by jennbossio | Apr 23, 2025 | Medicine, Sexual Health
Sexual health is a cornerstone of overall health and well-being. Yet, it’s one of the most neglected topics in medical training. For many patients, their physician is the first and sometimes only professional they feel comfortable approaching with sexual health concerns. And the numbers show just how prevalent these issues are. Research suggests that up to 43% of women and 31% of men experience sexual dysfunction at some point in their lives, with many others struggling with broader sexual health concerns like low libido, difficulty with intimacy, or challenges related to physical conditions or medications.
And here’s the kicker: 40% of patients want to ask their doctor about sexual health, but very few actually do. Why? Because the physician doesn’t ask first.
This silence is hurting patients. It’s a disservice to the population, especially when the tools to address these issues exist but aren’t being used. And the root cause of this widespread problem? Medical schools are failing their students—and, in turn, their future patients—by not integrating comprehensive sexual health care training into their curricula.
Why Don’t Physicians Ask About Sexual Health?
Doctors don’t ask about sex. Patients don’t bring it up. And so, the silence persists. But why are physicians avoiding these conversations? Here are a few of the most common reasons:
1. Fear of Opening Pandora’s Box
Physicians worry that asking about sexual health will lead to a flood of complex issues they don’t know how to address, which could extend the length of an appointment and take time away from other concerns.
2. Lack of Training
Many physicians simply don’t know what to ask or how to respond. Sexual health is a specialized area that rarely makes its way into the standard medical curriculum, leaving doctors unprepared to navigate these discussions.
3. Assumptions About Patients
Some doctors assume that if a patient has a sexual health concern, they’ll bring it up themselves. But in reality, most patients are waiting for their doctor to initiate the conversation, as they feel embarrassed or uncertain about how to bring it up.
4. Personal Discomfort
Sexual health is still a taboo topic for many people, and doctors are no exception. Personal queasiness, cultural norms, or a fear of being perceived as intrusive can prevent physicians from addressing it.
5. Belief That It’s “Not Their Job”
Many doctors view sexual health as outside the scope of their practice, especially in fields like cardiology or oncology. However, sexual health impacts—and is impacted by—virtually every area of medicine, making it relevant for all healthcare providers.
The Ripple Effect of Ignoring Sexual Health
When sexual health isn’t addressed, the consequences go far beyond the bedroom. Ignoring this critical aspect of well-being can impact a patient’s physical health, emotional health, relationships, and even adherence to medical treatments.
1. Impact on Cancer Patients
Prostate cancer and breast cancer, two of the most common cancers, often come with significant sexual side effects. Yet, sexual health concerns are rarely discussed in oncology care. Patients are left to navigate these life-altering changes alone, compounding their distress and impacting their recovery.
2. Medication Adherence
Did you know that men often stop taking heart medication because it impacts their sexual function? Similarly, people avoid or discontinue antidepressants due to their effects on libido and sexual performance. When physicians don’t address these concerns or offer alternatives, patients are less likely to stick to their prescribed treatments.
3. Mental Health and Relationships
Sexual health issues are closely tied to mental health. Depression, anxiety, and low self-esteem can result from or exacerbate sexual dysfunction. And let’s not forget the strain these issues can place on relationships, further isolating patients who may already feel like they’re struggling alone.
Where Medical Schools Are Getting It Wrong
Currently, medical schools are failing to prepare their students for the reality of patient care. Sexual health is either absent from the curriculum or given a cursory glance. This creates a gap in physicians’ ability to provide holistic care.
Contrast this with programs like the one at the University of British Columbia, where sexual health is given the attention it deserves. UBC’s two-day training on sexual health, led in part by renowned sexual medicine physician Dr. Rosemary Basson, is a shining example of what’s possible. It integrates the sexual response cycle into the training, utilizes standardized patients (including those with spinal cord injuries), and teaches medical students to address sexual health concerns comprehensively.
Programs like these prove that medical schools can do better—they just need to prioritize it.
The Research on Sexual Health Training
Studies show that sexual health training improves both physician confidence and patient outcomes. When doctors are equipped to discuss sexual health, patients are more likely to share their concerns, adhere to treatments, and feel supported in their care.
Moreover, addressing sexual health concerns doesn’t have to be a time-consuming Pandora’s box. With the right training, physicians can integrate these conversations seamlessly into their practice, asking simple, effective questions that open the door for patients to share.
The Solution: Train Physicians From the Ground Up
The best way to address this gap is to start early. Sexual health care needs to be integrated into the medical curriculum from the very beginning. This doesn’t mean turning every medical student into a sexual health expert, but it does mean giving them the tools to ask the right questions and provide appropriate referrals when needed.
