Sexual dysfunction in women: Can we talk about it?

Faubion, Stephanie S.; Parish, Sharon J.

doi:10.3949/ccjm.84a.16021

Cited by 7 publications

(6 citation statements)

References 69 publications

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“…While HD treatment is exhausting for a person with kidney failure, their concerns about sexual health and wellbeing are often left unreported as nurses and other healthcare professionals overlook the importance of assessing and addressing them. Some nurses consider sexual health less important compared to other medical issues that the patient may be experiencing (Arikan et al, 2015; Faubion & Parish, 2017). Failing to address sexual health concerns can, however, lead to negative health outcomes such as stress, anxiety and depression, and reduced health‐related quality of life (Arikan et al, 2015; Jugjali et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Nurse's practices and attitudes toward sexual health, wellbeing, and function in people receiving haemodialysis: A scoping review

Mckie

Green

Bonner

2021

Journal of Renal Care

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Background Sexual health, wellbeing, and function are important parts of a person's identity. Chronic diseases, such as kidney failure can alter, impair, and profoundly, affect sexual wellbeing and function. Objective To conduct a scoping review of studies about renal nurses’ practice and attitudes towards sexual health, wellbeing, and function in people with kidney failure receiving haemodialysis. Methods Using Arksey and O'Malley's framework, seven databases were searched (CINAHL, MEDLINE, EMBASE, OvidPsycINFO, Scopus, Cochrane library, and JBI library). The search included studies published in English from January 2009 to January 2020. Results Four studies met the review criteria (two cross‐sectional surveys and two qualitative). Role confusion in discussing sexual issues, lack of training, and education in addressing sexual concerns, personal, and workplace related barriers were four factors that emerged from the review of the studies. This review identified that renal nurses were uncomfortable and hesitant in initiating discussions about sexual health, wellbeing, and function with people receiving haemodialysis. Conclusion Renal nurses experience role confusion about whose responsibility it is to initiate and discuss sexual concerns with patients, as well as who's role is it to conduct sexual health assessments. Work related and personal barriers impeded nurses’ practice regarding sexual health, wellbeing, and function. Nurses working in renal units need knowledge and practical training about how to initiate and address sexual concerns in those affected by kidney disease.

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Section: Introductionmentioning

confidence: 99%

Nurse's practices and attitudes toward sexual health, wellbeing, and function in people receiving haemodialysis: A scoping review

Mckie

Green

Bonner

2021

Journal of Renal Care

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“…The rationale for merging these categories in the DSM-5 included the co-occurrence of desire and arousal problems; the challenge of distinguishing between spontaneous desire and responsive desire and distinguishing sexual desire from other motivations for sexual activity; and the relatively low reporting of sexual fantasy in women. [20][21][22] However, based on substantial observational, clinical sample, registry, and treatment outcome data, experts have recommended maintaining separate categories of hypoactive sexual desire disorder (HSDD) and female sexual arousal disorder. 14,15 In the DSM-5, dyspareunia and vaginismus were also merged into a single category: genitopelvic pain penetration disorder.…”

Section: Nomenclaturementioning

confidence: 99%

The International Society for the Study of Women's Sexual Health Process of Care for the Identification of Sexual Concerns and Problems in Women

Parish

Hahn

Goldstein³

et al. 2019

Mayo Clinic Proceedings

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Sexual problems are common in women of all ages. Despite their frequency and impact, female sexual dysfunctions (FSDs) are often unrecognized and untreated in clinical settings. In response, the International Society for the Study of Women's Sexual Health convened a multidisciplinary, international expert panel to develop a process of care (POC) that outlines recommendations for identification of sexual problems in women. This POC describes core and advanced competencies in FSD for clinicians who are not sexual medicine specialists and serve as caregivers of women and, therefore, is useful for clinicians with any level of competence in sexual medicine. The POC begins with the expectation of universal screening for sexual concerns, proceeds with a 4-step model (eliciting the story, naming/reframing attention to the problem, empathic witnessing of the patient's distress and the problem's impact, and referral or assessment and treatment) that accommodates all levels of engagement, and delineates a process for referral when patients' needs exceed clinician expertise. Distressing problems related to desire, arousal, and orgasm affect 12% of women across the lifespan. Low desire is the most common sexual problem, but sexual pain and other less common disorders of arousal and orgasm are also seen in clinical practice. Screening is best initiated by a ubiquity statement that assures the patient that sexual concerns are common and can be revealed. Patient-centered communication skills facilitate and optimize the discussion. The goal of the POC is to provide guidance to clinicians regarding screening, education, management, and referral for women with sexual problems.

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“…Besides, external genital organs should be examined. Some methods used for genital stimulations include photoplethysmography for the evaluation of the genital stimulus, measurement of labial temperature, Gold Sheffield electrode, and Doppler ultrasonography of clitoral blood flow (17).…”

Section: Sexual Arousal Disordersmentioning

confidence: 99%