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Reviewed by John M. Grohol, Psy.D. on March 23, 2012
Researchers discovered women?s sexual health issues are only touched on, if discussed at all. Experts believe avoiding this important topic could mean missing an important link to overall wellness.
Investigators came to these conclusions after evaluating the results of a comprehensive national survey of U.S. obstetrician-gynecologists regarding communication with patients about sex.
The report, ?What We Don?t Talk about When We Don?t Talk about Sex,? uncovers the shortfalls in doctor-patient communication around sexual matters and examines the barriers that may be limiting the range of dialogue in a typical evaluation of a woman?s general health.
The study is published in the Journal of Sexual Medicine.
University of Chicago researchers discovered that although nearly two-thirds of OB-GYNs routinely inquire about patients? sexual activity, other aspects of female sexuality are not regularly addressed.
Only 40 percent of physicians surveyed regularly check for sexual problems or dysfunction. Even fewer (29 percent) ask patients about satisfaction with their sexual lives and only 28 percent confirm a patient?s sexual orientation.
Study authors believe that an improved discussion on sexual health is needed, requiring stronger physician guidelines for conducting a thorough sexual history.
?As a practicing OB-GYN, many of my patients say I?m the first physician to talk with them about sexual issues,? said Stacy Tessler Lindau, MD, the study?s lead author.
?Sexuality is a key component of a woman?s physical and psychological health. Obviously, OB-GYNs are well positioned among all physicians to address female sexual concerns. Simply asking a patient if she?s sexually active does not tell us whether she has good sexual function or changes in her sexual function that could indicate underlying problems.?
Experts say a detailed discussion of sexual health is necessary; sexual function concerns are highly prevalent among women.
Recent studies estimate that roughly a third of young and middle-aged women and about half of older women experience some sort of sexual problem such as low desire, pain during intercourse or lack of pleasure.
For most, sexual dysfunction is more than physical and the impact of sexual dysfunction can be far-reaching. In addition to strained relationships, many women experience worry, shame, guilt and feelings of isolation.
If the physician doesn?t ask, patients are hesitant to bring up the topic.
?Many women are suffering in silence,? Lindau said. ?Patients are often reluctant to bring up sexual difficulties because of fear the physician will be embarrassed or will dismiss their concerns.
?Doctors should be taking the lead. Sexual history-taking is a fundamental part of gynecologic care. Understanding a patient?s sexual function rounds out the picture of her overall health and can reveal underlying issues that may otherwise be overlooked.?
Investigators reviewed whether factors such as gender, age, race, medical school location, immigration status, religious affiliation or type of practice play a role in the likelihood an OB-GYN will broach sexual matters.
Not surprisingly, female doctors are more likely to address sexual activity with female patients. Doctors who see more patients for gynecology vs. prenatal care tend to screen for sexual dysfunction more frequently than their colleagues. OB-GYNs ages 60 and older are less likely to delve into a patient?s sexual orientation or identity.
Researchers discovered that fewer than a third of all OB-GYNs surveyed routinely ask patients about their sexual orientation. Assuming heterosexuality can alienate a lesbian or bisexual patient and result in misinterpretation of symptoms and misdiagnosis.
?One explanation for the findings may be a deficit in physician training about diagnosis and treatment of female sexual problems,? said first author Janelle Sobecki, MA.
?Like patients, physicians may worry that raising the topic could offend or embarrass the patient. Physicians, especially OB-GYNs, are better positioned than patients to open the door for discussion.?
For many women grappling with a sexual problem, the underlying cause may be treatment for another medical condition. Drugs regularly prescribed for conditions from depression to breast cancer can have a negative effect on sexual function in some women, including low libido. Patients may be better able to tolerate these side effects if they know to expect them.
An emerging area of concern for Lindau ? a specialist in maintaining sexual function in cancer survivors ? is prevention measures for patients at high risk for developing breast cancer.
Drugs such as aromatase inhibitors and tamoxifen, which interfere with the activity of estrogen and therefore reduce breast cancer risk, are becoming more widely used, including among younger women.
?Women are not being counseled on the potential sexual side effects of these treatments, and we have limited data to appropriately counsel them,? Lindau said.
