Patricia R. Jennings, DrPH, PA-C; Laura Bachmann, MD, MPH December 01, 2005
Primary care practitioners repeatedly admit that they seldom ask patients about their sexual practices when taking a history. They are reluctant to address sexual health issues for several reasons, including embarrassment, feeling ill prepared, existing time constraints, and a belief that the sexual history is not relevant to the chief complaint. When clinicians convey discomfort with sexual problems, patients become uncomfortable too; they report that this discomfort is the primary barrier to discussing sexual health issues during the health care visit.