title: [Pleasure and pain in sexual relations. The basis and reasons for sex counseling by the general practitioner].
abstract: An essential factor for successful sex counseling by the family doctor is an atmosphere of openness and trust between physician and patient. However, few patients will begin to talk about their sexual problems of their own accord. The physician should therefore allow himself sufficient time for such counseling, be aware of his own limitations, and develop an ear attuned to involuntary remarks by the patient. During talks, only sparse use should be made of technical terms, the better to encourage the patient. The problems most commonly described in the doctor's office are functional disorders with a psychosomatic cause, and triggering factors may vary considerably (a high level of stress at the workplace, social or financial crises, monotonous leisure activities). In view of this, a somatic investigation should always be preceded by careful history-taking.
authors.affiliation: Arzt für Allgemeinmedizin, Psychotherapie, Spezielle Schmerztherapie, Schwalmtal.
authors.forename: W
authors.initials: W
authors.lastname: Sohn
mesh_terms: D000328:Adult; D002243:Carbolines / Q000627:therapeutic use; D007172:Erectile Dysfunction / Q000188:drug therapy; D005194:Family Practice; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010726:Phosphodiesterase Inhibitors / Q000627:therapeutic use; D010817:Physician-Patient Relations; D010879:Piperazines / Q000627:therapeutic use; D011687:Purines; D012307:Risk Factors; D012731:Sex Counseling; D012737:Sex Factors; D012735:Sexual Dysfunction, Physiological / Q000175:diagnosis / Q000209:etiology / Q000523:psychology / Q000628:therapy*; D019529:Sexuality; D000068677:Sildenafil Citrate; D013450:Sulfones; D000068581:Tadalafil; D014665:Vasodilator Agents / Q000627:therapeutic use
chemical_list: D002243:Carbolines; D010726:Phosphodiesterase Inhibitors; D010879:Piperazines; D011687:Purines; D013450:Sulfones; D014665:Vasodilator Agents; D000068581:Tadalafil; D000068677:Sildenafil Citrate