scholarly journals Experiences of general practitioners in the Ga-Rankuwa and Mabopane areas in dealing with patients who have sexual problems

2015 ◽  
Vol 7 (1) ◽  
Author(s):  
Benjamin Mills ◽  
Indiran Govender ◽  
Jannie Hugo
Keyword(s):  
Sexual Dysfunction ◽  
Sexual Health ◽  
General Practitioners ◽  
Sexual Problems ◽  
Sexual Medicine ◽  
Health Issues ◽  
North West ◽  
Self Help ◽  
Field Notes ◽  
And Training

Background: Sexual problems are common. Many patients with sexual health dysfunction use self-help literature or are often managed in general practice. However, many general practitioners (GPs) find it difficult to discuss sexual health issues because they feel uncomfortable with this and lack training in these matters. These GPs are now referring patients with sexual dysfunction to specialists.Aim: We sought to explore how GPs working in the Mabopane and Ga-Rankuwa areas of handle sexual problems of their patients.Setting: The setting was the Mabopane and Ga-Rankuwa areas of North-West Tshwane, in Gauteng Province.Methods: A qualitative study comprising eight free attitude interviews with purposefully selected four male and four female GPs. All interviews were conducted in English and tape-recorded. Field notes in the form of a detailed diary was kept. The tapes were transcribed verbatim, and the transcriptions were checked against the tapes for omissions and inaccuracies.Results: Six themes emerged from the interviews: causes of sexual problems; presentation of sexual problems to the doctor; management of sexual health problems; sex is a taboo topic; society’s need for sexual health discussions, and these discussions have already begun; previous limited exposure and training, and a need for more sexual health training.Conclusion: This study confirms earlier findings that patients could be either reluctant to discuss their problems or are open about them when presenting to doctors with sexual dysfunction. GPs were not exposed to sexual health training at medical school and, because of this shortcoming, felt that training in sexual medicine should be part of the curriculum.

Integrative Sexual Health

2018 ◽  
Author(s):  
Andrew Weil
Keyword(s):  
Sexual Dysfunction ◽  
Sexual Health ◽  
Integrative Medicine ◽  
Treatment Strategies ◽  
Research Literature ◽  
Sexual Problems ◽  
Treatment Modalities ◽  
Medical Illness ◽  
Medical Specialties ◽  
Clinical Specialist

Integrative Sexual Health explores beyond the standard topics in men’s and women’s health, drawing on a very rich and diverse research literature. Books on sexuality typically are for the clinical specialist and cite only focally relevant research, or are geared to lay knowledge and cite almost no research. Integrative Sexual Health provides an overview of sexual biology and sexual dysfunction, diverse lifespan, lifestyle, and environmental impacts on sexual function, applies complementary and integrative medicine solutions to sexual problems, and offers traditional Eastern and Western treatment approaches to resolving sexual difficulties. Written by diverse integratively trained experts in sexuality, psychology, psychiatry, and other medical specialties. Integrative Sexual Health includes clinical vignettes, detailed treatment strategies for mitigating the side effects of medications, and sexual dysfunction associated with medical illness and poor lifestyle habits, as well as citing extensive research and further resources. Integrative treatment modalities not typically consulted in mainstream sexual medicine, such as traditional Chinese medicine, Ayurvedic medicine, aromatherapy, and botanical medicine are presented with the best available evidence, in a clinically relevant manner. This volume in the Weil Integrative Medicine Library will be valuable to the specialist and non-specialist alike, who seek to understand and treat sexual problems using an integrative medicine approach, and acquire tools to help patients maintain lifetime optimal general health and vitality that supports healthy sexuality.

The New Avatar of Female Sexual Dysfunction in ICD-11—Will It Herald a Better Future?

