Sexual health, even among doctors need to integrate the skills – The Daily

I’m back from two major scientific meetings, one andrology and one gynecological, where I could appreciate the possibility of an integration of different specialties that deal with the sexual health of people. The Manichean distinction between causes psychological and organic causes is passing very slowly, with the consideration of the person as a biological structure but also its history and the socio-cultural context where he lives.

All this is called the biopsychosocial vision of sexual health that allows when there is a difficulty, a symptom, a stoppage of any kind, to do medical tests to contemplate but also listening to the ‘lived’ the difficulty presented . Doing this requires time and attention, then, requires that all specialists are trained to a certain kind of listening in order to provide the most appropriate response to the difficulties posed by the patient or to be able to send to the specialist indicated. The physical symptom, even when the causes are recognized as organic, always involves an emotional reaction: concern, a sense of inadequacy, the impact on the life of the couple and much more.

There are now many scientific publications that go in the direction of emphasizing the importance of this approach to increase compliance of the patient, ie, adherence and continuity of the proposed treatment, which can only be effective if carried out according to the indications.

An indicator of the competence of the professional in the field of sexology, lies in its ability to communicate with other professionals in order to identify the best route for the patient. The concept of “to tailor” treatment is now quite common, of course, remains the difficulty in remote areas who have less sexual health professionals and therefore less possibility of exchange, or cultural resistance to make the team, in the fear that the patient you can choose to move differently. Today, the patient is fortunately more and more informed , known methods and techniques, asks competence and jurisdiction in turn. The quality of care is a duty of all operators, where health is failing with the structures, we have to meet and foster greater professionalism.

What today seems an obvious approach, it actually has a history that goes way back, it was not easy to work with the mistrust of the various stakeholders, the fragmentation of specialization, more and more specific and limited knowledge of the particular often forgetting the larger context. We have reached a point where I think it is possible, after thorough and better known to the micro, come back with more experience to macro .

->