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Frequently Asked Questions about Sexual Medicine Consultation

How should I prepare?

Prior to your first appointment, we will ask you to complete the "Sexual Medicine Intake Form" (see button below) which will ask you to outline your medical history and medications. All you need at the time of your appointment, aside from payment, is your filled out questionnaire.

Should I bring my partner?

Sure! If you would like to start out with a discussion on your own, and bring a partner in later, that’s also fine! Often sexual issues occur in the context of a relationship and even if a partner isn’t a part of a first session, we will likely want to bring partners in eventually. (Also, it’s important to note that you don’t need to have a partner at all to get treatment for sexual concerns!) We also recognize that relationships come in all shapes and sizes. When you make your first appointment, let us know who will be joining the discussion.

Are there tests?

There are some blood tests that are useful. Rarely, imaging tests like MRI or CT scans are necessary. Sometimes an assessment by a pelvic floor physical therapist is useful. Otherwise, mostly the assessment will involve talking and possibly a physical exam.

Will there be a physical exam with the sexual medicine doctor?

It depends on the specific issue. We will never perform a physical exam without discussing the rationale for it and only when you are completely comfortable.

 

What if I’m embarrassed about talking about sex?

Many people are embarrassed talking about sex or sexual issues.  Our goal is to help you feel at ease so that we can explore your concern fully and come up with a treatment plan that works for you. 

Are there really solutions for these issues?

In short, yes. There are treatments for almost every sexual issue. Together, we will come up with a treatment plan based on your particular situation and the best available scientific evidence.

Why don't you take insurance for sexual medicine consultation?

There are a number of reasons: First, many sexual function diagnoses are not reimbursed through health insurance. Often medications prescribed for sexual concerns are not covered by insurance. While we think this policy may be short-sighted on the part of many insurers, we unfortunately have no control over this. Second, when your insurance is billed for your medical care, they have a right to access the details of your medical records. Often, clients want to keep information they share here private. Third, we are a small office and are able to keep your fees reasonable in part because we are not trying to negotiate payment with insurers. If you are concerned about your ability to pay, ask about our sliding scale fee (based on household annual income). We would not be permitted to offer a sliding scale if we had a contract with your health insurance.