Sexual health is something of an enigma for many of us: It is taken for granted when we have it and sorely missed when we don t. Furthermore, sexual health is assumed by so many of us to be automatic that we pay little attention to how it can be maintained. Here, more than in most other areas of health, people are often unaware of fundamental preventive measures they can follow to ensure healthy sexual functioning. Regrettably, the medical profession has largely ignored this issue, with most primary care physicians doing little in terms of preventive counseling in their contacts with patients. In fact, even in situations where sexual problems are likely to occur--for example, in the aftermath of a heart attack, in association with alcoholism or other forms of drug abuse, in the medical management of people with high blood pressure--many physicians are themselves unaware of the requisite biomedical and psychologica] facts that would prevent a sizable percentage of the sexual difficulties that arise. Add to this the reality that many practicing physicians are personally uncomfort- able discussing issues of sexuality with their patients, and it becomes obvious tha~ there is a real vacuum of information related to sexual health even in contempo rary American society. At one level, many of the sexual problems that occur are still regarded a trivial in the sense that they are neither life-threatening nor even associated wit! major health consequences, in the ordinary way we think about our health. B~ this is a skewed assessment--and an assessment that can be tossed out th window when you or someone you love is affected. After all, these seeming] \"trivial\" sexual problems have a great deal to do with the quality of our lives. Ju
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