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Human Sexuality

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Janos Kollar

on 12 February 2017

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Transcript of Human Sexuality

Why people have sex???
Human sexuality
Why is it hard to talk about
sexual problems?
Sexuality and chronic diseases
Joy and pleasure
Being in love
To feel safe
Release tension
Burn calories
Other person to feel good
Avoid conflict
To feel attractive
Because it is healthy
Because it is normal
To get/provide care
To avoid disloyalty
Meston & Buss: 1006 women were interviewed all over the world about their sexual motivation

They identified 237 reasons!
Uncomfortable for professionals
Uncomfortable for patients
Lack of education in sexual problems
Underestimation of prevalence and
importance of sexual problems
Lack of time
Lack of safe environment to disclose
such problems
Frequent reasons for not disclosing sexual problems…
„It is not that important.”
„It will just disappear.”
„I’ve already got used to it.”
„It must be age-associated.”
„It has no medical reason.”
„The doctor can’t help my problem.”
71% of the patients worried about that their doctor wouldn’t care about their problem
68% of the patients felt that their doctor would feel uncomfortable talking about sexual topics

Moreira et al, 2008; Marwick 1999
"Physicians must remember that
they do not need to be expert sexologists, have perfect sexual relationships with their own partners, or share the values and attitudes of their patients to make them more comfortable discussing sexual matters;
they need to be good interviewers, which requires a different skill set entirely."
Dunn. Restoration of couples intimacy and relationship vital to re-establishing erectile funtion. J Am Opath As, 2004; 104: S6-S10
Name, contact info
Marital status (for how long)
Occupation (of the couple)
Description of the problem (start with open-ended question)
How long he/she has the the problem?
How did it develop (suddenly or continuously)?
When was the last problem-free sexual intercourse?
Frequency of the problem occurrence (always, more/less than half of the occasion)
Is there anything that can improve/worsen the problem?
Therapies so far (What kind? For how long? Results?)
Who initiated to seek help?
What are his/her expectations relating to the treatment?
What is reason they just came now?
Questions relating to erection/masturbation.
Background questions
Latest sexual experience (who initiated)
Frequency of sexual intercourse
First sexual experience (circumstances, partner)
Sexual abuse (age)
Medical anamnesis: medications, substance abuse, mental disorders
Intimate relationship (contraception)
(homosexual experiences, extramarital relationship)
Sexual orientation
Use open questions
„Tell me about your relationship.”
„Are you in a cohabitant relationship?”
„Are you married?”
Such questions make it more comfortable
to talk for both doctor and patient than
„Are you homosexual?”
Before DSM-III (1973) homosexuality was considered as a perversion.

Males: 4-5%
Females: 2-3%

Sexual dysfunctions can be treated regardless sexual orientation.
There are many chronic diseases that impact sexual life.
Benign prosthetic hyperplasia
Cardiovascular disease
Chronic obstructive pulmonary disease
Chronic pain
Diabetes mellitus
Degenerative disc disease
Multiple sclerosis
Parkinson's disease
Renal disease
Spina bifida
Spinal cord injury
Loss of a limb
Mental disorders
There are many chronic diseases that impact sexual life.


The amount of endorphin released during sexual intercourse can relief pain.
People living with disabilities and chronically ill patients are not interested in sex and can not be attractive.
A person living with disabilities is a wrong choice for being a partner.
"Ill" people can not have „real” sex.
People living with disabilities have many things to do rather than worrying about sex.
People living with disabilities are not sexually adventurous.
People living with disabilities do not need sexual education.
Full transcript