Survey Says Patients Expect Little Physician Help on Sex
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Feelings of shame and embarrassment may prevent men from broaching the topic, with research showing that less than 50% of men talk about ED with their doctor.
“Furthermore, feelings of shame and embarrassment may prevent men from broaching the topic, with research showing that less than 50% of men talk about ED with their doctor.84”
From A Psychosocial Approach to Erectile Dysfunction: Position Statements from the European Society of Sexual Medicine (ESSM) (2021) · cites this paper as [84]
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Burnett, A. L., Nehra, A., Breau, R. H., Culkin, D. J., Faraday, M. M., Hakim, L. S., Heidelbaugh, J., Khera, M., McVary, K. T., Miner, M. M., et al. (2018) · Journal of Urology · doi:10.1016/j.juro.2018.05.004 · Cited by 949 · see citing works
“Given thatmanymen are uncomfortable broaching sexual concerns with a physician, it is critical that the physician initiate the inquiry.(3) Validated questionnaires may provide an opportunity to initiate a conversation about ED; examples include the Erection Hardness Score(4) and the Sexual Health Inventory for Men.”
BackgroundHypoactive Sexual Desire Disorder: A Review of Epidemiology, Biopsychology, Diagnosis, and Treatment
Parish, S. J., & Hahn, S. R. (2016) · Sexual Medicine Reviews · doi:10.1016/j.sxmr.2015.11.009 · Cited by 227 · see citing works
Sexual Health Communication During Cancer Care
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“Consistent with previous findings [28], most patients, particularly when age or gender differences exist, will not initiate discussion about sex with a physician.”
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“However, sexual dysfunction is a major source of distress to a significant number of cancer survivors.26 Moreover, it has been shown that, although patients often do not want to bring up the topic for fear of embarrassing their PCPs, they very much want to talk about this issue with their PCP.27 If PCPs do not have mu…”
BackgroundThe human sexuality education of physicians in North American medical schools
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“The need for improvement in physician-patient communication concerning sexual health has been documented.(10) Urogenital health and quality of life of postmenopausal women could be greatly improved if clinicians were to foster an environment encouraging frank discussion about vaginal symptoms and treatment options.”
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“In addition, many physicians may not address sexual health and quality of life with their patients, nor do they offer management strategies for improvement.(12,13)”
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“84 This leaves the responsibility to the health care providers who need to proactively ask about the sexual experiences of their patients and to create an open and safe therapeutic relationship.”
BackgroundSexual Health Inquiry and Support is a Primary Care Priority
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Sexual Communication Skills in Residency Training: The Robert Wood Johnson Model
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“According to a survey of 500 adults over the age of 25, the most common reasons for not bringing up sexual issues were fear of the concern being dismissed (71%), fear that the physician would be uncomfortable (68%), and fear of a lack of treatment options (76%).(29) Given the substantial increase in reporting of sexua…”
BackgroundTalking about sexuality with the physician: are patients receiving what they wish?
Meystre-Agustoni, G., Jeannin, A., Heller, K. D., & Dubois-Arber, F. (2011) · Swiss Medical Weekly · doi:10.4414/smw.2011.13178 · Cited by 84 · see citing works
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“In an opinion poll that assessed communication between patients and physicians concerning sexual problems 85% of Americans said they would discuss a sexual problem with their health care provider [ 26 ].”
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Vegunta, S., Kuhle, C. L., Vencill, J. A., Lucas, P. H., & Mussallem, D. M. (2022) · Journal of Clinical Medicine · doi:10.3390/jcm11226723 · Cited by 71 · see citing works
“In a US poll of 500 adults, 71% reported that they believed their physician might dismiss sexual concerns if they raised the topic [62].”
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Sexual dysfunction and diabetes
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“Few chronically ill patients discuss their sexual functioning with their physician (Jensen, 1986), and many individuals reporting sexual function problems are afraid of embarrassing their physicians by raising the subject (Marwick, 1999).”
BackgroundGeneral Internist Communication about Sexual Function with Cancer Survivors
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“These men are already using the health care system, may be more comfortable interacting with their physicians, and have more contact with them, compared with a community sample [ 19 ].”
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“(Marwick, 1999).”
Just ask! Talking to patients about sexual function
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Erectile Dysfunction: Evaluation and New Treatment Options
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“Marwick and associates surveyed patients’ expectations and experience in discussion of sexual issues with their physicians (7).”
