Lesson 3.3 — Sensitive and Embarrassing Consultations
Sensitivity is not avoiding difficult questions. It is explaining why they matter, asking permission where appropriate, using neutral language and giving the patient control over pace.
Case 9 — Sexual symptoms
A patient presents with genital symptoms and looks embarrassed.
“I’ve never had to talk about this before.”
Rushing into a checklist of partners and sexual practices.
“I appreciate this can feel quite personal. These symptoms can have several causes, and a few sexual-health questions would help me work out what tests or treatment are appropriate. Is it okay if I ask those now?”
You normalise the clinical purpose without minimising the patient’s discomfort.
Language Choices
- Use neutral, non-assumptive terms.
- Do not assume partner gender, monogamy, pregnancy intentions or sexual practices.
- Explain confidentiality and its limits when relevant.
- Avoid surprise, praise or criticism about behaviour.