La anamnesis en la historia clínica en salud sexual: habilidades y actitudes / The medical history taking in sexual health: skills and attitudes

Una vida sexual satisfactoria repercute de manera favorable en la calidad de vida, existiendo evidencia de que previene múltiples procesos orgánicos y de que las disfunciones sexuales constituyen a menudo un signo precoz de enfermedad orgánica oculta (cardiovascular, endocrinológica o neurológica). Existen dificultades para realizar la anamnesis sexual por parte del profesional, del paciente o del sistema de salud, sin embargo, dada su importancia, es necesario que el médico adopte una actitud de búsqueda activa, sobre todo entre la población de riesgo. Para realizarla es necesario que la situación sea propicia (sentido de la oportunidad), preservando la confidencialidad del encuentro, y se llevará a cabo con naturalidad, empatía, adoptando una actitud de escucha activa, cuidando el lenguaje no verbal, sin emitir juicios de valor y recurriendo a la asertividad para superar las resistencias. En esta publicación se propone una pauta para realizarla adecuadamente (AU)

A sexual satisfactory life favourably affects quality of life, there being evidence that shows there are multiple organic processes of which sexual dysfunction is often a precocious sign of underlying organic disease (cardiovascular, endocrinological or neurological). Difficulties exist in recording the sexual anamnesis on the part of the professional, the patient, or by the health system. Nevertheless, given its importance, it is necessary for the doctor to adopt an attitude of active search, especially among the population of risk. To do this, it is necessary that the situation is propitious (sense of the opportunity), preserving the confidentiality of the meeting, and it will be carried out naturally and with empathy, adopting a listening attitude, taking into account the non-verbal language, without issuing valued judgments, and resorting to assertivity to overcome the resistances. This article proposes guidelines to perform an anamnesis adequately (AU)

[The medical history taking in sexual health: skills and attitudes]. / La anamnesis en la historia clínica en salud sexual: habilidades y actitudes.

A sexual satisfactory life favourably affects quality of life, there being evidence that shows there are multiple organic processes of which sexual dysfunction is often a precocious sign of underlying organic disease (cardiovascular, endocrinological or neurological). Difficulties exist in recording the sexual anamnesis on the part of the professional, the patient, or by the health system. Nevertheless, given its importance, it is necessary for the doctor to adopt an attitude of active search, especially among the population of risk. To do this, it is necessary that the situation is propitious (sense of the opportunity), preserving the confidentiality of the meeting, and it will be carried out naturally and with empathy, adopting a listening attitude, taking into account the non-verbal language, without issuing valued judgments, and resorting to assertivity to overcome the resistances. This article proposes guidelines to perform an anamnesis adequately.