It is no surprise that most doctors don’t feel comfortable talking to our patients about sex. We spend all of our 20s studying instead of experimenting! We even put it in the vice section of our history taking with smoking, drugs and alcohol.
If should be grouped with questions about living situation, hobbies, occupation, and physical activity. It should be discussed as if it is one of the most important things in life. It is! Without it, life can’t continue!
Addressing Sex as a Vital Part of Healthcare
If is a very useful topic of discussion because it can be a barometer for cardiovascular disease and mental health and a motivator for addressing those issues, like smoking cessation or vaccination. If it for us to facilitate the ability to have the sex the patient wants to have. We should be asking questions like, “Do you currently have a partner? Do you have sex with men, women, or both? Do you have any questions or concerns about libido, arousal, orgasm or pain? If you show interest, confidence, and competence, patients will open-up about this. It also goes a long way towards building a relationship of trust and respect.
Bridging the Orgasm Gap: A Physician's Role in Sexual Health
This discussion wouldn’t be complete without bringing up the orgasm gap. The gender pay gap is often discussed, but the orgasm gap never is. Men orgasm in 95% of sexual encounters whereas only 65% of women do. Women usually only orgasm from clitoral stimulation which doesn’t happen in penetration. This is something for us to keep in mind for ourselves, our partners, and our patients for more equitable sexual satisfaction.
Should we really be discussing this with our patients?
Of course!
Better us then social media influencers!
In your opinion, should conversations about sexual health be integrated into routine healthcare appointments?
Yes, as a standard practice.
Yes, but only when relevant to the patient's health.
No, it should be a separate conversation if needed.
No, it shouldn't be discussed in healthcare settings at all.