Women often have sexual health concerns that can not be addressed in depth at a routine Annual visit. These concerns may include vaginal dryness, pain with intercourse, decreased libido and diminished sexual response. Sexual function can of course be influenced by hormonal changes and relationship dynamics but also by mood, fatigue, pain, stress, medication side effects, underlying medical problems and body image.
An evaluation generally includes a sexual function questionnaire, hormone profiles, physical exam and frank discussion. Treatments may include patient and partner education, vaginal lubricants or moisturizers, hormonal or herbal therapies, neutraceuticals, pharmacotherapies, sexual aides or devices, medical treatment of underlying disorders or changes in current medications. Referrals can be made for physical therapy of the pelvic floor muscles, counseling or sex therapy.
The first consultative visit usually focuses on the specific problems and related issues. The second visit the physical examination and review of laboratory tests. A treatment plan is initiated and a timely follow up visit is scheduled.
Sexual Health Consultations are available with Dr. DeNevi for both new and established patients. The sexual health questionnaire can be down loaded from our website so that you can have plenty of time to fill it out thoughtfully before your appointment.