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How to ask about erectile dysfunction without the patient feeling accused of being “the problem”

How to ask about erectile dysfunction without the patient feeling accused of being “the problem”

Erectile dysfunction sits in a particular category of sensitive topics: many male patients experience it as a direct hit to identity, not just a symptom, and a poorly worded question can make a patient feel diagnosed with a personal failing rather than assessed for a...
Scripts for the first 30 seconds: three ways to open, depending on the patient in front of you

Scripts for the first 30 seconds: three ways to open, depending on the patient in front of you

One opening line doesn’t fit every consult. The general-purpose script covered elsewhere in this series works well as a default, but a few common consult types benefit from a more tailored opening, one that borrows credibility from whatever brought the patient...
What to say when a patient looks uncomfortable the moment you raise sexual health

What to say when a patient looks uncomfortable the moment you raise sexual health

You’ve asked the opening question, and the patient’s face changes. A flicker of surprise, a look away, a stiffening in the chair. This is a normal, common response, and it is also the exact moment many GPs lose their nerve and quietly change the subject....
Opportunistic sexual history taking: turning a pill script or pap smear into an opening

Opportunistic sexual history taking: turning a pill script or pap smear into an opening

The previous article looked at why routine, non-sexual-health consults are the most commonly missed opportunity to raise sexual health. This one is the practical follow-up: the actual wording for turning three of the most common routine visits into a natural opening,...
How to bring up sexual health in a routine consult that isn’t about sex

How to bring up sexual health in a routine consult that isn’t about sex

A patient comes in for a repeat pill script, a blood pressure check, or a pre-travel consult. Nothing about the presentation suggests a sexual health conversation is needed. This is exactly the type of consult where the conversation is most likely to be skipped, and...
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Dr Armin Ariana · Clinical Sexologist · Associate Professor, Medical Education

This program is educational and professional development in nature. It is not medical treatment, diagnosis, or a substitute for care from a health professional. Results vary depending on individual application and clinical context.

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