2019 ◽  
Vol 1 (2) ◽  
pp. 111-113
Author(s):  
Soumya Parameshwaran ◽  
Prabha S. Chandra
Keyword(s):  
Clinical Practice ◽  
Sexual Dysfunction ◽  
Sexual Health ◽  
Female Sexual Dysfunction ◽  
Sexual Problems ◽  
Sexual Dysfunctions ◽  
Diagnosis And Management

Female sexual dysfunction has always had challenges related to nosological issues due to inadequate research and understanding in this area. The ICD-11 has proposed substantial changes to the classification of conditions related to sexual health. In this review, we have discussed the proposed changes, compared with other classificatory systems and discussed its implications on clinical practice and research in this field. While there have been several progressive moves in the taxonomy of sexual dysfunctions, we have expressed our views on possible changes which can help with better diagnosis and management of sexual problems in women.

scholarly journals Let us integrate sexual health—do psychiatrists integrate sexual health in patient management?

2020 ◽  
Vol 23 (4) ◽  
pp. 527-534
Author(s):  
Tamara Seitz ◽  
Lucia Ucsnik ◽  
Andrea Kottmel ◽  
Johannes Bitzer ◽  
Bela Teleky ◽  
...  
Keyword(s):  
Health Care ◽  
Sexual Health ◽  
Health Care Professionals ◽  
Patient Management ◽  
Self Report ◽  
Patient Treatment ◽  
Daily Routine ◽  
Sexual Medicine ◽  
Health Issues ◽  
Sexual Health Care

AbstractThe high prevalence of sexual dysfunction and the importance of sexual health issues in general stress the need for a physician to integrate sexual health issues in patient management. In this study, we evaluate the frequency of psychiatrists addressing sexual health issues as well as their attitude towards sexual health. Plus, we want to evaluate the multi-professional network for patient treatment that is needed by physicians for collaboration with other medical specialists and health care professionals. At total 100 psychiatrists (age range 30–60 years), participating at the annual meeting of the Austrian Society of Psychiatry, Psychotherapy, and Psychosomatics, were invited to self-assess their caring for patients’ sexual health issues and answer a self-report questionnaire. The return rate was 74%. A third of the participating psychiatrists and psychotherapists stated to address sexual health in patients in daily routine. Twenty-five percent of the physicians suspected sexual health problems in 60–100% of their patients but did not ask the patients about this topic. Mentioned reasons why patients would not actively address sexual problems were rated by the survey participants “a different problem was more important”, “lack of time”, and “embarrassment”. Only few of the participating psychiatrists stated to offer a consultation in sexual health to the patients, none to offer sexual therapy. A mentioned reason was “lack of competence regarding sexual health”. Twelve percent referred the patients with sexual issues to a physician with another medical specialization, especially to experts in gynaecology and obstetrics, to experts in urology, or to andrologists. However, a need for a network in the field of sexual medicine was stated and an unawareness of a sexual health care network: where to refer the patients in need. Our data showed an increased need in the routine treatment and management of sexual health care in psychiatrists and psychotherapists. Plus, the data stresses the need for professional sexual medicine qualification and for extended cooperation between different medical fields and health care professionals in order to integrate sexual health topics professionally in daily routine.

Breast cancer patients in a female sexual medicine and women’s health program: A cross-sectional retrospective study.

2019 ◽  
Vol 37 (31_suppl) ◽  
pp. 8-8
Author(s):  
Jeanne Carter ◽  
Sally Saban ◽  
Ashley Arkema ◽  
Deborah J. Goldfrank ◽  
Shari Beth Goldfarb
Keyword(s):  
Breast Cancer ◽  
Sexual Dysfunction ◽  
Sexual Health ◽  
Sexual Function ◽  
Postmenopausal Women ◽  
Cancer Patients ◽  
Health Program ◽  
Assessment Scale ◽  
Sexual Medicine ◽  
Breast Cancer Patients

