Sexual problems in two inner city London sexual health centres: prevalence, attributions and need for psychosexual services

Abstract

Sexual problems are common and psychosexual provision is recommended within sexual health services. This study aimed to explore and compare the prevalence and range of sexual problems in men and women attending two sexual health centres; explore patients' attributions for sexual problems; and establish the need for psychosexual clinics. Questionnaires were completed by 868 patients (452 men; 416 women) attending two sexual health centres in London, UK. Women reported more sexual problems than men overall (43 and 32%, respectively). Thirteen percent of men and 18% of women reported reduced interest in sex, 16% of men and 11% of women had arousal difficulties, 6% of men and 18% of women experienced painful sex and 19% of men and 24% of women reported ejaculation/orgasm problems. The majority of sexual problems interfered with patients' lives. Most sexual problems had started within the last year. However, ejaculation/orgasm problems had typically been experienced for longer. Men and women most commonly attributed their sexual problems to an emotional cause. Only a minority of patients with sexual problems were receiving help despite almost half of patients wanting it. Increased identification and treatment for sexual problems is essential in sexual health services.

Keywords:

• vaginismus
• dyspareunia
• erectile dysfunction
• hypoactive sexual desire disorder
• anorgasmia

Acknowledgements

We acknowledge the patients who participated in the study and the reception staff at the sexual health centres for their help with data collection. Thank you also to the wider GUM team for their support in developing ideas for the study.