Sexual Health in Patients with Rheumatoid Arthritis: Experiences, Needs and Communication with Health Care Professionals

2012 ◽  
Vol 10 (2) ◽  
pp. 76-89 ◽  
Author(s):  
Kristina Areskoug Josefsson ◽  
Gunvor Gard
Keyword(s):  
Rheumatoid Arthritis ◽  
Health Care ◽  
Sexual Health ◽  
Health Care Professionals

scholarly journals Setting Up Psychosexual Medicine Unit: Insights From a Private University-Based Medical College Hospital

2020 ◽  
Vol 2 (2) ◽  
pp. 179-185
Author(s):  
Sathish Raju Nilakantam ◽  
Shivanand Manohar ◽  
Suman S. Rao ◽  
M. Dayananda ◽  
Supriya Mathur ◽  
...  
Keyword(s):  
Health Care ◽  
Sexual Health ◽  
Health Care Professionals ◽  
Private University ◽  
Well Being ◽  
Academic Program ◽  
Sexual Disorders ◽  
Sexual Medicine ◽  
Sexual Health Care ◽  
Medical College

Introduction: Sexual health issues are highly prevalent but are underdiagnosed and underrecognized in day-to-day clinical practice. The lack of awareness of the specific health care needs of the patients with sexual dysfunctions and resource limitations might be certain reasons why many hospitals are not been equipped with the sexual health care units. There is paucity of specialized psychosexual health care services across the country. Trained interdisciplinary team with prepared environment in sexual medicine is the need of the hour. We started this psychosexual medicine unit with an emphasis on sexual wellness to deliver comprehensive sexual health care which will be a primary care linkage to patients presenting with symptoms of sexual disorders, so also treatment emergent sexual dysfunction in psychiatry and other medical and surgical branches. Aim: To portray the methods, opportunities, and challenges that we experienced in establishing a specialty psychosexual medicine facility as a different unit in a private university-based medical college and hospital in Mysuru, India. Methods: This triweekly psychosexual medicine unit is situated in the Outpatient Division of Psychiatry and is staffed with a multidisciplinary group of health care professionals. Structured survey tools and proforma are utilized to assess all patients. Case conclusions are made according to International Classification of Diseases, Tenth Revision, symptomatic/clinical explanations and diagnostic recommendations, and furthermore Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition) when required. Patient care included interventions in the form of psychotherapy and pharmacotherapy. Results: It is possible to set up a functional psychosexual medicine facility as a different unit with a trained interdisciplinary group of professionals. Patient-centered approach is vital in our care plan and management. Postgraduate students and internees posted in psychiatry division have been undertaking rotations respectively as per their duty rota. There is also a robust academic program that includes once-weekly seminars pertaining to topics of psychosexual health and monthly journal club gatherings interchanging with seminars on sexual health and well-being appraisal devices. Conclusion: By investing on improving infrastructure and available human resources, the specialty psychosexual medicine unit was established. The psychosexual medicine unit not only gave chances for a more comprehensive assessment of individuals with sexual disorders but also improved training and education for residents with focused interdisciplinary research in the field of sexual medicine. It portrays a versatile model that can be replicated in settings of similar type.

scholarly journals Health Care Going Online: Help Seeking Behavior by Patients for Sexual Problems—Analysis of Online Queries on Sexual Health

2019 ◽  
Vol 1 (1) ◽  
pp. 78-83
Author(s):  
Sandip Deshpande ◽  
Jaya Aiyappa ◽  
Sadhana Mishra ◽  
Seema Naik ◽  
Samiksha Jain ◽  
...  
Keyword(s):  
Health Care ◽  
Sexual Health ◽  
Health Care Professionals ◽  
Help Seeking ◽  
Mobile Internet ◽  
Sexual Problems ◽  
Internet Technology ◽  
Care Seeking ◽  
Online Help ◽  
Objective Health

Background and Objective: Health care industry is going through a renaissance with the advances in mobile Internet technology. Health care seeking has become easier for people and there are multiple providers offering online consultations and counselling. Sexual medicine is still an unrecognized specialty in India. People suffering from sexual health problems and dysfunctions have a lot of stigma approaching health care professionals. With the coming in of Internet-based services, people are finding it easier to seek help online anonymously. As an industry this is likely to continue to grow and offer opportunities to people in distress to seek help. Methodology: In the present study, we have done a retrospective analysis of 500 queries that were posted privately to the principal author. Results focused on the demographic details, the nature of the problem and an analysis of the content of the queries. The study discusses how the findings may be used to better understand the perceptions, concerns, and stated needs of people accessing online portals for sexual problems. This should also help equip counsellors interested in this field. Results: The study clearly brought out the gender differences among those accessing online health care portals for sexual issues. A majority of the queries were from men asking about issues related to size and curvature of penis, masturbation, premature ejaculation, erectile dysfunction. Many of these queries stemmed from the lack of correct scientific knowledge which led to health anxieties including frustration, depression, and low self-esteem.