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“…of 500 U.S. adults aged 25 years or older showed that even though 85% said they would try to talk to their physicians about a sexual problem, 71% felt that their physicians would dismiss these concerns, and 68% thought their doctors would be uncomfortable discussing sexual problems (Marwick, 1999).”
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“raising the topic for fear of embarrassing the professional or being told that concerns are ‘‘just in your head’’ [47].”
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“women do not always share these concerns with physicians, other healthcare providers, or even friends or spouses.(3) A major body of literature, however, suggests that patterns of”
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“ED sufferers often seek alternatives, since many are reticent to express their sexual problems to physicians [17], or are dissatisfied with current therapies.”
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THE POTENTIAL VALUE OF ERECTILE DYSFUNCTION INQUIRY AND MANAGEMENT
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“Patients reported fear of dismissal, perceived discomfort on the part of the physicians, and concern for lack of treatment options as reasons not to discuss sexual health issues [21].”
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“It has been demonstrated that patients in general expect little help from their physicians on sex, giving reasons such as concerns of being dismissed by their doctor or lack of treatment options (34).”
BackgroundHow do men perceive erectile dysfunction and its treatment? A qualitative study on opinions of men
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“In a recent US poll of 500 adults aged 25 years and above, more than 90% of the respondents believed that sexual difficulties caused emotional distress and depression [10].”
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Barriers to sexual health care: a survey of Iranian-American physicians in California, USA
Rashidian, M., Minichiello, V., Knutsen, S. F., et al. (2016) · BMC Health Services Research · doi:10.1186/s12913-016-1481-8 · Cited by 24 · see citing works
“Keywords: Iranian-American physicians, Access to care, Sexual health care, STIs, Sexual dysfunctions”
BackgroundInfluentialElzevier, H. W., der Zalm, P. J. V., & Pelger, R. C. M. (2007) · The Journal of Sexual Medicine · doi:10.1111/j.1743-6109.2007.00523.x · Cited by 24 · see citing works
Stigmatization as a Barrier to Urologic Care: A Review
Foster, P., Luebke, M., Razzak, A. N., Anderson, D. J., Hasoon, J. J., Viswanath, O., Kaye, A. D., & Urits, I. (2023) · Health Psychology Research · doi:10.52965/001c.84273 · Cited by 23 · see citing works
Yulevitch, A., Czamanski‐Cohen, J., Segal, D., et al. (2013) · The Journal of Sexual Medicine · doi:10.1111/jsm.12322 · Cited by 23 · see citing works
Knowledgeability, Attitude and Behavior of Primary Care Providers Towards Oral Cancer: a Pilot Study
Shimpi, N., Bharatkumar, A., Jethwani, M., et al. (2016) · Journal of Cancer Education · doi:10.1007/s13187-016-1084-4 · Cited by 23 · see citing works
Canzona, M. R., Fisher, C. L., Wright, K. B., & Ledford, C. J. W. (2019) · Journal of Cancer Survivorship · doi:10.1007/s11764-019-00809-2 · Cited by 23 · see citing works
Female sexual dysfunction: barriers to treatment.
Feldhaus-Dahir, M. (2009) · PubMed · Cited by 22 · see citing works
- Authors
- Marwick, C.
- Corresponding author
- Marwick, C.
- Venue
- JAMA: The Journal of the American Medical Association
- Publisher
- American Medical Association (AMA)
- Published
- 1999-06-16
- Volume
- 281
- Issue
- 23
- Pages
- 2173-2174
- ISSN
- 0002-9955 (ISSN-L)
- 0098-7484
- 1538-3598
- OpenAlex
- W1979012288
- Cited by
- 262
- References
- 0
- Citations by year
- 2025: 2 · 2024: 5 · 2023: 6 · 2022: 9 · 2021: 12 · 2020: 12 · 2019: 6 · 2018: 7 · 2017: 15 · 2016: 15 · 2015: 10 · 2014: 13 · 2013: 12 · 2012: 12
- FWCI
- 12.70
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- JAMA (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
- Keywords
- sexual health, physician-patient communication, patient expectations, sexual health counseling, physician attitudes
- MeSH terms
- Adult, Data Collection, Female, Humans, Male, Physician-Patient Relations, Quality of Life, Sexual Dysfunction, Physiological, United States
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