Over the past several weeks, I have been talking about aspects relating to our health, particularly fertility and pregnancy. In the next couple of issues, I would like to touch on sexual health.
Sexual health is an integral part of our well-being but there seems to be a lack of clarity on the distinction between sexual health and reproductive medicine (which includes fertility and pregnancy).
Many of us tend to regard sexual intercourse as an act that should lead to conception. This is not completely accurate. Being sexually active need not necessarily lead to pregnancy. Even couples who are sexually active may face difficulties in getting pregnant.
The inability to conceive may arise from issues relating to a couple’s sexual health, or reproductive health issues in one or both partners. To put it simply, a couple facing difficulties with conception may not always need assisted fertility measures. Given the single-pointed focus on conception, they may have overlooked some simple sexual behaviours that may be contributing to their inability to conceive.
For us to understand where the issue arises, and to suggest an appropriate course of action, we doctors need to gain a full understanding of a couple’s sexual health and routine.
However, many people tend to become withdrawn when the talk moves to sexual health, possibly due to the social stigma that clouds it.
It would be helpful if we could move past the stigma and have empathetic, open conversations.
The first step in doing so is to view things objectively. When it comes to other illnesses, we tend to be open about our symptoms. We take along reports and prescriptions from previous visits to present a complete picture, as we are aware that the diagnosis is reliant on the information shared.
If we can help bring the same clarity and openness to matters of sexual health, we can create a safe space for detailed conversations – and move one step closer to good health in every sense.