scholarly journals Does Sense make sense? Mixed methods study of a Dutch sexual health program

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
R Joosten ◽  
L Jochems ◽  
C Wijsen ◽  
T Heijman ◽  
A Timen
Keyword(s):  
Health Care ◽  
Mixed Methods ◽  
Young People ◽  
Sexual Health ◽  
Health Care Professionals ◽  
Mixed Methods Study ◽  
Structured Interviews ◽  
Open Atmosphere ◽  
Study Results

Abstract In the Netherlands, the Sense program addresses several key elements of sexual health for young people <25 year. This program offers free consultations at the PHS concerning STI, contraceptives, pregnancy or sexuality. The performance of this program has not been studied yet. This mixed methods study investigates facilitators and barriers of a Sense consultation from the perspective of clients and health care professionals (HCP) and investigates the outcome of the consultation at three points in time. Semi-structured interviews were conducted after consultation among 16 clients and 6 HCP. Questionnaires were collected directly after consultation and at 3, 6 and 12 months after consultation. Two cohorts were recruited; clients with STI consultation only and clients with questions related to sexuality, contraception and pregnancy (Sense consultation, SC). Satisfaction of the consultation and applicability of the given advice was measured. In the follow up presence of STI, pregnancy, sexual problem and contraceptive use was measured. A minority of the interviewed clients were familiar with Sense, highly valued the expertise of the HCP and the open atmosphere during the consultation. Reasons for visiting Sense included expertise, more anonymity and feeling more comfortable than at the GP. The questionnaire after consultation was returned by 144 STI clients and 32 SC clients. Both type of consultation were highly valued and advice was easily applicable. The follow up cohort included 97 STI clients and 23 SC clients. Response rate of the 3- and 6 month-questionnaires was 61%. Results of the full one year follow-up are expected in September 2019. Study results provide evidence for a highly valued Sense program, by both clients and HCP. Sense is a platform to discuss STI, contraception and sexuality in an open atmosphere, though familiarity with Sense is low. A major conclusion is that an STI consultation provides the opportunity to address questions related to sexuality. Key messages The Sense program is highly valued by young people, and yet the program is not widely known among young people. There is need for more publicity to the program to enable more young people to use this program and to improve the sexual health care of young Dutch people.

scholarly journals Health-Care Professionals' Assessments of, and Recommendations for, Sexual-Health Education and Service Provision for Young People in Tehran

2021 ◽  
Vol 9 ◽  
Author(s):  
Narges Sheikhansari ◽  
Charles Abraham ◽  
Sarah Denford
Keyword(s):  
Health Care ◽  
Young Adults ◽  
Young People ◽  
Sexual Health ◽  
Health Care Professionals ◽  
Service Provision ◽  
Cultural Barriers ◽  
Structured Interviews ◽  
Supported Education ◽  
Design And Methods

Background: Only limited Sexual Health and Relationships Education (SHRE) is provided in Iranian schools and universities while research has highlighted demand and need for improved SHRE among young adults. We explored health-care professionals' (HCPs) assessments of, and recommendations for, SHRE and service provision for young people in Tehran.Design and Methods: Semi-structured interviews were conducted with a sample of 17 HCPs based in Tehran and verbatim transcripts were analyzed using thematic analysis.Results: Participants confirmed the need for improved SHRE and service provision for young adults. HCPs described how a lack of reliable educational resources for young adults, taboo and cultural barriers, and a lack of trust and confidentiality prevented young people from accessing information and services. They unanimously supported education and services to be augmented, and provided recommendations on how this could be achieved.Conclusions: A number of positive suggestions for the improvement of SHRE and Iranian sexual health services in Iran were identified.

