Are geriatricians guilty of failure to take a sexual history?

Abstract

BackgroundAs individuals live longer, they may have many medical, physical, psychological, and related issues that can impact on their sexual functioning. The sexuality of older patients is a topic that is generally not foremost in the minds of geriatricians. MethodsThis study was designed to determine the current practice of geriatricians regarding taking sexual histories from older patients and the further management of patients with sexual symptoms or deficits. Geriatricians (consultants, specialist registrars, staff grades, and associate specialists) were invited to complete a questionnaire on the taking of a sexual history and the further management of older patients with sexual problems. ResultsGeriatricians take a sexual history infrequently: 57.5% of them take a sexual history only occasionally. Although 96.7% are of the opinion that elderly patients with sexual problems should be managed further, opinion was divided, with uncertainty, especially among trainees (registrars), as to who should manage such patients. ConclusionsThese findings indicate that geriatricians generally fail to take a sexual history. However, geriatricians do generally agree that elderly people with sexual problems should receive appropriate referral and treatment. Aged sexuality is an area that requires more attention during the training of registrars and as part of continuing professional development.