Talking to Your Doctor About Sensitive Health Topics: A User-Friendly Guide

Going to the doctor can make many of us feel anxious or vulnerable, especially when it comes to discussing sensitive topics like sexual health, substance use, or mental health. However, having open and honest conversations with your doctor is important for getting the best care possible. This guide will help you know what to expect and how to prepare for these discussions.

Sexual Health

Doctors ask all patients about their sexual history, regardless of age, gender, or marital status. This is a routine part of a comprehensive exam. Your doctor may ask about:

• Number and gender of sexual partners

• Types of sexual contact

• Methods of protection and contraception

• Past sexually transmitted infections (STIs)

• Pregnancy history

• Medications or supplements that may affect libido

Your doctor needs this information to understand your risk of STIs and to address any sexual health concerns you may have, such as changes in libido, difficulty achieving orgasm, or problems with erections or ejaculation.

If you are part of the LGBTQ+ community, this blog post has additional tips for discussing your sexual health with your doctor.

Substance Use

It's common for people to minimize their substance use when talking to a doctor, often due to feelings of shame. However, it's important to remember that your doctor's role is not to judge you, but to work with you to optimize your health.

Your doctor will likely ask about your use of:

• Tobacco

• Alcohol

• Illicit drugs

Be prepared to answer detailed questions about the quantity and frequency of use, any attempts to cut down, and whether you experience cravings. The more honest you can be, the better your doctor can assist you, whether that means prescribing medications to reduce cravings or connecting you with support resources.

Mental Health

Many primary care clinics now routinely screen all patients for depression and anxiety. If you screen positive, your doctor will ask additional questions to assess the severity and duration of your symptoms.

These questions may cover topics like:

• Changes in sleep, appetite, or energy levels

• Loss of interest in activities

• Feelings of guilt or worthlessness

• Difficulty concentrating

• Thoughts of self-harm or suicide

Your doctor may also inquire about any hallucinations or paranoia, as these symptoms can accompany severe illness and affect treatment decisions. Remember, your doctor is not asking these questions because they think you're "crazy," but to develop a comprehensive understanding of your mental health.

Be sure to mention any physical symptoms you've noticed, even if they seem unrelated, as conditions like heart, lung, or thyroid problems can impact mood and anxiety. Also discuss any major life changes or stressors, as well as your caffeine and alcohol consumption habits, as these factors can all play a role in mental health.

What to Remember

Sharing intimate details about your health can feel intimidating, but it's a key part of getting the care you need. Your doctor is your ally and will keep your information confidential (unless there is a serious risk of self-harm or harming others).

Doctors discuss these sensitive topics with patients every day, so try to relax and be as open as possible. Take a deep breath, remember that your doctor is on your side, and don't hesitate to ask any questions you may have. Together, you and your doctor can work towards optimizing all aspects of your health and wellbeing.