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When assessing for sexual dysfunction, which way of opening up the subject may increase the patient's comfort in discussing the topic?

A. This is embarrassing for both of us, but i need to ask you about sexual problems.

B. I have to ask you about sexual issues; don't fell uncomfortable discussing sexual issues with me

C. Many people who have depression also experience sexual problems. Are there any problem you want to talk about?

D. You may have sexual dysfunction, or similar problems. LEt's talk about it

1 Answer

3 votes

Final answer:

Option C is the most comfortable way for a patient to discuss sexual dysfunction, as it normalizes the issue by association with another condition and invites the patient to share in a non-judgmental manner. Erectile dysfunction is common among older men and can be caused by various factors.

Step-by-step explanation:

When assessing for sexual dysfunction, the most comfortable way for a patient to open up about the subject might be option C: "Many people who have depression also experience sexual problems. Are there any problems you want to talk about?" This method normalizes the experience of sexual dysfunction by referencing its common association with another medical condition (in this case, depression), which can make the topic feel less stigmatized and more approachable for the patient. Moreover, it invites the patient to share on their terms, which can help build trust.

Sexual dysfunction can be a sensitive topic for many patients, and it's crucial to approach it with empathy and without judgment. Age can also be a factor; for example, erectile dysfunction (ED) is a condition that becomes more prevalent with age, affecting 40 percent of men at age 40 and nearly 70 percent by 70 years of age. Conditions like ED can be caused by a range of physiological and psychological factors, including diabetes, vascular disease, and psychiatric disorders, highlighting the importance of a nuanced and sensitive approach when discussing these matters with patients.

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