In cooperation with


Talking about sexuality

Talking about sexuality has not yet become an integral part of the gynecologic consultation – neither for patients nor for doctors – although sexual difficulties are frequent and may cause considerable distress and although many women would want their doctor?s advice. Main reasons for this situation are insecurity of physicians with respect to the way of communicating about sexuality and feelings of therapeutic helplessness. Therefore gynecologists need well-structured interview guideline, which has to fulfill the following criteria: respect towards the patient?s attitudes and values; awareness of the patient?s resistance and limits; experience in the use of sexual words and sexual language; empathy and handling of complex emotions; biopsychosocial oriented precise and comprehensive diagnosis including the patient?s views; shared decision making and awareness of one?s therapeutic limits. This interview is presented along eight steps:

  1. Addressing sexual issues
  2. The Narrativ – the patient has the right to talk
  3. First joint differentiation – active questioning
  4. The typical sexual episode – description of behavior
  5. Exploring the background and conditioning factors
  6. Round Table with discussion of comprehensive diagnosis and therapeutic objectives
  7. Brainstorming about possible solutions
  8. Shared decision making about individual therapeutic plan

CME Prakt Fortbild Gynakol Geburtsmed Gynakol Endokrinol 2018; 14(2): 154–163

Colorectal cancer screening, colonoscopy, reflux disease, Barrett´s esophagus, mucinous cystic neoplasia

Johannes Bitzer
Gastroenterologie & Interventionelle Endoskopie,
Asklepios Klinik Barmbek, Hamburg
Reviewer: Mechthild Neises, Aachen,
und Christine Klapp, Berlin

Bitzer J. Das Gespräch ... Gynakol Geburtsmed Gynakol Endokrinol 2018; 14(2): 154–163 publiziert 31.7.2018 ©akademos Wissenschaftsverlag 2018 ISSN 1614-8533