Counseling Patients with Sexual Concerns

  • Charles E. Driscoll
  • Jacquelyn S. Driscoll


To provide comprehensive, family-centered medical care while maintaining continuity is a challenge for most family physicians. Adding the responsibility for sexual counseling to each office encounter seems too time-consuming, but sexual health has become a necessary subject to address at all phases of the life cycle. At the extreme example of need, a lack of awareness of the sexual transmissibility of human immunodeficiency virus (HIV) can mean a patient’s sexual behavior becomes a matter of life and death. A less extreme example is disappointment in a relationship because of uninformed or unreasonable expectations about sexual love-making. A sexual history should be obtained from each patient, giving the patient an opportunity to seek accurate information about sex in a nonthreatening, nonjudgmental encounter.


Human Immunodeficiency Virus Family Physician Sexual Arousal Sexual Problem Premature Ejaculation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Ross MW, Channon-Little LD. Discussing sexuality—a guide for health practitioners. Australia: MacLennan & Petty, 1991.Google Scholar
  2. 2.
    Driscoll CE. Assisting patients with sexual problems. In: Taylor RB, editor. Family medicine principles and practice. 4th ed. New York: Springer-Verlag, 1994:440–6.Google Scholar
  3. 3.
    Westheimer RK. Sex for dummies. Foster City, CA: IDG Books Worldwide, 1995.Google Scholar
  4. 4.
    Masters W, Johnson V, Kolodny R. Masters and Johnson on sex and human loving. 2nd ed. Boston: Little, Brown, 1986: 452–61.Google Scholar
  5. 5.
    Rawitscher LA, Saitz R, Friedman LS. Adolescents’ preferences regarding human immunodeficiency virus (HIV)-related physician counseling and HIV testing. Pediatrics 1995; 96:52–8.PubMedGoogle Scholar
  6. 6.
    Tanner JM. Growth at adolescence, with a general consideration of the effects of heredity and environmental factors upon growth and maturation from birth to maturity. 2nd ed. Oxford: Blackwell, 1962.Google Scholar
  7. 7.
    Hass K, Hass A. Understanding sexuality. 3rd ed. St. Louis: Mosby-Year Book, 1993.Google Scholar
  8. 8.
    Harrison AE. Primary care of lesbian and gay patients: educating ourselves and our students. Fam Med 1996;28:10–23.PubMedGoogle Scholar
  9. 9.
    Drugs that cause sexual dysfunction: an update. Med Lett Drugs Ther 1992;34:73–8.Google Scholar
  10. 10.
    Alexander E, Allison AL. Sexual medicine: home study selfassessment program. Kansas City, MO: American Academy of Family Physicians, 1996. Monograph, edition no. 201.Google Scholar

Copyright information

© Springer Science+Business Media New York 1998

Authors and Affiliations

  • Charles E. Driscoll
  • Jacquelyn S. Driscoll

There are no affiliations available

Personalised recommendations