SexualHistory_RC

SexualHistory_RC - urological problem). Screening questions...

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Taking a Sexual History Name: Rachel Chacko Approach to Sexual History–Taking The sexual history provides an invaluable opportunity to uncover sexual problems. Because patients are often embarrassed to discuss their sexuality with physicians or view sex as outside the realm of medicine, and because physicians are often reluctant to broach the topic of sex for fear of offending their patients, the need to make sexual history–taking a routine part of practice is paramount. Physicians should always attempt to be sensitive and nonjudgmental in their interviewing technique, moving from general topics to more specific ones. Questions about sexual function may follow naturally from aspects of the medical history (such as introduction of a new medication, or investigation of a chief complaint that involves a gynecological or
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Unformatted text preview: urological problem). Screening questions include the following: Are you sexually active? If so, with men, women, or both? Is there anything you would like to change about your sex life? Have there been any changes in your sex life? Are you satisfied with your present sex life? To maximize its effectiveness, the sexual history may be tailored to the patient's needs and goals. Physicians should recognize that paraphiliacs are often secretive about their activities, in part due to legal and societal implications. Patients should be reassured about the confidentiality of their interaction (except in cases where their behavior requires mandatory legal reporting, e.g., as with child abuse). http://www.mdconsult.com/das/book/body/217631113-11/1049214128/1657/357.html#4-u1.0-B978-0-323-04743-2. .50038-X--cesec5_900...
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