The Rheumatologist
COVID-19 News
  • Connect with us:
  • Facebook
  • Twitter
  • LinkedIn
  • YouTube
  • Feed
  • Home
  • Conditions
    • Rheumatoid Arthritis
    • SLE (Lupus)
    • Crystal Arthritis
      • Gout Resource Center
    • Spondyloarthritis
    • Osteoarthritis
    • Soft Tissue Pain
    • Scleroderma
    • Vasculitis
    • Systemic Inflammatory Syndromes
    • Guidelines
  • Resource Centers
    • Axial Spondyloarthritis Resource Center
    • Gout Resource Center
    • Psoriatic Arthritis Resource Center
    • Rheumatoid Arthritis Resource Center
    • Systemic Lupus Erythematosus Resource Center
  • Drug Updates
    • Biologics & Biosimilars
    • DMARDs & Immunosuppressives
    • Topical Drugs
    • Analgesics
    • Safety
    • Pharma Co. News
  • Professional Topics
    • Ethics
    • Legal
    • Legislation & Advocacy
    • Career Development
      • Certification
      • Education & Training
    • Awards
    • Profiles
    • President’s Perspective
    • Rheuminations
    • Interprofessional Perspective
  • Practice Management
    • Billing/Coding
    • Quality Assurance/Improvement
    • Workforce
    • Facility
    • Patient Perspective
    • Electronic Health Records
    • Apps
    • Information Technology
    • From the College
    • Multimedia
      • Audio
      • Video
  • Resources
    • Issue Archives
    • ACR Convergence
      • Systemic Lupus Erythematosus Resource Center
      • Rheumatoid Arthritis Resource Center
      • Gout Resource Center
      • Abstracts
      • Meeting Reports
      • ACR Convergence Home
    • American College of Rheumatology
    • ACR ExamRheum
    • Research Reviews
    • ACR Journals
      • Arthritis & Rheumatology
      • Arthritis Care & Research
      • ACR Open Rheumatology
    • Rheumatology Image Library
    • Treatment Guidelines
    • Rheumatology Research Foundation
    • Events
  • About Us
    • Mission/Vision
    • Meet the Authors
    • Meet the Editors
    • Contribute to The Rheumatologist
    • Subscription
    • Contact
  • Advertise
  • Search
You are here: Home / Articles / Tips for Talking to Your Patients About Sex

Tips for Talking to Your Patients About Sex

May 13, 2021 • By Iris Zink, RN, ANP, RN-BC

  • Tweet
  • Email
Print-Friendly Version / Save PDF
  • A lack of desire/desire discrepancy between partners;
  • Difficulty with arousal—lack of wetness; how to get in the mood; difficulty getting/maintaining erections; taking a long time to ejaculate/reach orgasm;
  • Genito-pelvic pain and penetration disorders—dyspareunia due to atrophy; vaginismus (overtight vaginal muscle); overactive pelvic floor (can cause muscle spasm); vestibulodynia;
  • Lack of pleasure from sex—primary or secondary anorgasmia vs. situational anorgasmia;
  • Their physical appearance and how they appear to their partner and to others;
  • Their feelings about sex and how their partner feels about sex;
  • The kind of sex life they have or think they should have; and
  • The frequency of sex in their relationship and whether it’s right for their partner.4

3. Understand sexual orientation and gender identity terms. Sexual orientation encompasses a wide range of sexual and/or romantic attractions (or lack thereof). Some people may be heterosexual, while others are lesbian, gay, bisexual, transgender, queer or other (LGBTQ+).

You Might Also Like
  • Sex and Arthritis
  • Rheumatologists May Help Patients with Rheumatoid Arthritis Overcome Obstacles to Sex
  • Tips for Talking to Your Patients About Vaccination
Explore This Issue
May 2021

Gender identity is simply someone’s gender, which is based on how they feel and not on physical characteristics. How they share their gender with the outside world, through how they dress and act, contributes to their gender expression. Research conducted in recent years has led to a better understanding of gender. For example, the use of “they’ has become more common as a pronoun for an individual.

ad goes here:advert-1
ADVERTISEMENT
SCROLL TO CONTINUE

Those who don’t identify as cisgender (i.e., the gender assigned at birth) or who use different pronouns in their identity will understand if you misstate their gender pronouns. The best way to react to a correction is to apologize, correct yourself and move on.5

Adding a question to the patient intake form about what pronoun they prefer is one way to ensure you are addressing your patient the way they want to be addressed.

ad goes here:advert-2
ADVERTISEMENT
SCROLL TO CONTINUE

4. Provide patient education.

  • Be prepared with recommended reading, websites, organizations and sexual health experts;
  • Suggest website searches for “sexual health and …” rather than “sex and …”;
  • Explain the importance of self-care and stress management;
  • Talk about the importance of physical touch in maintaining intimacy and strengthening the bond between individuals;
  • Suggest that understanding one’s own body through self-touch can improve one’s sex life;
  • Encourage partners to share any concerns about sex and intimacy during the office visit and offer evidence-based suggestions they can try at home;
  • Nobody wants to be seen as dumb about sex, so be respectful when providing information: “Perhaps you already know …”; and
  • Remind patients that orgasm can be a successful pain relief strategy.

5. Have the “safe sex” talk. Perhaps nothing is as imperative as talking to sexually active patients about safe sex. This discussion will enable your patients to prepare for sexual contact ahead of time.

The American Sexual Health Association’s sexual health toolkit is an excellent resource to give to patients. It discusses the importance of knowing one’s personal boundaries, and offers pro and con lists for latex condoms, internal (i.e., pouch) condoms, lubricants and barrier methods used during oral sex, and has a section on sex toys.6

ad goes here:advert-3
ADVERTISEMENT
SCROLL TO CONTINUE

6. Don’t be afraid to refer out. Many different healthcare clinicians are trained to address sexual rehabilitation and other sexual health-related issues.

Pages: 1 2 3 4 5 6 | Single Page

Filed Under: Patient Perspective Tagged With: physician-patient communication, sex, sexual healthIssue: May 2021

You Might Also Like:
  • Sex and Arthritis
  • Rheumatologists May Help Patients with Rheumatoid Arthritis Overcome Obstacles to Sex
  • Tips for Talking to Your Patients About Vaccination
  • When & How to Talk to Your Patients About Their Gender & Sex

Meeting Abstracts

Browse and search abstracts from the ACR Convergence and ACR/ARP Annual Meetings going back to 2012.

Visit the Abstracts site »

Rheumatology Research Foundation

The Foundation is the largest private funding source for rheumatology research and training in the U.S.

Learn more »

ACR Convergence

Don’t miss rheumatology’s premier scientific meeting for anyone involved in research or the delivery of rheumatologic care or services.

Visit the ACR Convergence site »

The Rheumatologist newsmagazine reports on issues and trends in the management and treatment of rheumatic diseases. The Rheumatologist reaches 11,500 rheumatologists, internists, orthopedic surgeons, nurse practitioners, physician assistants, nurses, and other healthcare professionals who practice, research, or teach in the field of rheumatology.

About Us / Contact Us / Advertise / Privacy Policy / Terms of Use

  • Connect with us:
  • Facebook
  • Twitter
  • LinkedIn
  • YouTube
  • Feed

Copyright © 2006–2022 American College of Rheumatology. All rights reserved.

ISSN 1931-3268 (print)
ISSN 1931-3209 (online)