Conclusion

Sexuality is a core aspect of personal identity. Knowledge regarding human sexual behavior in health and illness across the life span will enable family physicians to provide

The complete reference list is available online at www.expertconsult.com.

American Association of Sex Educators, Counselors, and Therapists; can help locate local resources for sexual counseling. www.cdc.gov/HealthyYouth/yrbs/pdf/yrbss07_mmwr.pdf

Center for Disease Control and Prevention Youth Risk Behavior Surveillance Survey; data on adolescent high-risk behaviors. www.endo-society.org/guidelines/Current-Clinical-Practice-Guidelines.cfm

Endocrine Society Treatment Guideline; testosterone therapy in adult men with androgen deficiency syndromes. www.med.umich.edu/transgender/

University of Michigan Comprehensive Gender Services Program; health care services for individuals who are transgendered and in need of gender-related care, including endocrinologic, surgical, mental, and general health care services.

appropriate care to patients who are experiencing sexual difficulties. Many sexual problems can be treated by family physicians and other primary health care providers without assistance. Referral to a certified sex therapist should be pursued for more complicated cases. Family physicians should maintain awareness of the health care needs of persons with same-gender sexual experience or orientation. Trans-gendered persons may have the health care needs of their former and present gender. Sexual health issues are pertinent for adolescent and older-adult well-health care. Family physicians should routinely include questions regarding sexual behavior, relationships, and personal identity during the clinical interview of all patients, to help maintain their optimum health.

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