PSYCHOSEXUAL PROBLEMS IN YOUNG PEOPLE (CONCLUSION)

This cautionary tale illustrates how a patient’s thick folder arises. Such a story should alert the doctor to the probability of a psychosexual problem which has not been resolved. It is interesting that at no time was there any exploration of the girl’s own sexual feelings, perhaps because no proper psychosexual vaginal examination had been made, despite various attempts at swab and smear taking, when she was always very tense. Another lesson to be learnt is if there is dissatisfaction with the contraceptive method it is worth referring back to the notes of the very first consultation, for the clues are often there.

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