It is not easy for physicians to investigate genuinely sexual problems because of our personal conceptions about sex related to our familial and religious upbringing. Lack of medical education or information and bad personal experiences inhibit us from speaking freely with our patients. And they, before daring to talk to us about a sexual problem, must already be suffering from severely handicapped relations. Being able to explore in details what causes them problem, to investigate if there is a real sexual dysfunction and how it occurs, will help patients a great deal by providing them a precise diagnosis. We must therefore determine whether the sexual problem is the symptom of a somatic or a psychiatric disease, or a secondary effect of a medication or a drug, before identifying it as a psychosomatic or emotional dysfunction.
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