Training should include:
• Basic Sexual Health Education: Covering the sexual response cycle, common dysfunctions, and their treatments.
• Communication Skills: Teaching students how to ask sensitive questions in a nonjudgmental way.
• Special Populations: Including training on sexual health in cancer patients, those with disabilities, and LGBTQ+ populations.
• Practical Applications: Using standardized patients and case studies to build real-world skills.
Why Sexual Health Is Too Important to Ignore
Sexual health isn’t just about sex. It’s about quality of life, emotional well-being, and physical health. Ignoring it means failing to provide comprehensive care.
It’s time for medical schools to step up. By integrating sexual health training into their programs, they can prepare future physicians to meet their patients’ needs, improve treatment adherence, and ultimately enhance overall health outcomes.
If medical schools continue to neglect this critical area, they’re not just failing their students—they’re failing the population as a whole.
Let’s Talk About Sex (Health)
Sexual health is an essential part of medicine, and it’s time we treat it as such. Physicians have the power to change lives by addressing these issues head-on, but only if they’re given the tools to do so.
To medical schools: Get with the program. Train your students in sexual health, and help them become the well-rounded, effective physicians their patients need.
And to patients: If your doctor isn’t asking about your sexual health, don’t be afraid to bring it up. Your well-being matters, and there are solutions out there for whatever you’re facing.
Let’s make sexual health a priority—for everyone.
by jennbossio | Dec 11, 2024 | Consultation, Medicine, Sexual Health, Training
Sexual health is an integral part of overall well-being, yet it remains a subject often shrouded in silence within healthcare settings. This blog aims to shed light on the importance of breaking down these barriers and creating spaces for open, honest discussions about sexual health. By doing so, we empower both healthcare providers and patients to address concerns, seek appropriate care, and ultimately lead healthier, more fulfilling lives.
The Impact of Taboos on Sexual Health:
Taboos surrounding sexual health can have far-reaching consequences. Patients may hesitate to share important information with their healthcare providers, leading to misdiagnoses or inadequate treatment plans. Providers, on the other hand, may feel unprepared or uncomfortable addressing sexual health concerns, potentially overlooking crucial aspects of a patient’s well-being.
My Goal is to Tear Down Sexual Myths:
In the realm of sexual health, breaking down taboos is my forte. With a career dedicated to this cause, I’ve pioneered research and clinical interventions that illuminate the path towards a healthier, more fulfilling sexual life. A cornerstone of my work revolves around post-prostate cancer treatment, an area where I’ve crafted inventive cognitive-behavioral and mindfulness-based treatment manuals. Through these innovative approaches, we’ve shattered preconceived notions, proving that post-treatment, not only can intimacy endure, but it can thrive. This is at the core of my practice – liberating individuals and couples from restrictive notions of how sex “should” be. By embracing a more holistic, experience-driven approach, we unlock a world of pleasure and connection. It’s not about performance, it’s about relishing the moment.
The Role of Healthcare Providers:
Healthcare providers play a pivotal role in fostering open dialogues about sexual health. By actively seeking training and resources, providers can equip themselves with the knowledge and confidence needed to broach these sensitive subjects. Creating a safe, non-judgmental environment allows patients to express their concerns and questions without fear, leading to more accurate diagnoses and tailored treatment plans.
In today’s diverse and ever-evolving society, it is crucial for healthcare providers to address sexual health in a comprehensive and compassionate manner. Many individuals face unique challenges and experiences related to their sexual health, and it is the responsibility of medical professionals to ensure that they receive appropriate care and support.
When healthcare providers take the initiative to further their understanding of sexual health, they are better equipped to recognize and address a wide range of issues. Training programs and resources can provide valuable insights into various sexual health conditions, behaviors, and practices, helping providers to better comprehend and validate their patients’ concerns. With this knowledge, providers can offer relevant advice, treatment options, and preventative measures tailored to each individual’s needs.
Moreover, by creating a safe and non-judgmental environment, healthcare professionals can help patients overcome any hesitations or reservations they may have about discussing sensitive topics. Patients need to feel comfortable when discussing their sexual health concerns, as this is crucial to accurate diagnoses and effective treatment plans. When patients feel safe, they are more likely to openly communicate their symptoms and experiences, enabling healthcare providers to make informed decisions and provide appropriate care.
