The first and fundamental step in addressing sexual dysfunction, as in all branches of medicine and psychology, is the correct diagnosis and treatment not to hurry to meet patient demand, or in many cases to get rid of him (which often occurs when the practitioner, due to time constraints, lack or ineffectiveness on the issue, not to ask or know more lead). It's the classic take it, try to relax and leave.
I also know that the query is a query sexual logical shame it takes a lot done, especially boys. But it's the only way to solve the problem: they can confidently expound on everything related to their sexual history, a subject that he or she was always something hidden and forbidden.
It is worthy to note that today we consult both teenagers and adults of both sexes, up to 80 years or more (he had the opportunity to treat a patient of 92, what really struck me as remarkable and inspirational life).
It will investigate how, when, where and who started the sexual symptom. What circumstances surrounding (a situational analysis that name), how it fits into his personal history, psychological and Link. It is made true psychosexual history to understand the genesis of the symptom. What medications do you take and what treatments tried before. Which believe, or the patient (or couple) that are the causes of their problems and how they imagine dysfunction treatments. An issue of particular importance is the diagnostic link, or relationship with the partner and it is always advisable, for those who have it, interview them both.
Perhaps most important of the sexological interview is centered on the decision to hold and attend it. It may take years of onset of symptoms until the patient or decide to visit.
According to studies done in
Sometimes disappointed come a long wander through various medical and psychological counseling, battered by numerous treatments (from sale of equipment and tubal surgeries venous braces when no prosthesis or early ejaculatory injections, to treatment with psychotropic drugs or many years Psychoanalysis) by professionals who do not take their unfamiliarity with the subject honestly and others who simply profit from the desperation of patients.
A number of self-styled sexologists, causing damage to the state at odds with the medical practices and ethics. In a brief catalog of these scams will mention a few:
* Vaccine virus given in the groin impotence
* Urethral catheters
* Rectal exam and prostate massage
* Cuts unnecessary frenulum
* Sclerosing injections into the veins
* Plate compactors in the pubis. One patient recounted that, when placed, was asked to introduce his penis in a cabinet type computer (there thought, "I think being taken for a fool")
* Electrodes attached to the penis as "a light emitting device"
* Injections "special" tablets and ointments "miracle", "horns ground"
* Shims caloric leg
* "Stings of bees in the back" (though it is incredible!)
* Electronics and battery "to carry in the pocket where the waves emitted cause erection"
* External limbs (which are nothing more than rubber or plastic phalluses)
* Internal Prosthetics and injections early ejaculatory
* Suction pumps "that magnify the member"
(Excerpted from "Sex and the man of today" by A. Sapetti)
It is obvious that a consultation sexological is not like going to the ophthalmologist for a replacement of eyeglasses or a gastroenterologist for a "stomach problem". It's going to tell you something very intimate, which commits his whole being, is going to unveil the offense, as he "can not pay as male" as they are always taught to show his masculinity, or "as woman feel it is a frigid ". Talking to a stranger, even a professional, sexuality is something controversial and loaded with a heavy dose of fear, shame, embarrassment and anxiety. This happens also in consultation with the clinician: the professional does not dare ask about the sexual life of patients (often do not know how or when or why ask), the patient feels neither account because there is no continent for latent conflict.
"Dr. just ask me clinical questions (gynecological, psychological, urological) but never ask me or give me the cue to tell you about my sex life, how important were it not!" They say.
He is always on the brink to tell your GP, but do not finish. Many times the professional is waiting to question him to dwell on what you fear. Interestingly, p. ej., the erectile dysfunction is often a predictor of underlying pathology. We have found pictures of arterial hypertension, diabetes, dyslipidemia, heart problems, respiratory, gynecological or prostate tumors, even depressive, from inquiring about the sex life of the consultants and that they had not considered.
Reasons given for not consulting patients when they suffer sexual dysfunction:
* I'm ashamed (or modesty)
* No solution is incurable
* I can solve only
* It is normal for my age
* Not a problem
* I'm too young to go to the sexologist
* I am very old
* The doctor does not listen or understand me
* The doctor never asks me about this subject
* They're going to take for abnormal, "weird"
* I have no steady partner
* I'm afraid of falling into the hands of a swindler or a medical merchant
(Excerpted and adapted from "Sex and the man of today" by A. Sapetti)
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