Approach to sexuality among General Practitioners, a qualitative study of 13 french General Practitioners
Clément PORCHER
Sexuality is a topic that is increasingly present in public debate and in culture. It is also an important aspect of overall health. Yet it remains a taboo subject for both general practitioners and patients. We therefore looked into the practices, expectations, and barriers that General Practitioners face when addressing this topic during consultations.To analyze the perceptions of GPs regarding the discussion of sexuality in consultations with their patients, in order to identify barriers and facilitators.A qualitative study based on 13 semi-structured individual interviews conducted with a representative sample of practicing GPs. The data were analyzed using an interpretative phenomenological method.All interviewed GPs unanimously acknowledged that addressing sexuality falls within their professional scope. However, the topic remains infrequently discussed and is approached unequally between genders. For male patients, aside from the pubertal period when screening for sexually transmitted infections is addressed, sexuality is almost never discussed. Among female patients, it is discussed when contraception is the reason for consultation and during screenings or smear tests, if performed by the practitioner. The most overlooked patients in discussions about sexuality are the elderly. The most frequently reported barrier is discomfort in addressing the topic, which is described as a societal taboo. Lack of routine inquiry is also mentioned, as sexual health questions are not commonly included in standard consultations. Gender differences between the practitioner and the patient present a significant challenge. The main facilitators seem to be the presence of informational materials in waiting rooms and the establishment of dedicated consultations.This study highlights a paradox between the prominent place that sexuality holds in the public sphere and the persistent difficulties in addressing it during General Practice consultations.Although GPs are convinced of the necessity of discussing sexuality with their patients, they struggle to do so regularly and inclusively. Discomfort related to gender, age, and societal taboos hinders these discussions. Displaying information in waiting rooms and implementing dedicated consultations appear to help overcome these difficulties.
