Training basic sexual history taking for residents in Obstetrics & Gynaecology

Training basic sexual history taking for residents in Obstetrics & Gynaecology

We extracted the commonly used steps in the workup to construct a tool with easy to remember elements which would help the physician to evaluate the patients‘ sexual problems and plan for referral or therapy. We trained 20 residents residents and evaluated their self rated competence before and after the training.  We could differentiate seven steps of sexual history taking: Raising the subject of sexuality by indirect or direct invitation to the patient; Active listening to the narrative; Asking for a typical sequence of the sexual encounter; Establishing a 6 field pathogenetic model of the sexual problem: 3 levels (biological, individual psychological, interactional-social) 3 dimension (Predisposing, Precipitating, Maintaining); Round table (Communicating the diagnosis, defining resources and therapeutic objectives) ; Brainstorming about therapeutic options; Shared decision making. Resident training with this structured tool resulted in an increase in self rated competence and efficiency in managing sexual problems.
Sexual problems are frequent in gynecology. We have developed a tool to help physicians to evaluate sexual problems of their female patients in order to facilitate access to recognition and possible treatment.

 

Conference: WAS Sydney 2007
Areas of Interest / Categories: WAS 2007
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WAS 2007

PDE5 Inhibitors: Do they have a Role in Treating Female Sexual Dysfunction?

PDE5 Inhibitors: Do they have a Role in Treating Female Sexual Dysfunction?

Until recent years therapeutic approaches to female sexual dysfunction (FSD) have relied mainly on cognitive behavioural sex therapy, couple counselling and psychotherapy. The success of the phosphodiesterase type 5 (PDE5) inhibitors in the treatment of erectile dysfunction in men prompted the notion that there may be a similar role for these drugs in thetreatment of female sexual dysfunction.

Débat: la taille du pénis est-elle importante pour la femme ? (Oui) (French)

Débat: la taille du pénis est-elle importante pour la femme ? (Oui) (French)

In a 2005 UCLA study, 85% of women said they were "very satisfied" with their romantic partner's size, but 45% of men responded they would prefer their penis size increased and 84% of respondents rated their penis size as average to above average. Penis size is of great concern to many people: some consider having a large penis a mark of masculinity; others are concerned that their penis is too small to satisfy their sexual partner(s).

The sexual behavior and consciousness of japanese youth: an orientation of 'pure love'

The sexual behavior and consciousness of japanese youth: an orientation of 'pure love'

This report examines the results of The 6th National Survey of Youth Sexual Behavior. This survey has been conducted at intervals of six years since 1974 in Japan. Goals of presentation: Analyzing the data on contemporary Japanese youth’s sexual behavior and consciousness from the perspective of gender.

Development of Sexual Identity, Barriers to Intimacy, and the Promotion of Sexual Health

Development of Sexual Identity, Barriers to Intimacy, and the Promotion of Sexual Health

There are three basic ingredients of an individual's sexual health: the development of their identity, their capacity for intimacy, and an enviornment which promotes sexual health. Barriers to identity and intimacy can come from family intimacy dysfunction and unhealthy cultural environments. Self identity and self esteem are essential ingredients for the capacity of intimacy. The self is formed in the context of interpersonal relationships and the cultural milieu. The failure to develop a postive identity and capacity to intimacy leads to identity and intimacy dysfunction. Lack of self esteem,sexual identity confusion and dysphoria, sexual dysfunctions and disorders, interpersonal violence are often symptoms of identity and intimacy function.

Working with Victims of Sexual Abuse

Working with Victims of Sexual Abuse

Victims of sexual abuse have been in therapists´ focus for several decades. Over the years couples have made countless adjustments to get around feelings of shame and pain caused by sexual trauma. Sexually traumatized persons often experience no ownership to their sexuality. Without adequate treatment, many have difficulties in establishing their sexuality on their own premises, even long time after the traumatic experience has taken place.

Kamasutra - Ancient yet Modern!

Kamasutra - Ancient yet Modern!

Who was the writer of Kamasutra? Which place did he come from? And when did he write Kamasutra? The date is not precise. It has been proven through epigraphic, literary, historical, numismatics and archaeological evidences, that Vatsyayana, the author of Kamasutra belonged to a place called “Nagarak” from South Gujarat and wrote Kamasutra between 351 and 375 A.D.

Tuning In and Turning On:  a Practical Model of Sexual Arousal for Clinical Use

Tuning In and Turning On: a Practical Model of Sexual Arousal for Clinical Use

Sexual arousal is the experience of becoming sexually excited or turned on. Sexual arousal is a three-step process of: 1) tuning out all non-erotic experience 2) focusing on sexually pleasurable stimulation either generated or received by the brain 3) triggering of subjective arousal (feelings of erotic pleasure) and objective (physical) changes