By fostering open dialogues about sexual health, healthcare providers contribute to a more inclusive healthcare system. Patients from all backgrounds, orientations, and gender identities deserve equal access to healthcare services and support. Addressing sexual health issues with sensitivity and empathy helps break down barriers and eliminates the stigma that can surround these topics. It allows patients to feel understood and valued, enhancing their overall experience and improving the quality of care they receive.
Tips for Healthcare Providers:
- Education and Training: Stay updated on the latest research and best practices in sexual health. Attend workshops, webinars, and conferences dedicated to this field.
- Initiate the Conversation: Incorporate questions about sexual health into routine assessments. Use inclusive language to signal that this topic is welcomed and valued.
- Active Listening: Pay close attention to patients’ concerns, and validate their experiences. This builds trust and encourages open communication.
- Provide Resources: Offer educational materials, reputable websites, or referrals to specialists who can provide further support and information.
- Normalize Discussions: Communicate that discussing sexual health is a standard part of comprehensive healthcare. This helps reduce stigma and encourages patients to be more forthcoming.
In Conclusion:
Breaking free from the taboos surrounding sexual health is a crucial step towards holistic healthcare. Over the course of my career, I have worked to exemplify the positive impact that can be achieved when open dialogues are fostered. I work closely with therapists, physicians, nurses, and other health care providers to feel better equipped to do just this: Talk with their patients about the importance of sex! And not just the bad parts of sex, like STIs and birth control, but the fun parts too. Intimacy, desire, arousal, and sexual function are all critical elements of living a good, healthy, fulfilling life. Who else will talk with our patients about it, if not us, as members of their healthcare teams?
By embracing this paradigm shift, healthcare providers can play a vital role in enhancing the well-being and overall quality of life for their patients. Together, we can create a healthcare landscape where sexual health is recognized, valued, and prioritized.
Contact me today if you would like to learn more.
by jennbossio | Oct 1, 2024 | Consultation, Medicine, Sexual Health, Therapy, Training, Uncategorized
Six years. Wow. Looking back at when I first opened The Tri Health Clinic in 2018, I’m honestly overwhelmed with a mix of pride, gratitude, and excitement for what’s still to come.
It all started when I returned to Ontario after a few intense, transformative years in British Columbia. There, I had the absolute privilege of working with Dr. Lori Brotto and Dr. Rosemary Basson—two giants in the field of sex therapy. Their pioneering work, especially on the sexual response cycle, deeply shaped how I view sexual health, how I practice therapy, and how I train my clinicians today.
When I hired Tri Health’s first clinician, it felt like a huge leap. It wasn’t just about growing from being a solo practitioner to becoming a team—it was about creating a collective that would tackle sexual health in a way that hadn’t really been done before. Our goal was (and still is!) to remove the shame, the stigma, and the loneliness that so many people feel when it comes to their sex lives. We wanted to build a clinic that put evidence-based care at the forefront, and a place where people across Ontario could get the help they need.
By 2019, the clinic grew, and we needed more space. Moving into a larger office with four offices felt like a dream come true—but it didn’t stop there. Today, we’ve got six offices and a team of 15 clinicians, all working together to provide the best damn care we can. We’ve helped over a thousand people, and it’s surreal to think about the ripple effect that has on people’s lives. Sex and intimacy are often such isolating struggles, but every day, we get to remind people: you are not alone.
Looking ahead, our mission is clear. We want to keep growing, but not just for the sake of growth. We want to reach more people, help more individuals and couples, and most importantly, educate more medical professionals about how crucial sexual health is to overall well-being. We want to make sex therapy—and talking about sex—a normal part of healthcare in Ontario. Because sex is a part of life. It’s something we all deserve to feel good about.
The next six years? We’re just getting started.
We’re building something that, I hope, will make a lasting difference in this province. We’re not just a clinic; we’re becoming the go-to place for anyone in Ontario who needs support with sex or relationship issues. And I’m so damn excited for what’s to come.
Here’s to many more years of growth, learning, and—above all—helping people rediscover joy, connection, and pleasure in their intimate lives.
With gratitude,
– Jenn
by jennbossio | Sep 20, 2024 | Medicine, Sexual Health
In the intricate dance of our health, the interplay between body and mind often dictates the rhythm. Yet, in the realms of medicine, we’ve clung to an outdated notion – the brain-body duality. It’s high time we reshaped this perspective, transcending the confines of an approach that segregates rather than unites.
Learning from Chronic Pain: The Bio-Psycho-Social Symphony
Let’s take a journey through the landscape of chronic pain, where the transition from acute to chronic unfolds a narrative of ‘central sensitization’ within the brain. It’s a tale of real pain, persisting beyond the expected timeframe of 3 months. But here’s the catch – understanding chronic pain through a purely biomedical lens is archaic. It’s not based on best practice. It is incorrect and dangerous.
