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首页> 美国卫生研究院文献>Reviews in Urology >Asking the Questions and Offering Solutions: The Ongoing Dialogue Between the Primary Care Physician and the Patient With Erectile Dysfunction
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Asking the Questions and Offering Solutions: The Ongoing Dialogue Between the Primary Care Physician and the Patient With Erectile Dysfunction

机译：提出问题并提供解决方案：基层医疗医生与勃起功能障碍患者之间正在进行的对话

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Primary care physicians are becoming more involved in inquiry about and management of erectile dysfunction (ED). This relatively new occurrence is appropriate considering that the presence of ED may signal potentially serious medical conditions and that ED is a condition with true morbidity. Addressing sexual issues in the office setting requires a comforting and secure atmosphere in which patients can easily discuss their problems. Because many men are hesitant to approach physicians with their sexual problems, clinicians need to be proactive by asking direct questions, either verbally or in a written history format. The clinician who learns of a patient’s ED should acknowledge it as a legitimate problem and either work with the patient on a management plan or refer him to a physician more prepared to successfully manage the condition. Clinicians who choose to treat men with ED can achieve higher success rates by including the partner in the discussions and treatment planning and by offering some basic sex counseling. These efforts require additional learning on the part of the clinician, but the rewards of managing sexual dysfunction include happier and healthier patients and improved patient-partner relationships.
机译：初级保健医生越来越多地参与勃起功能障碍（ED）的询问和管理。考虑到ED的存在可能预示着潜在的严重疾病，并且ED是具有真正发病率的疾病，因此这种相对较新的发生是适当的。解决办公室中的性问题需要舒适和安全的氛围，患者可以在其中轻松讨论自己的问题。由于许多男人不愿向医生询问性问题，因此临床医生需要主动提出口头或书面病历形式的直接问题。得知患者急诊室的临床医生应将其确认为合法问题，并与患者一起制定管理计划，或将其转介给更愿意成功治疗该病的医生。选择在ED中治疗男性的临床医生可以通过将合作伙伴纳入讨论和治疗计划中，并提供一些基本的性咨询，从而获得更高的成功率。这些努力需要临床医生进行更多的学习，但是处理性功能障碍的好处包括使患者更快乐，更健康，以及改善患者与伴侣之间的关系。

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