ time. These issues have led to calls to expand contraceptive care into the purview of nurses and other qualified health professionals, a ‘task-sharing’ approach. Here, we use data from semi-structured interviews with providers and patients at a sexual health clinic in British Columbia to examine the benefits of such an approach as implemented in this particular clinic. We conducted semi-structured interviews with physicians, nurses, volunteer peer contraceptive educators, and patients about their experience providing or obtaining care at the clinic, and thematically analyzed the resulting data. Interviewees identified four key benefits in the clinic’s approach: the value of a specialized sexual health clinic where providers had a wealth of experience providing sexual health care; the time and attention given by providers relative to practitioners at other types of clinics; the increased efficiency facilitated by a task-sharing approach; and the inclusive and supportive environment. Although some aspects of this clinic’s strategy are not transferrable to all settings, implementing elements of this model in other settings could increase access to quality contraceptive care.

Sexual dysfunction among patients treated with antidepressants—a Hungarian retrospective study

2003 ◽  
Vol 18 (8) ◽  
pp. 412-414 ◽  
Author(s):  
P. Osváth ◽  
S. Fekete ◽  
V. Vörös ◽  
J. Vitrai
Keyword(s):  
Sexual Dysfunction ◽  
Medication Compliance ◽  
Epidemiological Survey ◽  
Sexual Problems ◽  
Structured Interviews ◽  
Everyday Clinical Practice ◽  
Patient’S Satisfaction ◽  
Antidepressive Medication ◽  
Very High

AbstractThe authors have investigated the incidence and several aspects of sexual problems in Hungarian outpatients (N = 637) treated by antidepressive medication. In this multicentre epidemiological survey the sexual dysfunctions (SD) was assessed by psychiatrists using structured interviews. Seventy-eight of the sample has sexual problems, more than half of them mentioned SD after starting antidepressive medication. Comparing various groups of antidepressants, patients taking a RIMA compound reported the occurrence of SD not so often as in TCA or SSRI groups, where the rate of SD was very high. Authors pointed out that physicians have to pay special attention to this problem in everyday clinical practice, since the recognition and treatment of sexual dysfunction is critical for the patient’s satisfaction, medication compliance and the quality of life.

scholarly journals Student Pharmacists’ Perceptions of Amazon Pharmacy

Pharmacy ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. 166
Author(s):  
Alexandra Stich ◽  
Christian Cava ◽  
Dominic Cava ◽  
David R. Axon
Keyword(s):  
The United States ◽  
Structured Interviews ◽  
Job Market ◽  
Future Studies ◽  
Online Pharmacy ◽  
Job Opportunities ◽  
Humanistic Outcomes ◽  
Potential Impact ◽  
Perceived Impact

Amazon recently launched their online pharmacy in the United States (US). However, no studies have explored student pharmacists’ perceptions of the potential impact of Amazon Pharmacy. This qualitative study used individual semi-structured interviews to examine third- and fourth-year student pharmacists’ perceptions of how Amazon Pharmacy will affect economic, clinical, and humanistic outcomes; the pharmacy experience; and the job market. Interviews were audio-recorded, transcribed verbatim, and thematically analyzed by two independent reviewers until saturation was reached, with differences resolved through discussion with a third researcher. Seventeen students participated in the study. Five themes were identified: perceived economic outcomes for patients, perceived clinical outcomes for patients, perceived humanistic outcomes for patients, perceived impact of the pharmacy experience for patients, and perceived influence of Amazon Pharmacy on the pharmacy market. The majority suggested Amazon Pharmacy would offer lower costs for patients (71%), improved medication adherence (76%), and improved quality of life (65%). There was a consensus that the Amazon Pharmacy experience would be different, with various opinions highlighting potential positive or negative aspects of the service. There were mixed opinions about job opportunities and impact on existing pharmacies. Future studies should evaluate economic, clinical, and humanistic outcomes for patients utilizing Amazon Pharmacy.

scholarly journals Covid-19 and sexual function of women. A review

2020 ◽  
Vol 5 (4) ◽  
pp. 126-132
Author(s):  
N. V. Artymuk ◽  
М. N. Surina ◽  
A. V. Atalyan ◽  
Al-Jefout Moamar
Keyword(s):  
Sexual Dysfunction ◽  
Sexual Health ◽  
Sexual Function ◽  
Significant Risk ◽  
Current Data ◽  
Female Population ◽  
Southern Russia ◽  
Different Populations ◽  
The Impact

