Communication About Sexual Matters With Women Attending a Danish Fertility Clinic: A Descriptive Study

Sexual Medicine - Tập 5 - Trang e196-e202 - 2017
Katrine Fiil Eldridge1, Annamaria Giraldi2,3
1Sexological Clinic, Division of Sexological Research, Rigshospitalet Section 7411, Copenhagen, Denmark
2Sexological Clinic, Psychiatric Centre Copenhagen, Copenhagen University Hospital, Copenhagen, Denmark
3Department of Clinical Medicine University of Copenhagen, Copenhagen, Denmark

Tóm tắt

Abstract Introduction Several studies have shown that sexuality is an important aspect of life. Nevertheless, sexual matters are only rarely discussed between patients and doctors. Other studies have suggested that women undergoing fertility treatment compose a group of patients with low satisfaction in their sexual life. Aim To investigate how women at a fertility clinic desire and experience communication about sexual matters with doctors and to investigate the sexual function of these women. Methods A cross-sectional self-administered questionnaire survey of women attending a Danish fertility clinic over 4 months was performed. Descriptive statistics were calculated and presented as frequencies. Main Outcome Measure Communication about sexual matters with doctors included the women’s comfort, preferred and actual frequency of discussion, and initiation of the conversation. Sexual function included participants’ sexuality during the past year including certain sexual difficulties. Results Of the 201 participating women in the survey, most felt comfortable discussing sexual matters with doctors and preferred gynecologists for such discussions. There was a greater desire for communication than what was actually experienced by the women, and most wanted to initiate the conversation themselves. The women were less satisfied with their sexual life compared with a national control group, and they experienced sexual difficulties more often. Conclusion There is an unmet desire of women in fertility treatment for discussing sexual matters, and greater communication on this subject needs to be clinically implemented. Eldridge KE, Giraldi A. Communication About Sexual Matters With Women Attending a Danish Fertility Clinic. A Descriptive Study. Sex Med 2017;5:e196–e202.

Tài liệu tham khảo

Boekeloo, 2014, Will you ask? Will they tell you? Are you ready to hear and respond? Barriers to physician-adolescent discussion about sexuality, JAMA Pediatrics, 168, 111, 10.1001/jamapediatrics.2013.4605 Bachmann, 2006, Female sexuality and sexual dysfunction: are we stuck on the learning curve?, J Sex Med, 3, 639 Brandenburg, 2009, The challenge of talking about sex: the importance of patient-physician interaction, Maturitas, 63, 124, 10.1016/j.maturitas.2009.03.019 Wischmann, 2014, Sexuality, self-esteem and partnership quality in infertile women and men, Geburtshilfe Frauenheilkd, 74, 759, 10.1055/s-0034-1368461 Shoji, 2014, Sexual satisfaction of infertile couples assessed using the Golombok-Rust Inventory of Sexual Satisfaction (GRISS), Sci Rep, 4, 5203, 10.1038/srep05203 Bakhtiari, 2016, Sexual dysfunction in women undergoing fertility treatment in Iran: prevalence and associated risk factors, J Reprod Infertil, 17, 26 Winkelman, 2016, The sexual impact of infertility among women seeking fertility care, Sex Med, 4, e190, 10.1016/j.esxm.2016.04.001 Baker, 2013, Perceptions of barriers to discussing and testing for sexually transmitted infections in a convenience sample of general practice patients, Aust J Prim Health, 19, 98, 10.1071/PY11110 Same, 2014, Sexual and reproductive health care: adolescent and adult men’s willingness to talk and preferred approach, Am J Prev Med, 47, 175, 10.1016/j.amepre.2014.03.009 Yulevitch, 2013, The vagina dialogues: genital self-image and communication with physicians about sexual dysfunction and dissatisfaction among Jewish patients in a women’s health clinic in southern Israel, J Sex Med, 10, 3059 Wendt, 2007, Young women’s sexual health and their views on dialogue with health professionals, Acta Obstet Gynecol Scand, 86, 590, 10.1080/00016340701214035 Metz, 1990, Men’s expectations of physicians in sexual health concerns, J Sex Marital Ther, 16, 79, 10.1080/00926239008405254 Clark, 2014, Patient preferences in discussing sexual dysfunctions in primary care, Fam Med, 46, 124 Eplov, 2007, Sexual desire in a nationally representative Danish population, J Sex Med, 4, 47 Christensen, 2011, Sexual dysfunctions and difficulties in Denmark: prevalence and associated sociodemographic factors, Arch Sex Behav, 40, 121, 10.1007/s10508-010-9599-y Statens Institut for Folkesundhed, 2008, Sundheds og sygelighedsundersøgelsen 2005—Selvadministreret spørgeskema 2 med svarfordeling Kottmel, 2014, Do gynecologists talk about sexual dysfunction with their patients?, J Sex Med, 11, 2048 Burd, 2006, Impact of physician gender on sexual history taking in a multispecialty practice, J Sex Med, 3, 194 Do, 2014, Physicians’ perceived barriers to management of sexually transmitted infections in Vietnam, BMC Public Health, 14, 1133, 10.1186/1471-2458-14-1133 Dixon, 2006, The PLISSIT Model: care and management of patients’ psychosexual needs following radical surgery, Lippincotts Case Manag, 11, 101, 10.1097/00129234-200603000-00008 Jindal, 2010, Use by gynecologists of a modified sensate focus technique to treat vaginismus causing infertility, Fertil Steril, 94, 2393, 10.1016/j.fertnstert.2010.03.071 Giraldi, 2015, Endorsement of models describing sexual response of men and women with a sexual partner: an online survey in a population sample of Danish adults ages 20–65 years, J Sex Med, 12, 116 Millheiser, 2010, Is infertility a risk factor for female sexual dysfunction? A case-control study, Fertil Steril, 94, 2022, 10.1016/j.fertnstert.2010.01.037