Patient Sexual History Key to Good Ob-Gyn Care

FRIDAY, March 23 (HealthDay News) — Many U.S.
obstetrician-gynecologists fail to ask patients enough questions about
their sex lives, which means they could lack information that provides
insight into their patients’ overall health, according to a new study.

The national survey of ob-gyns found that nearly two-thirds of them
routinely ask patients about their sexual activity. However, only 40
percent routinely ask questions to assess a patient’s sexual problems or
dysfunction; only 29 percent routinely ask patients about satisfaction
with their sex lives, and only 28 percent consistently confirm a patient’s
sexual orientation.

There’s a well-established link between sexual function and overall
health, and these findings point to the need for stronger guidelines for
doctors on gathering a thorough sexual history from patients, the
University of Chicago researchers said.

“As a practicing ob-gyn, many of my patients say I’m the first
physician to talk with them about sexual issues,” lead author Dr. Stacy
Tessler Lindau, an associate professor of obstetrics and gynecology, said
in a University of Chicago Medical Center news release.

“Sexuality is a key component of a woman’s physical and psychological
health. Obviously, ob-gyns are well positioned among all physicians to
address female sexual concerns. Simply asking a patient if she’s sexually
active does not tell us whether she has good sexual function or changes in
her sexual function that could indicate underlying problems,” she
explained.

About one-third of young and middle-age women and about half of older
women experience some sort of sexual problem, such as low desire, pain
during intercourse or lack of pleasure, according to recent studies. These
problems can lead to strained relationships and feelings of worry, shame,
guilt and isolation.

If a doctor doesn’t ask women about their sex lives, patients often
assume the door is closed to that topic.

“Many women are suffering in silence,” Lindau said. “Patients are often
reluctant to bring up sexual difficulties because of fear the physician
will be embarrassed or will dismiss their concerns. Doctors should be
taking the lead. Sexual history taking is a fundamental part of
gynecologic care. Understanding a patient’s sexual function rounds out the
picture of her overall health and can reveal underlying issues that may
otherwise be overlooked.”

The study was published March 22 in the Journal of Sexual
Medicine
.

More information

The U.S. Centers for Disease Control and Prevention has more about sexual
health
.

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