Abstract
The evaluation of a patient with sexual issues begins with a detailed medical history. Speaking generally allows the provider to initiate a discussion on sexual function using screening questions aimed at encouraging honest discussion about potentially revealing and perhaps embarrassing information. Using open-ended questions (e.g., “Is there anything else you want to talk about?”) can often be the key to broach sensitive issues. In the event the patient does not introduce the topic, more detailed questioning to assess sexual health may be required (e.g., “Are you having any problems with sexual arousal, desire, or orgasm?”).
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References
Burger HG. Diagnostic role of follicule-stimulating hormone (FSH) measurements during the menopausal transition: an analysis of FSH, oestradiol and inhibin. Eur J Endocrinol. 1994;130(1):38–42.
Flyckt RL, Liu J, Frasure H, Wekselman K, Buch A, Kingsberg SA. Comparison of salivary versus serum testosterone levels in postmenopausal women receiving transdermal testosterone supplementation versus placebo. Menopause. 2009;16(4):680–8.
Rafiee J, Raifee MA, Michaelsen D. Female sexual reponses using signal processing techniques. J Sex Med. 2009;6:3086–96.
Gerritsen J, van der Made F, Bloemers J, van Ham D, Kleiverda G, Everaerd W, et al. The clitoral photoplethysmography: a new way of assessing genital arousal in women. J Sex Med. 2009;6(6):1678–87.
Dolcos F, LaBar KS, Cabeza R. Dissociable effects of arousal and valence on prefrontal activity indexing emotional evaluation and subsequent memory: an event-related fMRI study. Neuroimage. 2004;23(1):64–74.
Auchincloss SS. Sexual dysfunction in cancer patients: issues in evaluation and treatment. In: Holland JC, Rowland JH, editors. Handbook of psycho-oncology, psychological care of the patient with cancer. New York: Oxford University Press; 1990. p. 383–413.
Barni S, Mondin R. Sexual dysfunction in cancer patients. Ann Oncol. 1997;8:149–53.
Schover LR. Sexuality and fertility after cancer. New York: Wiley; 1997.
Speer J, Hillenberg B, Sugrue DP, Blacker C, Kresge CL, Deckler VB, et al. Study of sexual functioning determinants in breast cancer survivors. Breast J. 2005;11(6):440–7.
Goodwin PJ, Ennis M, Pritchard KI, Mc Cready D, Koo J, Sidlofsky S, et al. Adjuvant treatment and onset of menopause predict weight gain after breast cancer diagnosis. J Clin Oncol. 1999;17:120–9.
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Krychman, M.L., Dizon, D., Amsterdam, A., Spadt, S.K. (2011). Evaluation of the Female with Sexual Dysfunction. In: Mulhall, J., Incrocci, L., Goldstein, I., Rosen, R. (eds) Cancer and Sexual Health. Current Clinical Urology. Humana Press. https://doi.org/10.1007/978-1-60761-916-1_23
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DOI: https://doi.org/10.1007/978-1-60761-916-1_23
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