8 Background: Cancer treatment impacts sexual health and QOL with symptoms of vulvovaginal dryness, dyspareunia, and sexual dysfunction. There are limited data on specific sexual changes in patients with varying treatments. We examined patient-reported and exam outcomes of breast cancer patients’ initial consults at Female Sexual Medicine & Women’s Health Program (FSMWHP) at Memorial Sloan Kettering Cancer Center. Methods: We obtained a limited waiver to evaluate medical records and Female Sexual Medicine Clinic Assessment Forms (FSMCAFs) of initial consults at FSMWHP from 6/29/12–12/23/16. The FSMCAF is composed of a pelvic exam checklist, sexual function measures (Female Sexual Function Index-FSFI; Sexual Activity Questionnaire-SAQ), vulvovaginal health measures (Vaginal Assessment Scale—VAS; Vulvar Assessment Scale—VuAS), and questions about concerns. Descriptive statistics were calculated using SPSS. Results: 446 women were categorized by menopausal status and endocrine therapy. Subcohorts were: postmenopausal with aromatase inhibitors (AIs) alone (30%), tamoxifen followed by AI (22%), tamoxifen alone (16%) or no therapy (16%), and pre/peri-menopausal with tamoxifen alone (9%) or no therapy (5%). In postmenopausal women, initial consults avg. 3.3 yrs post-treatment (pre/peri avg. 1.8 yrs). Endocrine use avg. 3 yrs. across groups. 99% of postmenopausal women scored < 26.6 on FSFI, indicating sexual dysfunction (tamoxifen alone avg: 13.7; tamoxifen followed by AI avg: 10.4). Vulvovaginal dryness and severe dyspareunia were highest in postmenopausal women with endocrine exposure (AI alone: 83% and 36%; tamoxifen alone: 66% and 32%). Related exam outcomes (pH > 6.5, petechiae, vulvovaginal atrophy, minimal/no moisture) were also highest in postmenopausal women (AI alone: 30%, 13%, 78%, 89%; tamoxifen alone: 19%, 5%, 65%, 70% respectively). Conclusions: Sexual health concerns are common in breast cancer patients. Endocrine exposure and menopause can negatively impact tissue quality. Women exposed to AIs appear to have the poorest self-reported and clinical outcomes. Proactive sexual health interventions, including early counseling, are warranted in these patients.

scholarly journals Addressing Sexual Problems in German Primary Care: A Qualitative Study

2021 ◽  
Vol 12 ◽  
pp. 215013272110464
Author(s):  
Ronja Zannoni ◽  
Elisa Dobberkau ◽  
Hanna Kaduszkiewicz ◽  
Aglaja Valentina Stirn
Keyword(s):  
Qualitative Study ◽  
Qualitative Content Analysis ◽  
Sexual Problems ◽  
Sexual Medicine ◽  
Health Issues ◽  
Structured Interviews ◽  
Study Objective ◽  
Doctor Patient Communication ◽  
Complex Disorders ◽  
Almost All

Although general practitioners (GPs) are often the first contact for patients’ sexual issues, little is known about how German GPs approach, diagnose, and treat sexual problems and disorders. Therefore, the present qualitative study explores approaches and management of sexual health issues used by GPs. The sample included 16 GPs from Kiel and surroundings and Sachsen-Anhalt. The in-depth, semi-structured interviews were coded according to the qualitative content analysis by Mayring using MAXQDA. The results revealed 5 main themes, 2 of which are explored in more detail in relation to the study objective (2 and 4): (1) sexual issues that arise in general practice, (2) addressing sexuality, (3) influencing factors in doctor-patient communication about sexuality, (4) diagnosing and treating sexual dysfunctions, and (5) changes in the approach to sexuality over time. Most GPs did not routinely ask their patients about sexual problems. Common barriers included lack of time, suspected embarrassment on both sides, and fear of offending patients. Almost all GPs tended to diagnose sexual problems individually adapted to patients’ issues, not following a standardized approach. Medication was offered as the main treatment for sexual problems. For complex disorders, most GPs lack sexual medicine knowledge, and they requested a better range of training courses in sexual medicine.

scholarly journals Self-assessment of clinical competence on sexual health by Iranian medical interns: a framework for curriculum revision

2018 ◽  
Vol 3 (1) ◽  
pp. 23
Author(s):  
Kambiz Abachizadeh ◽  
Fatemeh Etesam ◽  
Reza Shekarriz-Foumani ◽  
Aliasghar Keramatinia
Keyword(s):  
Medical Students ◽  
Sexual Health ◽  
Target Population ◽  
Sexual Problems ◽  
Sexual Medicine ◽  
Validity And Reliability ◽  
Curriculum Revision ◽  
Cross Sectional ◽  
Significant Difference ◽  
Medical Interns

