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BMJ 2003;327 (23 August), doi:10.1136/bmj.327.7412.0-b
Sexual dysfunction is more common in people attending general practitioners than would be deduced from their general practice notes. In a cross sectional study, Nazareth and colleagues (p 423) assessed the sexual health of 1512 people attending 13 general practices in London. Twenty two per cent of men and 40% of women had a sexual problem diagnosable by ICD-10 criteria, although the notes of only 3-4% had an entry relating to sexual function. Erectile failure and lack or loss of sexual desire were the most common problems in men. Lack or loss of sexual desire and failure to orgasm were the most common among women. Such diagnoses may be difficult for general practitioners to make since controversy exists about the medicalisation of sexual disorders.
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