whether the clinician is willing to ask about sexual issues and does so in a sensitive way. tients on long-term medications may not be aware that their sexual problems have developed as a result of their treatment. Conversely some may blame their drugs for sexual problems which are due to relationship difficulties or other stressors. Some doctors consider that asking patients if they had noticed any sexual adverse effects from their drugs may 'suggest' them to the patient, and possibly result in non-adherence. Patients attributing their sexual problems to their drugs are less likely to continue the treatment even when necessary for their health. The consultation should include discussion of the patient's sexual issues so these can be considered in treatment decisions.
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Conaglen et al. (2013) studied this question.
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