Sexual problems among family medicine patients.
ABSTRACT A self-administered questionnaire assessing sexual satisfaction and presence of a number of common sexual problems was developed. Following assessment of reliability and validity, the questionnaire was administered to 142 patients seen in a family medicine center. While 56 percent of patients reported one or more sexual problems, such problems were noted in the medical record in 22 percent of the cases. The nature of many of the problems (ie, techniques of foreplay, fear of pregnancy, and differences in attitudes and expectations between partners) suggests an effective role in treatment for the primary care physician.
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ABSTRACT: A questionnaire asking about satisfaction and problems in the sex lives of respondents and their partners was sent to 4,000 adults registered with general practices in England. A quarter of respondents said that they were dissatisfied with their sex lives, men more so than women, particularly with the frequency of intercourse. Respondents were more likely to be dissatisfied with their sex life if they perceived their partner to have a sexual problem. Respondents who were dissatisfied were more likely to report that their partner was dissatisfied with their sex life. The benefits of treating sexual problems have wide implications for both partners in a relationship.Journal of Sex and Marital Therapy 01/2000; 26(2):141-51. · 1.27 Impact Factor
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ABSTRACT: Background. Over the past two decades, primary care physicians have been encouraged to participate in the management of sexual disturbances. Women with type 2 diabetes, often treated by GPs, are at high risk of experiencing sexual dysfunction. Objective. Very few qualitative studies have described the impact of sexual dysfunction on the diabetic women experiencing it. Our aim was, therefore, to explore the effects, if any, of type 2 diabetes on ‘womanhood and intimacy’ and investigate whether women wish to receive medical attention for their sexual disturbances. Methods. We used a purposeful sample of middle-aged and older women (44–80 years) diagnosed with type 2 diabetes ( n = 33). Methods triangulation was employed: focus group interviews were combined with observer data and a structured, anonymous questionnaire. We performed content analysis, with co-researcher control for systematic bias during the coding process. Results. Personal characteristics, such as age, sex, experience and attitude of the doctor, the speciality considered to be appropriate (GP versus gynaecologist) and circumstances (time and privacy) in the primary care setting appeared to significantly influence women's willingness to discuss—if at all—sexual matters with physicians. Conclusion. GPs should aim to create an open atmosphere to encourage discussion of female sexual dysfunction in the consultation room. However, women with sexual problems might benefit more from peer help through patient or women's organizations. The role of GPs might therefore consist of supporting these services and identifying female sexual dysfunction in type 2 diabetes, a problem that middle-aged and older women have difficulty communicating.Family Practice 05/2001; · 1.83 Impact Factor