Do doctors treating menopausal women and andropausal men talk about sexual health in patient-treatment? Igls-SexMed-Survey-Program, doctors' self-assessment results at the Vienna Congress for Meno-/Andropause, Anti-Ageing, December 2017, Vienna
Ucsnik, L1; Kottmel, A2; Bitzer, J3; Teleky, B4; Clementi, W5; Egarter, CH6
1: Medical University Vienna, Austria; 2: Private Practice for Gynecology and Sexual Medicine, Vienna, AUT; 3: Private Practice for Gynecology, Basel, CH; 4: Medical University Vienna, Dpt for Surgery, AUT; 5: Society for Menopause, Andropause and Antiageing, Congress President, Vienna, AUT; 6: Medical University Vienna, Dpt for Gynaecology, Obstetrics, Div. f. Gynaecological Endocrinology and Reproductive Medicine, Vienna, AUT
Introduction: According to the Igls-Sex-Med-Survey-Program’s results in 2017, Medical University Vienna, “meno/ andropause” were rated leading occasion to address sexual health actively by doctors.
Material: Thus, at the annual international symposium for “meno/andropause, anti-ageing”, Vienna, December 2017, the medical doctors participating in the sessions “menopause” and “andropause” were invited in this self-assessment-program in order to share their perspective. A 3-parted questionnaire was used in order to self-assess: the patients treated, the health care structures and the professional profile of the survey’s participants. 92 doctors participated in the andropause-session. Sadly only 6 participants filled out the questionnaire and returned it, return-rate less than 15% and thus not publishable. 102 doctors participated in the menopause-session, 20 filled out and returned (rate 20,6%).
Results: 55% of the menopause-sessions’ participants were female, 35% male, 50% aged between 51-60 years, 30% older than 60 years, 90% were professionally active in practice, 70% clinically experienced more than 21 years in the field of meno-/andropause, anti-ageing. 40% addressed in up to 20% of the patients sexual health issues, 30% in between 21 and 40% of the patients. 55% of the doctors were asked by up to 20% of their patients about troubled sexuality. 40% of the participants assessed they suggested their patients having troubled sexuality without actively asking them. 70% of the doctors rated other topics being more important and this being the main reason for not bringing up this topic during medical consultation. 70% assessed menopause being one occasion to address sexual problems actively by medical doctors. In spite of this 40% of the doctors asked only up to 20% of the patients and 30% of them ask up to 40% of them. 45% evaluated ‘lack of patients’ motivation’, 40% ‘patients’ age’ and 25% rated ‘lack of sexual medicine experience’ reducing patients’ success of treatment.
Conclusion: The participants of this survey were very experienced in the field of menopause – thus 25% assessed a need for sexual medicine training in order to increase patient treatment’s success. Half of the women remained not asked by their menopause-experts about sexual health. Age interestingly was rated one of the reasons to decrease therapy’s success. Thus, awareness given in 70% of the survey’s participants the implementation in their daily menopause-consultation obviously needs support and more emphasis.
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