Sexuelle Dysfunktionen bei hausärztlich versorgten Patienten

Brenk-Franz, Katja; Tiesler, Fabian; Hoy, Madita; Strauß, Bernhard

doi:10.1007/s00278-019-0332-6

Cited by 3 publications

(2 citation statements)

References 25 publications

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“…5,7,9 Furthermore, it is asked which sexual problems and dysfunctions frequently occur from GPs perspectives and whether problems such as paraphilias or sexual abuse are also addressed. 8,11 In addition, training of GPs in the field of sex medicine is explored. Subsequently, more exploratory questions were asked to address gender-specific differences in approaching sexual problems, specific medication, sexual problems in specific clinical pictures, and potential differences in the doctor-patient relationship regarding urban and rural areas.…”

Section: Interview Guidementioning

confidence: 99%

“…4 Considering the frequency of sexual problems and disorders in Germany, little is known about how GPs approach and treat sexual problems. 8,9 The few qualitative research available has suggested that a conversation about sexual health rarely takes place in GPs' offices because often neither the doctor nor the patient brings up the subject. 10 A German study in 2010 interviewed GPs about addressing sexual health in the office.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Addressing Sexual Problems in German Primary Care: A Qualitative Study

Zannoni

Dobberkau

Kaduszkiewicz

et al. 2021

J Prim Care Community Health

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Although general practitioners (GPs) are often the first contact for patients’ sexual issues, little is known about how German GPs approach, diagnose, and treat sexual problems and disorders. Therefore, the present qualitative study explores approaches and management of sexual health issues used by GPs. The sample included 16 GPs from Kiel and surroundings and Sachsen-Anhalt. The in-depth, semi-structured interviews were coded according to the qualitative content analysis by Mayring using MAXQDA. The results revealed 5 main themes, 2 of which are explored in more detail in relation to the study objective (2 and 4): (1) sexual issues that arise in general practice, (2) addressing sexuality, (3) influencing factors in doctor-patient communication about sexuality, (4) diagnosing and treating sexual dysfunctions, and (5) changes in the approach to sexuality over time. Most GPs did not routinely ask their patients about sexual problems. Common barriers included lack of time, suspected embarrassment on both sides, and fear of offending patients. Almost all GPs tended to diagnose sexual problems individually adapted to patients’ issues, not following a standardized approach. Medication was offered as the main treatment for sexual problems. For complex disorders, most GPs lack sexual medicine knowledge, and they requested a better range of training courses in sexual medicine.

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Section: Interview Guidementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%