The Dangers of the Medical-Only Route: Sure, medications like opioids might offer temporary relief, but they fall short of addressing the intricate bio-psycho-social factors contributing to the pain experience. Chronic pain sufferers find themselves trapped in a narrative of hopelessness when the emphasis is solely on a medical fix.
Breaking the Mold: Adopting a Bio-Psycho-Social Lens Early On: Imagine if, from the outset, we approached chronic pain with the holistic bio-psycho-social lens it deserves. If chronic pain was discussed from a whole-person perspective right from the beginning. Patients could access a diverse range of interventions sooner, fostering a sense of empowerment and engagement in their healing journey.
Unveiling the Brain-Body Duality in Sexual Health
Now, let’s apply this lesson to the often-neglected arena of sexual health. Sexual dysfunction, a tapestry woven from the threads of the body, mind, and relationships, requires a more comprehensive viewpoint than the traditional biomedical narrative provides.
Beyond Pills: Addressing Sexual Dysfunction from a Bio-Psycho-Social Perspective: Here’s the truth: relying solely on medical interventions doesn’t cut it in the realm of sexual health. Consider the prevalent use of PDE5 inhibitors – discontinued by half of men after a mere six months, regardless of their effectiveness. This signals a clarion call to embrace a bio-psycho-social approach.
Genital Pain: A Call for Holistic Support: For the 15% of women grappling with genital pain, there’s no magic pill to erase their struggles. Enter psychology and pelvic floor physiotherapy – best practice interventions often overlooked due to the prevailing notion that the pain is ‘all in the head’ or can be eased with a glass of wine.
Crafting a New Dialogue: A Truly Comprehensive Lens
So, how do we usher in this paradigm shift? It begins with the language we use and the narratives we weave:
- Normalize the Bio-Psycho-Social Discourse: Encourage physicians to discuss health with a holistic approach, embracing the interconnected facets of body, mind, and relationships.
- Educate About Comprehensive Approaches: Share insights about treatments that extend beyond medications, including psychotherapy, physiotherapy, and relationship counseling.
- Empower Patients to Seek Diverse Supports: Create a safe space for patients to openly discuss all aspects of their health, not just the physical.
- Collaboration is Key: Stress the importance of collaborative care among medical professionals, psychologists, and other health practitioners to provide well-rounded support.
Shifting the Narrative in Society
Beyond individual conversations, we need a societal overhaul. Let’s revamp public health campaigns, medical education programs, and community initiatives to underscore the interconnected nature of health. It’s time to challenge stigmas and foster a more understanding approach to conditions influenced by psychological and social factors.
In conclusion, adopting a comprehensive perspective isn’t just about empowering individuals; it’s about dismantling the walls that shroud conditions influenced by psychological and social factors in darkness. It’s a call to move past the brain-body divide and embrace a holistic understanding of sexual health, recognizing the beautiful dance between our physical, mental, and social well-being.
by jennbossio | Sep 10, 2024 | Consultation, Medicine, Sexual Health
In the realm of sexual health, compassion, understanding, and unbiased care are paramount. Yet, every healthcare provider, regardless of their experience or intentions, carries implicit biases that can inadvertently impact the care they provide. Recognizing and addressing these biases is crucial for fostering a truly inclusive and judgment-free environment. In this article, we’ll delve into the concept of implicit bias, its presence in sexual health, and how healthcare providers can work to dismantle these preconceptions.
Understanding Implicit Bias
Implicit bias refers to the subconscious attitudes or stereotypes that affect our actions and decisions in an unconscious manner. These biases are rooted in societal and cultural conditioning and can seep into our professional lives, influencing our interactions with patients.
Identifying Implicit Biases
Recognizing one’s own implicit biases is the first step towards mitigating their impact. Here are some common biases that healthcare providers might unknowingly hold:
- Heteronormativity: Assuming that everyone is heterosexual unless told otherwise, which can alienate LGBTQ+ patients.
- Ageism: Presuming that older individuals are not sexually active or don’t have sexual concerns.
- Gender Assumptions: Expecting certain behaviors based on gender, such as assuming men are always interested in sex.
- Racial and Cultural Stereotypes: Associating specific sexual behaviors or preferences with particular racial or ethnic groups.
- Ableism: Overlooking the sexual needs and desires of individuals with disabilities.
Why Addressing Implicit Biases is Vital
- Enhanced Patient Trust and Communication: When patients sense a nonjudgmental atmosphere, they’re more likely to open up about their concerns, leading to more accurate diagnoses and tailored treatment plans.