Differences in health care professionals' and cancer patients' views on sexual health issues

2018 ◽  
Vol 27 (9) ◽  
pp. 2299-2302 ◽  
Author(s):  
Elfriede Greimel ◽  
Anne Lanceley ◽  
Anne Oberguggenberger ◽  
Andy Nordin ◽  
Karin Kuljanic ◽  
...  
Keyword(s):  
Health Care ◽  
Sexual Health ◽  
Cancer Patients ◽  
Health Care Professionals ◽  
Health Issues

scholarly journals Let us integrate sexual health—do psychiatrists integrate sexual health in patient management?

2020 ◽  
Vol 23 (4) ◽  
pp. 527-534
Author(s):  
Tamara Seitz ◽  
Lucia Ucsnik ◽  
Andrea Kottmel ◽  
Johannes Bitzer ◽  
Bela Teleky ◽  
...  
Keyword(s):  
Health Care ◽  
Sexual Health ◽  
Health Care Professionals ◽  
Patient Management ◽  
Self Report ◽  
Patient Treatment ◽  
Daily Routine ◽  
Sexual Medicine ◽  
Health Issues ◽  
Sexual Health Care

AbstractThe high prevalence of sexual dysfunction and the importance of sexual health issues in general stress the need for a physician to integrate sexual health issues in patient management. In this study, we evaluate the frequency of psychiatrists addressing sexual health issues as well as their attitude towards sexual health. Plus, we want to evaluate the multi-professional network for patient treatment that is needed by physicians for collaboration with other medical specialists and health care professionals. At total 100 psychiatrists (age range 30–60 years), participating at the annual meeting of the Austrian Society of Psychiatry, Psychotherapy, and Psychosomatics, were invited to self-assess their caring for patients’ sexual health issues and answer a self-report questionnaire. The return rate was 74%. A third of the participating psychiatrists and psychotherapists stated to address sexual health in patients in daily routine. Twenty-five percent of the physicians suspected sexual health problems in 60–100% of their patients but did not ask the patients about this topic. Mentioned reasons why patients would not actively address sexual problems were rated by the survey participants “a different problem was more important”, “lack of time”, and “embarrassment”. Only few of the participating psychiatrists stated to offer a consultation in sexual health to the patients, none to offer sexual therapy. A mentioned reason was “lack of competence regarding sexual health”. Twelve percent referred the patients with sexual issues to a physician with another medical specialization, especially to experts in gynaecology and obstetrics, to experts in urology, or to andrologists. However, a need for a network in the field of sexual medicine was stated and an unawareness of a sexual health care network: where to refer the patients in need. Our data showed an increased need in the routine treatment and management of sexual health care in psychiatrists and psychotherapists. Plus, the data stresses the need for professional sexual medicine qualification and for extended cooperation between different medical fields and health care professionals in order to integrate sexual health topics professionally in daily routine.

The sexual health care needs after colorectal cancer: the view of patients, partners, and health care professionals

2013 ◽  
Vol 22 (3) ◽  
pp. 763-772 ◽  
Author(s):  
Marjan J. Traa ◽  
Jolanda De Vries ◽  
Jan A. Roukema ◽  
Harm J. T. Rutten ◽  
Brenda L. Den Oudsten
Keyword(s):  
Colorectal Cancer ◽  
Health Care ◽  
Sexual Health ◽  
Health Care Professionals ◽  
Health Care Needs ◽  
Care Needs ◽  
Sexual Health Care

A Candid Conversation About Men, Sexual Health, and Diabetes

2005 ◽  
Vol 31 (6) ◽  
pp. 810-817 ◽  
Author(s):  
Leonard Jack
Keyword(s):  
Health Care ◽  
Sexual Health ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Help Seeking ◽  
Treatment Options ◽  
Human Sexuality ◽  
Care Providers ◽  
Research Attention ◽  
Help Seeking Behaviors

While the profound relationship between human sexuality and diabetes can affect quality of life for both men and women, male sexual health issues in the published literature have primarily focused on physical aspects of erectile dysfunction. The purpose of this article is to move this important discussion regarding aspects of human sexuality and diabetes further to consider the absence of and need for more male-focused research. Attention is given to define and discuss how male perceptions of control and masculinity shape male views on male sex roles. The author offers 4 published explanations to explain factors that influence whether men, regardless of age, nationality, or ethnic group, initiate help-seeking behaviors for sexual health concerns. These explanations can help health care professionals have candid, consistent, and nonjudgmental conversations with their patients and each other. This article concludes with strong recommendations that health care providers engage patients in timely conversations, jointly select and implement tailored treatment options, and, when necessary, link patients with social support systems to maximize improvements in both physical and psychological aspects of sexual health.

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