PSYCHOSEXUAL PROBLEMS IN THE CONTRACEPTIVE CONSULTATION – EXAMINING THE WHOLE PATIENT (INTRODUCTION)

Expectations of what will happen during consultations for family planning influence the choice between clinic or general practice, or between known or unfamiliar doctors.

Patients may attend a community family planning clinic because they have heard that patients have a ‘thorough examination’ there. On the first attendance the patient may look disappointed when she is told that the examination of that (sexual) part of her body – her genitals and breasts – can be left until later. She wants an examination of this part of her about which she has unspoken anxieties -perhaps doubts that it is ‘good enough’ to be shown to a partner, or that, untried, it may not function well enough, or might become out of control.

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