Guidance for healthcare professionals to
open discussion about sexual dysfunction
Erectile dysfunction and female sexual dysfunction may be
“Smoking causes more than lung cancer, it can lead to
a pointer to undiagnosed diabetes or an indicator of a
sexual dysfunction (woman) / impotence (man).”
Because of this it is important that healthcare
Excessive alcohol affects the nervous system and interferes
with the signals from the pituitary gland and the genitalia.
• alert to the possibility of the problem
It can also reduce the levels of ‘sex’ hormones in the body,
• confident to instigate a consultation about it.
testosterone and oestrogen.
Smoking causes a reduction in penile blood pressure
decreasing the inflow of blood to the penis probably due
The person who pauses at the door of the consulting
to atherosclerosis. Nicotine can cause vasoconstriction or
room may just have found the courage to approach the
spasm within the penile arteries causing them to almost
subject. You must make time to listen or the moment
close so preventing an erection developing.
In women this would be translated to the flow of
Use the correct terminology when talking to your patient,
• Surgery/trauma to prostate, bladder, pelvis, spinal
but be ready to explain what you mean if you recognise
that they do not understand. If you are embarrassed, they
“Were you told after your operation/accident that you
may find problems with getting or maintaining anerection/having sex? If this happens, you must come and
A direct question may not produce any workable reply.
Note for hcp –
This may be due to temporary or
Possible ‘lead in comments’ could include:
permanent damage to nerves or arteries near the penis.
“The doctor has started you on a tablet for your blood
“You have a very busy life/stressful job/lot of travelling. Try
pressure. Were you told that it could cause you to have
to make sure that you take time for yourself to relax as
problems with impotence/sexual dysfunction?”
stress, tiredness or overwork can lead to sexual problems
Note for hcp –
Some diuretics, beta blockers, ACE
such as erectile dysfunction/female sexual dysfunction”
inhibitors can cause erectile dysfunction. It is possibly due
Note for hcp –
Stress, anxiety, guilt, depression may
to the reduction in pressure flowing through the arteries
follow diagnosis of diabetes and contribute to erectile
but reassurance for the patient that alternatives therapies
There are other groups of drugs which also cause
If your patient has decided to talk to you about sexual
problems eg – antidepressants, tranquillizers, appetite
dysfunction it may be a useful starting point to mention
that oral medications, Cialis, Viagra and Levitra, areavailable through the NHS.
• Substance use
“Too much alcohol (over the recommended limit of 14
This work has been taken forward by Dr John Andrews, Prof.
units for women and 21 units for men) can cause erectile
Wallace Dinsmore, Ms Pat Shannon and Diabetes UK Northern
dysfunction often referred to as ‘brewer’s droop’ (or sexual
Ireland with the support of an educational grant from Eli Lilly
Registered charity no. 215199 Code: 6240/1007/a
GEORGE MASON UNIVERSITY COLLEGE OF EDUCATION AND HUMAN DEVELOPMENT EDUC500.621: Basics of Real Time Polymerase Chain Reaction (1 credit) Spring/2012 Tuesday - Saturday/12-6pm January 17th – January 21st 2012 Loudoun Academy of Science– Dominon High School, Sterling, VA. Instructor: Dr. Geraldine Grant Phone: 703-993-4292 703-993-4393 ggrant1@gmu.
PRE-OPERATIVE INSTRUCTIONS FOR IMPLANT, SINUS AUGMENTATION AND EXTRACTION SURGERY • Please plan ahead: make sure you have all the prescription medications that you will need before and after the surgery. Make ice packs, prepare soft foods, and wear comfortable • Please do not take any aspirin, vitamin E or Ginkgo Biloba 7-10 days prior to surgery. If you need a pain medication, use