?For men with prostate cancer, in comparison, the impact of treatment on sexual function is typically discussed as part of deciding which therapy to try.?
One reason doctors may feel more comfortable discussing sex with men is the availability of FDA-approved treatments for erectile dysfunction, while medical treatments for female sexual dysfunction are limited.
The good news is that women are seeking and demanding more information about their personal health, oftentimes turning to the anonymity of the Internet as a first resource.
Ideally, Lindau adds, these women are empowered by reputable online and other media sources to know that they are not alone in their concerns and will gather the courage to begin a conversation with a physician.
?If you have a doctor you trust who has not brought this topic up, give it a try,? Lindau adds. ?If you are waiting for the doctor to start the conversation, it may never happen. Communication is key.?
Source: University of Chicago Medical Center
APA Reference
Nauert PhD, R. (2012). Women Should Discuss Sex Life with Gynecologist. Psych Central. Retrieved on March 24, 2012, from http://psychcentral.com/news/2012/03/23/women-should-discuss-sex-life-with-gynecologist/36433.html
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Source: http://psychcentral.com/news/2012/03/23/women-should-discuss-sex-life-with-gynecologist/36433.html
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Holistic addiction treatment is extremely effective owing to the fact that it takes into consideration the needs of the addict. Holistic addiction therapy focuses on the sacred needs of the addict. By changing his or her spiritual beliefs, individuals is able to modify his or her addictive behaviors. In the holistic addiction remedy programs, the addict isn?t forced to subscribe to beliefs which contradict their own beliefs. Several holistic cure programs have lots of therapies .Numerous of these therapies have been not present in conventional cure programs. Some of the cure therapies found in holistic addiction therapy programs include acupuncture, spiritual counseling, yoga in addition to meditation.
It?s in addition worth noting that in the holistic addiction cure, scores of emphasis is placed on the individual?s diet. The person is impressed upon the need to eat healthy foods which are nutritious. Secondly, the environment which the individual is placed goes a long way in helping the individual recover from his or her addiction. It is prudent to note that holistic addiction cure centers have high addiction recovery success rates than the conventional addiction treatment centers. Data about holistic addiction treatment might be found from the internet. And that, truth about holistic addiction solution from the scores of alcohol in addition to medication rehabs in the nation.
For starters, the person is helped to gain and in addition retain knowledge through several tools that the solution centre provides. This knowledge is instrumental in helping addicts create informed judgements on how they may kick their addictions. Secondly, the holistic addiction treatment program focuses on helping a person to restore their ethics, morals and also integrity. In addition, addicts are helped to turn out to be more responsible so that they may contribute meaningfully to the society. Thirdly, the individual is helped to purge his or her of the addictive substances. This is widely done in detoxification which is the opening stage of therapy. In the detoxification process, the addict is kept in a medication free environment.
When seeking to find where to go for an addiction specialist, individuals would be better off considering an alcohol addiction treatment center. Just like the case with medicine remedy centers, alcohol treatment centers also have a catalogue of info on the local addiction specialists in any given region. Specific local government authorities in addition to departments in addition have lists of addiction specialists within any given area. These lists might be accessed simply by calling them or even visiting their offices. These departments and in addition authorities are ready to aid persons who seek their assistance in finding an addiction specialist. There have been in addition various organizations which act as the regulatory authorities overseeing the activities and even registration of addiction specialists. Such organizations an be accessed either through visit, mailing, calling or even sending them an email. They would then avail the total list of the registered addiction specialists found in the locality of the individual seeking guidance.
In various circumstances, addicts live in the past. The addict agonizes about the mistakes that he or she has created in the past. This only compounds the recovery process. These treatment programs aid the individual to focus on the recovery process. It?s important for the patient to receive family along with peers help. Holistic addiction treatment also aids to improve the addict?s issue solving skills. Various drug addicts have been addicted to substances a result of the fact that they cannot produce good decisions about alcohol and also drug use. It so follows that the person is helped to create informed decisions in future.
