Health Care Providers (HCP) are reluctant to discuss sexual and reproductive health and rights with patients. Evidence based reasons cite lack of training, no time, embarrassment and a belief no treatment exists. Patients desire this conversation yet fear HCP’s ageism, sexism, lack of openness and patient’s lack of language. This deadlock adds to the burden of disease. A comprehensive sexual health history is neglected resulting in diseases such as CVD, diabetes, depression and HIV/AIDS/STI and sexual dysfunctions being undiagnosed as well as social distress, GBV and intimae relationship distress going unnoticed.
The object of the study is to highlight the increase in the burden of disease when sexual health is excluded from HCP’s history take and assessment. And to provide simple formulae to rectify this problem. State method used if pertinent; Review of current evidence based literature on the value of sexual health counseling as preventing the burden of disease. Case study reviews as well as clinical examples are included in study.
Summarise results obtained: Sexual health history taking by HCP provides a vitally important promotional and preventative value to ease the burden of disease. Simple formulaic methods can be easily integrated into HCP’s present history taking and assessment.
State conclusions reached. Sexual dysfunctions provide signs of general disease and distress in people. General disease creates sexual dysfunctions. If not assessed and managed by HCP’s, these add a burden of disease to both the health care system and the patient. HCP’s are perfectly positioned to assess and manage this via simple sexual counseling.
As a psychology and medicine student in the sixties and early seventies I realized that sexology was missing in the education and training curriculum for most health professionals. This concern encouraged me to ask my own department and the University of Gothenburg to modify the current curricula making sexology a compulsory subject in the academic training for physicians and psychologists in the first place.
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