This framework makes it easier to talk to patients about sex

SMART PRACTICE

When there is a problem with sex, it's not just about sex.

Sexual difficulties are most common at times of major life change, such as the start of sexual experience, a new partner, after the birth of a child and around menopause. It is also more common with chronic illnesses and other stresses, because sexuality is affected by the way people feel about themselves and with their partners.

Even when sexual difficulties are the result of illness, it’s not enough to prescribe medication, because both partners in the

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