ABC of sexual health: Assessing and managing male sexual problems
Men are more likely than women to present with and receive treatment for sexual problems. Nevertheless, they usually find them very difficult to talk about, and an initial perception that their problem is being dismissed can considerably delay or prevent their seeking further help. Time spent establishing as clearly as possible the nature of the problem is well spent, as it should lead to more effective treatment and may be therapeutic in itself. Likewise, talking to the partner can reveal a very different picture and can substantially alter management as well as have a therapeutic impact1.
Sometimes quite simple interventions - information, reassurance, contraceptive advice, or an opportunity to talk to a member of the primary care team with some basic problem solving or non-directive counselling - can resolve problems that have been a source of considerable distress to patient and partner. Suggesting sources of self help information such as