Men's expectations of physicians in sexual health concerns

Metz, Michael E.; Seifert, Milton H.

doi:10.1080/00926239008405254

Cited by 69 publications

(54 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It is interesting that 63 % of participants stated that patients are responsible to initiate the subject, while 82 % indicated that patients do not bring up the subject themselves. A survey among patients showed that patients prefer the physician to initiate the discussion [32], whereas a different study conducted in primary care stated that patients prefer to initiate the topic themselves, but do not object to doctors who initiate the topic [33]. It seems that by starting the discussion, the doctor simply cannot go wrong.…”

Section: Discussionmentioning

confidence: 99%

Discussing sexual health in spinal care

et al. 2015

View full text Add to dashboard Cite

Background The possible detrimental effects of spinal disease on sexual health are widely recognized; however, it is not known to what extent neurosurgeons discuss this topic with their patients. The aim of this study is to identify knowledge, attitude and practice patterns of neurosurgeons counseling their patients about sexual health. Methods All members of the Dutch Association of Neurosurgery (neurosurgeons and residents) were sent a questionnaire addressing their attitudes, knowledge and practice patterns regarding discussing sexual health. Results Response rate was 62 % with 89 questionnaires suitable for analysis. The majority of participants (83 %) were male; mean age, 42.4 years. The mean experience in neurosurgical practice was 9 years. Respondents assumed that in 34 % of their patients, sexual health was affected due to spinal disease. The majority of respondents (64 %) stated that responsibility for discussing sexual health lies (partly) with the neurosurgeon; however, 73 % indicated to (almost) never do this. The main reasons for not discussing sexual health were patients' old age (42 %), lack of knowledge (38 %) and lack of patients' initiative to bring up the subject (36 %). Twenty-six percent indicated lack of time as a reason. There was no evidence for gender or doctor's age discordance as important barriers. Fifty percent of participants wished to gain more knowledge on discussing sexual health with patients. Conclusion This study shows that despite high prevalence of sexual dysfunction (SD) in spinal patients, counseling about sexual health is not often done in neurosurgical care. More training on sexual health counseling early in the residency program seems critical. By initiating the discussion, clinicians who deal with spinal patients have the potential to detect sexual dysfunction (SD) and to refer adequately when necessary, thereby improving overall quality of life of their patients.

show abstract

Section: Discussionmentioning

confidence: 99%

Discussing sexual health in spinal care

et al. 2015

View full text Add to dashboard Cite

show abstract

“…This attitude could be due to the common belief among the GPs that physical illnesses are more serious compared to psychological or sexual disorders. However, this may not coincide with the expectation of the patients when they seek treatment 8 and, as a result, patients remain untreated. This may cause poor patients' satisfaction and affect their quality of life.…”

Section: Discussionmentioning

confidence: 99%

“…Metz observed that although the majority of men reported some sexual concerns, only 19% actually discussed these issues with their physicians. 8 They preferred the physician to broach the topic first. It is interesting to note that the GPs were worried about how the patients might perceive their prescribing pattern.…”

Section: Discussionmentioning

confidence: 99%

The role of general practitioners in the management of erectile dysfunction—a qualitative study

Low

Tan³

et al. 2004

Int J Impot Res

View full text Add to dashboard Cite

The objective of this study was to explore the roles and perceptions of general practitioners (GPs) in the management of erectile dysfunction (ED). This qualitative study used focus group discussions and in-depth interviews. This study was conducted based on 28 GPs from an urban area in Malaysia who had managed patients with ED and prescribed anti-ED drugs. Main outcome measures included the roles of GPs in managing patients with ED (active or passive), perceptions regarding ED and the treatment, and factors influencing their decision to prescribe. Majority of the GPs assumed a passive role when managing patients with ED. This was partly due to their perception of the disease being nonserious. Some also perceived ED as mainly psychological in nature. The anti-ED drugs were often viewed as a lifestyle drug with potentially serious side effects. The fear of being perceived by patients as 'pushing' for the drug and being blamed if the patients were to develop serious side effects also hampered the management of this disease. GPs who participated in this study remained passive in identifying and treating patients with ED and this was attributed to their perception of the disease, drug treatment and patient's background.

show abstract

“…In one study of 62 men, 97% reported sexual concerns, but only 19% raised the topic themselves. 1 The majority said they would prefer to have the doctor initiate the discussion.…”

Section: Introductionmentioning

confidence: 99%

Assessment of male sexual function

Lukacs

2001

Prostate Cancer Prostatic Dis

View full text Add to dashboard Cite

Men's expectations of physicians in sexual health concerns

Cited by 69 publications

References 13 publications

Discussing sexual health in spinal care

Discussing sexual health in spinal care

The role of general practitioners in the management of erectile dysfunction—a qualitative study

Assessment of male sexual function

Contact Info

Product

Resources

About