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The few studies that have addressed the treatment of sexual symptoms in a medical setting have found that although family physicians are more likely to be consulted for a sexual problem than anyone else, 1 , 2 if patients perceive their family physician as less capable of treating a sexual problem, then they will be less likely to consult that physician about those symptoms. Men and women may fear discussing sexual problems with their doctors because of concerns that physicians might find the topic embarrassing. One survey involves patients seen in a general medical practice. Typical reactions of a physician unprepared to hear sexual symptoms include embarrassed silences, misinformation, the imposition of one's personal values, a surprised or shocked expression, apparent boredom or preoccupation, personal discounting, and belittling. In an older population of patients, physicians may subscribe to larger social norms that devalue sexuality among the aged, viewing them as asexual or not capable of sustaining a sexual relationship.
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