- Improved Health Outcomes: Patients who feel heard and understood are more likely to adhere to treatment regimens, leading to better health outcomes.
- Promoting Health Equity: Addressing implicit biases is a crucial step towards reducing healthcare disparities among various communities.
- Professional Growth: Acknowledging and actively working to overcome biases enhances a healthcare provider’s effectiveness and cultural competence.
Taking Action: Mitigating Implicit Biases in Sexual Health
- Education and Awareness: Regular training and workshops can help healthcare providers recognize and challenge their own biases.
- Self-reflection: Engage in introspection to identify areas where implicit biases may be influencing your practice.
- Cultural Competence: Educate yourself about diverse sexual practices, relationships, and identities.
- Open Communication: Encourage patients to share their experiences, preferences, and concerns without judgment.
- Seek Feedback: Actively seek feedback from patients and colleagues to help uncover areas for improvement.
Look No Further
As a seasoned expert in sexual health, I offer tailored training and workshops to healthcare providers. Together, let’s create an environment that fosters open dialogues, where patients feel heard, understood, and respected.
Conclusion
In the field of sexual health, acknowledging and addressing implicit biases is a cornerstone of providing inclusive, empathetic care. By committing to ongoing education, self-reflection, and open communication, healthcare providers can pave the way for a more equitable and understanding healthcare landscape. Together, we can ensure that every patient receives the care they deserve, free from judgment or bias.
by jennbossio | Aug 20, 2024 | Medicine, Sexual Health
Introduction
Sexual health education is a critical aspect of overall well-being, yet it’s an area that often faces barriers in terms of accessibility and inclusivity. In recent years, there has been a growing recognition of the need for a more comprehensive and inclusive approach to sexual health education. This shift is not only a matter of social justice; it has far-reaching benefits for individuals, communities, and society as a whole. It’s a matter that I have personally dedicated my career to!
The Current Landscape
Traditionally, sexual health education has been limited in scope, often focusing primarily on heterosexual, cisgender experiences. This leaves out a significant portion of the population, including LGBTQ+ individuals and those with diverse gender identities and sexual orientations. Additionally, it tends to emphasize the prevention of negative outcomes, such as unintended pregnancies and sexually transmitted infections, without adequately addressing the broader aspects of healthy sexuality, pleasure, and positive relationships.
Inclusivity: A Broader Perspective
Inclusive sexual health education takes a broader view, recognizing that sexuality is a natural and integral part of the human experience. It encompasses a range of topics, including anatomy, relationships, consent, pleasure, and communication. It also acknowledges the diversity of experiences and identities within the realm of human sexuality.
Benefits for Individuals
- Empowerment and Autonomy: Inclusive sexual health education empowers individuals to make informed choices about their bodies and relationships. It provides them with the knowledge and skills to navigate their own sexual experiences in a way that feels safe, consensual, and satisfying.
- Improved Mental Health: A more comprehensive understanding of sexual health contributes to positive mental well-being. It reduces shame, guilt, and anxiety related to sexuality, fostering a healthier relationship with one’s own body and desires.
- Enhanced Communication Skills: Inclusive education emphasizes the importance of open and honest communication about sexual desires, boundaries, and consent. These skills are not only crucial for satisfying sexual experiences but are also transferable to other aspects of life.
Benefits for Communities
- Reduced Stigma and Discrimination: Inclusive sexual health education helps break down stereotypes and prejudices associated with diverse sexual orientations and gender identities. This leads to more accepting and inclusive communities.
- Lower Rates of Unintended Outcomes: By providing comprehensive information on contraception, safe sex practices, and healthy relationships, inclusive sexual health education can lead to lower rates of unintended pregnancies, STIs, and unhealthy relationships.
Benefits for Society
- Lower Healthcare Costs: A population that is well-informed about sexual health is likely to have lower healthcare costs associated with unintended pregnancies, STIs, and related health issues.
- Stronger, Healthier Relationships: Inclusive sexual health education fosters the development of healthier, more fulfilling relationships. This, in turn, leads to more stable families and communities.
Conclusion
Inclusive sexual health education is not just about preventing negative outcomes; it’s about promoting positive, fulfilling, and consensual sexual experiences for everyone. By breaking down barriers and providing comprehensive education, we can create a society that celebrates diversity, promotes well-being, and supports the autonomy and agency of every individual. It’s a collective effort that benefits us all.
Get in touch today if you would like to learn more about including sexual health in your practice as a health care provider.