There have been 2 styles of treatments given in these drug and alcohol treatment centers in florida namely inpatient and outpatient services. Inpatients stay in a drug and alcohol treatment centers in utah and lead the lifestyle prescribed by doctors and practitioners
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Once you have decided on a self improvement course, chocolate chip cookie recipe you will face moments along your journey the place it seems that you?re not making progress toward your goal. It is but natural.
Staying within the course when the outcomes don?t seem to be coming may be challenging. But then, you must not hand over when you are pursuing a dream.
Keep on your self improvement course. Do not leap overboard. In the event you consider in your dream and is prepared to see it through, you will certainly enjoy the candy reward of success while you arrive at your destination.
Below are 4 suggestions for staying the self improvement course.
1. Keep positive.
Your mental angle liverpool fc news toward your scenario is very important. In the event you suppose potentialities, you may be higher able to deal with the opportunities which might be present in setbacks or delays.
Attempt to become your personal dictator while you give up your will to destructive thoughts. Preserve a positive attitude. You recognize that you?ve what it takes to succeed.
Tell your self to suppose ideas that may carry your spirit and renew that desire to succeed.
2. Pull versus Push.
It is not attainable to push a rope. Neither are you able to make any progress by pushing and forcing it to move to your liking.
Experts will let you know that you need to make your self ?enticing? to be able to effortlessly draw to your self what you want in life. This can even move you away from seducing or pushing so as to produce the outcome that you desire.
What have you ever nook color review been attracting to your life? Are you the one doing the pushing or the pulling?
3. Be persistent.
Proceed on taking motion every day toward your goals and goals. Persistence and persistence are the crowning qualities of self-confident champions.
Think of the gardener who plants a seed and then waits for it to sprout and grow. He waters and nourishes the seed even when he doesn?t see rapid results, having religion that the seed will turn into an attractive plant.
Just like the gardener, don?t consider what you see and what is going on today. Look ahead sooner or later and what your actions now will end result to.
What are you able to do right this moment to achieve your future plans?
4. Have a success partner.
Having a success partner to encourage and support you particularly when you are down or pissed off can make the distinction in achieving a goal.
Sometimes our vision is blurred by distraction or discouragement. Having a supportive partner who needs huge things for you and believes in you possibly can provide help to stay the self improvement course.
You are able to do it on your own, but you would not have to do it alone. You?ve a choice.
Why not have a success partner who will stick to you not only through the great occasions but additionally through the dangerous occasions?
Elbert Hubbard ?Know what you wish to do, hold the thought firmly, and do on daily basis what must be finished, and every sundown will see you that much nearer to your goal.?
No person informed you that the self improvement course you could have chosen to trek is easy. But with sufficient willpower and the perseverance to go on, you will finally attain that lengthy awaited vacation spot which is success.
Source: http://www.positivesymbolism.com/how-you-can-preserve-your-self-improvement-course/
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The cost of decent cover for your home is set to soar, as climate change pushes up the twin risks of flooding and subsidence.
But, even more frighteningly, around 200,000 homes in Britain could be left uninsurable within the next three months as an agreement that ensures flood-prone properties can continue to be insured comes to an end.
In fact the agreement ? made between the insurance industry and the Government ? expires at the end of June 2013. But with no sign of a new agreement to replace it, some insurers have warned that homeowners in flood-prone property might not be able to renew their cover later this year, because their new policy will then extend beyond June next year.
The current agreement says that insurers must include flood cover as standard for properties built before 1 January 2009, where the risk of flooding is low. But companies also agreed to cover at-risk households who already have flood cover to renew automatically with the same insurer, as long as flood defences are planned to be in place within five years.
It?s confusion about Government investment in flood defences that is putting so many homeowners at risk. The Association of British Insurers (ABI) warned last week that the clock is ticking on the need to secure a new approach to flood insurance, but it needs Government commitment on flood defences.
James Dalton, the ABI?s head of property insurance, said: ?We are running out of time to ensure that people in high flood-risk areas can continue to get affordable insurance.
?The current industry agreement with the Government is unsustainable, has thwarted choice for consumers, and is past its ?best by? date.?
He warned insurers would not be able to provide flood insurance to at-risk homes without a Government commitment, as happens in other countries.
Independent
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Source: http://junkscience.com/2012/03/18/uk-home-insurance-is-rising-with-the-tide/
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