Along with sleep and meal, sexual function is one of the main human motivations and its impairment can drastically reduce the quality of life in women. This condition is often overlooked and untreated. The prevalence of sexual dysfunction in the female population of different countries ranges from 25 to 63%, being particularly high in Siberia (55.9-69.4%) and southern Russia (45.5%). The most significant risk factors of sexual dysfunction in Russian women are age, stress and menopause. Current data on the impact of the COVID-19 on women's sexual function are limited and contradictory. Here we discuss how COVID-19 pandemic, associated with significant changes in the lifestyle, self-isolation and reduction of income, affected reproductive and sexual health of women in various countries. Generally, sexual activity of women reduced by around 40%, and most studies showed a decrease in libido and sexual arousal. COVID-associated sexual dysfunction also had its features across different populations and social groups. However, none investigated the impact of the COVID-19 pandemic on the sexual health of the female population in the Russian Federation.

scholarly journals Prevalence and Management of Anemia in Adolescents in Primary Care Settings

2021 ◽  
pp. 229-235
Author(s):  
Faisal Suliman Algaows ◽  
Jazi Abdullah Aloseimi ◽  
Fatima Mohammed Almahmoudi ◽  
Abdulaziz Ali Mohammed Alzawani ◽  
A. Alzahrani Omar Abdulaziz ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Primary Care ◽  
General Practice ◽  
Family Medicine ◽  
Blood Cell ◽  
Primary Care Physicians ◽  
Negative Effects ◽  
Primary Care Settings ◽  
Rbc Count

Anemia is defined as a drop in haemoglobin (Hb), hematocrit (HCT), or red blood cell (RBC) count. Anemia is a widespread issue in primary care, and primary care physicians are generally the first to notice its symptoms. Anaemia is a prevalent clinical concern among the adolescents.  It is widely known that haemoglobin levels drop with age increase. Anemia has been linked to a variety of negative effects, including higher mortality, hospitalisation, and a worse quality of life. epidemiological reporting of anaemia is fragmented. Anemia is diagnosed in part by symptoms reported in general practice/family medicine (GP/FM). Management of anemia relies on the type of anemia and underlying cause, in this review we will be looking at Prevalence, etiology, classification and management of Anemia.

scholarly journals Let’s Talk About Sex: A Survey of Patients’ Preferences When Addressing Sexual Health Concerns in a Family Medicine Residency Program Office

PRiMER ◽  
2018 ◽  
Vol 2 ◽  
Author(s):  
Katie L. Ryan ◽  
Veronica Arbuckle-Bernstein ◽  
George Smith ◽  
Julie Phillips
Keyword(s):  
Primary Care ◽  
Family Medicine ◽  
Sexual Health ◽  
Residency Program ◽  
Primary Care Physicians ◽  
Health Concerns ◽  
Family Medicine Residency ◽  
Sexual Concerns ◽  
Physician Relationship ◽  
Pearson Correlations

Introduction: Comprehensive medical care should embody the biopsychosocial care model and encompass all aspects of health. Sexual health topics may be overlooked or avoided because of patient and provider discomfort. Our purpose was to better understand patients’ preferences about discussing sexual concerns in primary care. We hypothesized that most individuals have sexual concerns, but many barriers prevent them from seeking care. Method: We surveyed patients at a family medicine residency program office. The survey explored whether patients had experienced sexual concerns, preferences for addressing concerns in the office, and barriers and facilitators to addressing concerns. Results were analyzed using counts and proportions. Pearson correlations, Pearson 𝜒2 analyses, and independent samples t-tests were used to explore demographic differences in responses. Results: Most participants indicated that physicians should ask all patients about having sexual concerns and that physicians should initiate these conversations. Younger participants were more likely to have this preference. Participants identified embarrassment as the most common barrier to sexual health conversations. Participants indicated it was easier to discuss sexual concerns with physicians of the same gender and/or a physician they had seen before. Conclusions: The majority of patients prefer active inquiry about sexual health concerns from primary care physicians. However, because a large minority prefer not to be asked about sexual health, physicians should inquire sensitively, particularly with older patients. Continuity of patient-physician relationship and allowing patients to choose their provider based on gender may also help facilitate these discussions.

Sign in / Sign up

Export Citation Format

Share Document