Sexual Health

The concept of Sexual Health Redefined refers to a state of physical, emotional, psychological and social wellbeing related to sexuality. It is not merely the absence of disease, dysfunction or infirmity but involves a positive and respectful approach to sexuality, sexual relationships and the possibility of having pleasurable and safe sexual experiences, free from coercion, discrimination and violence.

A holistic view of sexuality promotes a sense of self-acceptance and responsibility, and the ability to express sexual feelings and behaviors in ways that are congruent with one’s values and beliefs. It also emphasizes a communal aspect of sexuality, reflecting the importance of being in intimate relationship with others, communicating about sexual needs and desires, acting responsibly, setting appropriate boundaries and avoiding non-consensual or abusive sexual behaviors.

Taking Charge of Your Sexual Health: How to Build Healthy Habits for Life

Whole health materials designed to prompt patient-provider communication should include explicit discussions about sexual health. This would signal to patients that sexual health is a critical aspect of well-being and is an area of interest for providers who have concerns about the overall health of their LGBTQ+ patients [22,34].

Sexual Health Assessment Forms in VHA’s Cerner Millennium

Three standardized sexual health assessments are available in the VHA’s current EHR system: A brief history screen for intake or hospital admission (eg. sexual concerns to discuss with provider); a risk screen for STIs; and a more detailed history, risk and function screening that includes changes in sexual frequency, desire, satisfaction, and function as well as evidence of pain or coercion to engage in unwanted sexual activity.