PSYCHOSEXUAL PROBLEMS IN THE CONTRACEPTIVE CONSULTATION – RELATIONSHIP PROBLEMS (INTRODUCTION)

Complaints that the method of contraception is affecting sexual performance or desire, especially if frequently presented, can indicate a problem within the relationship which the patient does not wish to face. The anxieties are focused on the method of contraception; the fantasy is that, if only this could be made all right, so would the relationship. Doctors are often aware that underlying relationship problems may be behind the request for sterilization or vasectomy (or to stop contraception to have a baby to ‘mend’ the marriage), but sometimes forget that such difficulties may be behind an otherwise reasonable-sounding request.

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