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Sexual Medicine and Counseling in Office Practice: A Comprehensive Treatment Guide

Domeena C. Renshaw, MD
JAMA. 1981;246(3):281. doi:10.1001/jama.1981.03320030065036.
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This 466-page handbook assists physicians in practice in dealing with the everyday sexual problems of able-bodied persons as well as those in whom illness and medication affect the sexual responses.

The self-administered screening questionnaire is thorough and thought provoking for the patient. It is a time-saver and may reveal antecedent factors relating to current sex problems. The physician is encouraged by the authors to proceed by selecting main problems from the questionnaire to be followed by a face-to-face problem-oriented history (pp 20 to 23). Some essential and relevant questions were omitted, however, and might be appended as follows:

(p 21) II D. Sex play with relatives? Whom? What ages? How often? Did you tell anyone? Whom? Was there pain/fear/excitement/pleasure/orgasm/intercourse/other?

Q. What was your body image like as a child/teen/now?

P. Sickness? Age? What? Did this affect your body image?

Q. Surgery? Age? What? Did this affect your body image?



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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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