Contraceptive consultations are favoured occasions for revealing overt or covert sexual problems. By attending for advice on birth control, patients are already revealing that part of them that is sexual, and the subject of difficulties with their sexual life can be broached with less difficulty (it is never easy). Doctors and
nurses concerned with giving contraceptive advice should be comfortable discussing sexual matters. They need to be skilful in their ability to receive and manage their patients’ confidences and to recognize when and how to refer those they are unable to help.
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