MEDICATIONS THAT MAY CONTRIBUTE TO SEXUAL DISORDERS - A GUIDE TO ASSESSMENT AND TREATMENT IN FAMILY-PRACTICE

Approximately 15% to 25% of family practice patients have concerns abo ut sexual function and are most comfortable discussing these issues wi th their family physician. While many physicians have avoided this top ic in the past, citing lack of knowledge and skill, the family practic e setting is ideal for a preliminary evaluation of sexual dysfunction and treatment for certain etiologies. This especially is true for chan ges in sexual function secondary to medication effects. This article p rovides basic guidelines designed to assist physicians in evaluating t he effects of medications and other substances on sexual function. Als o included are lists of medications known or suspected to have adverse effects on sexual function. Physicians are encouraged to address the sexual concerns of their patients and to incorporate these guidelines and the medication lists into their evaluation.