Women want sex Cochrane

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In this blog for our special series The Problem With Sexpelvic physiotherapist and comedian Elaine Miller GussieGrips pulls back the covers and shines a torch on health, research, and asking about your sex life. Adult humans are sexual beings and have the right to information, education and services which help make the most of their intimate relationships.

Talking about sex can be difficult enough between partners 1, 2never mind with your GP — who might be younger than you; or older than you; or knows your partner; or who syringed your ear; or who worships at the same place as you; or is a locum and not the usual friendly face; or who knows you got an STI that time…or…or…. Her sex life was a somewhat unconventional mess and I suspected that one of her sources of difficulty, not to mention frustration, was Women want sex Cochrane her husband had premature ejaculation.

So I asked her about it. Talking about sex can be difficult enough with your partner, never mind with your GP. Chronic illness A health condition marked by long duration, by frequent recurrence over a long time, and often by slowly progressing seriousness. For example, rheumatoid arthritis. So, discussing sex with our doctor should be as routine as discussing our stress levels. Sharing our sexual issues with our healthcare professional has the potential to reveal just how foolish, ignorant, or depraved we are.

Worse still, anything we say about sex has the potential to offend or unsettle those we are in consultation with.

Women want sex Cochrane

Talking about sex even with a partner can leave us vulnerable to embarrassment, rejection, and confusion. Coleman and Ingham 4 found fear of negative reaction to sexual discussion is a communication suppressant.

Rarely does realistic clumsy, messy sex on ancient but really cosy flannelette sheets feature on the big screen. Dr Stacy Tessler Lindau 6 believes that patients are reluctant to bring up sexual difficulties because they worry about being judged or having their fears dismissed.

Women want sex Cochrane

Conversely, clinicians worry that broaching sex could embarrass or offend the patient. There are different types of studies used to answer research questions, for example randomised controlled trials or observational studies. So, how much training do medics get in discussing sexual issues with patients?

Women want sex Cochrane

Not much, 10 of hours of medical school, and most of that is focussed on the biology and physiology of sexuality 8. A study 9 showed that while reproductive physiology, contraception and sexually transmitted infections are covered, many schools devote little or no attention to sexual function, dysfunction and sexual minority groups and concluded that most doctors leave medical school with little idea of how to help patients with sexual problems. Themes relating to gender, ethnicity, intellectual ability, sexual preference and age of the service user were particularly marked.

Patients reported that sex was rarely discussed, but, that they would have liked the opportunity. In systematic reviews we search for and summarize studies that answer a specific research question e. The studies are identified, assessed, and summarized by using a systematic and predefined approach. They inform recommendations for healthcare and research. More which state that we should be advising and reassuring patients about sexual activity after a heart attack, it seems that is not happening in practice Do their clinicians ask whether their hip function affects their sexual ability?

Ehm, well, no A systematic review In systematic reviews we search for and summarize studies that answer a specific research question e. More examined 45 years of literature about the effect of total hip arthroplasty on sexual activity. It examined the differences between patient and surgeon perspectives, improvements in sexual ability and differences in outcomes Outcomes are measures of health for example quality of life, pain, blood sugar levels that can be used to assess the effectiveness and safety of a treatment or other intervention for example a drug, surgery, or exercise.

More between men and women. Health challenges in older people may present practical and ethical issues which need support. Arthritis is going to become a bigger issue for more people because we have an ageing population The group of people Women want sex Cochrane studied.

Women want sex Cochrane

Populations may be defined by any characteristics e. Morebut, finding evidence about older people and their sexuality is really challenging. I was schooled on that by a woman in her mid 80s in clinic who presented for help with incontinence associated with a vaginal prolapse. Health challenges in older people can present practical ethical issues which may require support from healthcare providers. For instance, what happens if a partner has dementia? It could be unclear whether they have the capacity to consent to sexual relations.

Or, if they have the freedom and ability to make that choice, their partner may feel conflicted if they have dual roles of being a carer and a lover. How about gynaecologists? Surely the obvious Activity of Daily Living of the vagina is sex? Again, erm, no. A study found that only a quarter of clinicians had received training about sexual dysfunction. It is reasonable for women to want to learn about treatment Something done with the aim of improving health or relieving suffering. For example, medicines, surgery, psychological and physical therapies, diet and exercise changes.

More implications on their sexual function. Mik Scarlet is a broadcasterjournalist, actor, musician, and expert in the field of access and inclusion for disabled people. He recently did a comedy set for BBC Ouch in which he talked about his own erectile dysfunction following spinal cord injury and the difficulties of getting help. The video is currently sixth on BBC videos We can support you with methodologies for having sex in new ways. Clinicians almost universally recognise that they need more information, support Women want sex Cochrane training in order to take a good sexual history to enable a patient to be more comfortable about discussing a potentially embarrassing issue.

The Sexual Advice Association A relationship between two characteristics, such that as one changes, the other changes in a predictable way. For example, statistics demonstrate that there is an association between smoking and lung cancer. In a positive association, one quantity increases as the other one increases as with smoking and lung cancer. In a negative association, an increase in one quantity corresponds to a decrease in the other. Association does not necessarily mean that one thing causes the other. More have advice about how to take a sexual history and information for patients and professionals.

Managing an impaired body and a sexual life can involve a lot of work — dealing with issues such as pain, incontinence, fatigue and immobility can Women want sex Cochrane be managed, but patients need skills to be able to disclose they have sexual concerns, preferably at the beginning of the consultation. Top tip for clinicians? Illness and sex are taboos which many people — disabled or not — find hard to talk about.

Women want sex Cochrane

Problems that may seem overwhelmingly big may have simple fixes — so ask! I gave a patient sample packs of vaginal lubricant which is available on prescription. References may be found here. Elaine Miller is a pelvic physiotherapist in Edinburgh with a hobby of stand up comedy. Elaine believes that humour is the fastest way to break down the taboos which surround continence and sexual dysfunctions. Her aim is to go on Loose Women and make the obvious joke.

You can follow Elaine on Twitter GussieGrips. Search and hit Go. Evidently Cochrane. Sexual Health. In this blog for our special series The Problem With Sexpelvic physiotherapist and comedian Elaine Miller GussieGrips pulls back the covers and shines a torch on health, research, and asking about your sex life Adult humans are sexual beings and have the right to information, education and services which help make the most of their intimate relationships.

Women want sex Cochrane

Rarely does realistic, messy sex on ancient but really cosy flannelette sheets feature on the big screen. Evidently Cochrane Sharing health evidence you can trust.

Women want sex Cochrane

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