Background: The sexual medicine education in medical faculties has been a challenging issue worldwide in recent decades. Most of medical students are dissatisfied for their sexual health education which indicates an emergent need for curriculum revision. The nobility of the study was to reveal medical students' competency gaps on sexual medicine.Methods: This cross-sectional study was conducted at a large, public medical school, topped the national ranking for its excellence in education. The target population was medical interns in their 6th and 7th year of their course. With a census sampling approach, all eligible students were included. To develop the questionnaire, the framework of ESSM (European Society for Sexual Medicine) syllabus of sexual medicine 2012 was employed after being examined by an expert panel to meet the criteria of content coverage. Recruiting 10 participants, a pilot was conducted to assess the criterions of validity and reliability. Finally a 35 item questionnaire was developed including three domains; "male sexual problems", "female sexual problems" and "common to both sexes sexual problems” with 17, 9, and 9 items, respectively. Students were asked to answer each item in a five-level Likert scale. The total score was standardized to convert scores to a range of 0-100 making it easy to interpret. In addition, a single question on the general competency was asked. Analytical statistics were used appropriate to data type and distribution (t test, one-way ANOVA). Study protocol was approved by research executive and ethics board of the institution.Results: 152 of 260 eligible students participated, with mean age of 25.0 (SD=2.3), of whom 54% were females. The standardized total competency score was 22.3 (95% CI: 20.4-24.2). Regarding to not only total but also different domains scores, there was no significant difference in different grades (PV>0.05). The female students' competency was significantly higher in the domain of "female sexual problems" and "common sexual problems, but not in the domain of "male sexual problems". None of the interns believed that they are competent enough to manage patients with sexual problems by themselves.Conclusions: We magnificently attained that medical students' clinical competency on sexual medicine is poor. Medical education system of Iran would not be able to deal with this challenge unless it provides with a comprehensive curriculum revision.

scholarly journals A Survey on Experience Of Singaporean Trainees in Obstetrics and Gynaecology and Family Medicine in Managing Sexual Problems and Training in Sexual Medicine

2016 ◽  
Vol 9 (1) ◽  
pp. 11-11
Author(s):  
Z. Huang ◽  
◽  
S. Logan ◽  
P. G. Adaikan ◽  
◽  
...  
Keyword(s):  
Family Medicine ◽  
Sexual Problem ◽  
Sexual Problems ◽  
Sexual Medicine ◽  
Training Curriculum ◽  
Knowledge And Skills ◽  
Asian Patients ◽  
Obstetrics And Gynaecology ◽  
Seeking Help ◽  
And Training

Objective: Sexual problems are common. Asian patients may have more difficulty seeking help due to a conservative culture. Both Obstetricians & Gynaecologists (OBGYN) and Family Medicine (FM) doctors are ideally placed to address sexual problems directly. This survey explored the experience of trainees in OBGYN and FM in managing sexual problems and training in Sexual Medicine (SM). Design and Method: A survey was sent anonymously online to all Singaporean trainees in FM and OBGYN during December 2015. Results: The overall response was 32.2% (69/214)- 41.1% (53/129) of the FM and 21.3% (16/75) of OBGYN trainees. Seventy-two percent were female, with less than 10% senior residents. Two-thirds attended Singaporean medical schools. Twenty-nine percent encountered patients with sexual problems at least once monthly. Most would refer these patients to gynaecologists/urologists, followed by sex therapists. More than three-quarters were not confident in managing either sex. Amongst the recognized categories, only 42% felt confident to manage erectile dysfunction, 17% for vaginismus, while less than 10% felt confident to manage libido, arousal or orgasm disorders. Ninety-four percent agreed that SM should be part of the training curriculum and 65% suggested that this began at junior residency. Eighty-seven percent of them were interested to obtain further knowledge and skills through their training curriculum or psychosexual seminars. Conclusions: This survey reported a significant number of trainees in OBGYN & FM are regularly exposed to sexual problem patients but lack the skills to manage them. The results support the need for SM to be incorporated into both national residency program curricula.

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