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Young people wish they could talk to their doctor about sexual pleasure (2016-02-26)

In spite of research showing that young people want their family doctors to help educate them about sexual health, clinicians are not likely to provide this type of counselling. Clinical conversations often emphasize the risks of sexual activity, and in many regards, this emphasis is well placed but recent studies indicate that failing to address sexual pleasure in relationships may limit individuals' abilities to negotiate safer sexual practices.

In a new study researchers conducted individual interviews and focus groups with 48 young people between 16-19 years and with 22 sexual health clinicians in Victoria, British Columbia.

Most young people indicated they required information about birth control and protection from sexually transmitted infections. However, they also wanted to discuss positive aspects of sexual health.
Young people requested that clinicians ask questions about orgasm, desire, sexual behaviour, and relationship issues.
Young women often described concerns about physical pleasure that they never mentioned in clinical consultations. Young people provided specific suggestions for clinical questions about sexual pleasure.

In contrast, most clinicians tended to reserve conversations about pleasure for adult clients. Those who were preoccupied with sexual risk emphasized approaches whose goal was to control or reduce sexual behaviour, leaving little room on the clinical agenda for discussing pleasure.

Young people indicated it was important that clinicians addressed both the risks and the pleasures of sexual relationship, relating to their experiences. Clinicians had their own perspectives, often reflecting more negative attitudes about adolescent sexual health.

New clinical content and new attitudes towards sexual pleasure should be developed to support young people in making healthy and responsible sexual choices.

For more information
Journal of Adolescent Health
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