Sexual Health

Addressing Sexual Health in Primary Care.

TL;DR

Sexual health concerns are prevalent in primary care and the four most common concerns diagnosed and treated include erectile dysfunction, premature ejaculation, sexual pain, and low desire, with treatment options including both medication and nonpharmacologic approaches.

Key Findings

Sexual health concerns are prevalent in primary care settings and require both general and tailored sexual health history assessment.

  • Careful assessment is identified as an important component of addressing sexual health in primary care
  • Assessment should include both a general and tailored sexual health history
  • The paper frames sexual health assessment as a clinical priority within the primary care context

Four of the most common sexual health concerns diagnosed and treated in primary care are erectile dysfunction, premature ejaculation, sexual pain, and low desire.

  • These four conditions are identified as the most prevalent sexual health concerns encountered in primary care
  • The paper addresses both male-specific concerns (erectile dysfunction, premature ejaculation) and concerns applicable across sexes (sexual pain, low desire)
  • Each condition is presented as diagnosable and treatable within the primary care setting

Treatment for sexual health concerns in primary care includes both medication and nonpharmacologic options.

  • The paper explicitly identifies a dual treatment framework encompassing pharmacologic and nonpharmacologic approaches
  • Both treatment modalities are presented as applicable to sexual health concerns managed in primary care
  • The inclusion of nonpharmacologic options suggests a multimodal management approach is recommended

What This Means

This paper, published in a primary care journal, reviews how primary care providers can address common sexual health concerns in their patients. It emphasizes that sexual health problems are frequently encountered in primary care and that providers should take both a general and a personalized sexual health history when evaluating patients. The four most commonly seen sexual health issues in this setting are identified as erectile dysfunction, premature ejaculation, sexual pain, and low desire. This research suggests that primary care is an appropriate and important setting for identifying and managing these conditions, and that treatment does not need to rely solely on medications — nonpharmacologic approaches also play a role. By outlining these common concerns and their treatment options, the paper aims to equip primary care clinicians with a practical framework for discussing and addressing sexual health with their patients. The practical implication is that sexual health conversations and treatment can happen within a patient's regular primary care visits, rather than requiring referral to specialists for these four common concerns. This could help reduce barriers patients may face in seeking help for sexual health issues.

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Citation

Bergs K, Guck A, Thompson S. (2026). Addressing Sexual Health in Primary Care.. Primary care. https://doi.org/10.1016/j.pop.2026.01.012