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Cinsel Sağlığın Değerlendirilmesi: Uluslararası Rehber Önerileri

Yıl 2025, Cilt: 5 Sayı: 2, 99 - 110, 31.07.2025
https://doi.org/10.71255/maunsbd.1638393

Öz

Cinsel sağlık, cinsellik açısından genel iyilik hali olarak tanımlanır ve genel sağlığın önemli bir bileşenidir. Ancak, sağlık profesyonelleri tarafından rutin olarak değerlendirilememektedir. Cinsel sağlık hakkında iletişimi başlatma veya sürdürme konusundaki zorluklar, bilgi ve zaman eksiklikleri ile neyi nasıl soracaklarını bilememe sağlık profesyonelleri için en büyük engellerdendir. Uluslararası rehberler, bireylerin cinsel sağlıklarının sağlık profesyonelleri tarafından rutin olarak değerlendirilmesini önermektedir. Bu doğrultuda, sağlık profesyonellerinin kapsamlı bir cinsel sağlık değerlendirmesi yapabilmeleri için sistematik ve bütüncül yaklaşımı benimseyen değerlendirme adımları, modeller ve ölçekler geliştirilmiştir. Bu derlemede; cinsel sağlığın değerlendirilmesinde izlenmesi gereken adımlar ve sağlık profesyonellerine yönelik öneriler güncel kanıta dayalı uluslararası rehberler eşliğinde tartışılmıştır.

Kaynakça

  • ACOG (American College of Obstetricians and Gynecologist), (2020, October). The Initial Reproductive Health Visit. https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2020/10/the-initial-reproductive-health-visit
  • Akcan, K., & Turhan, İpek. (2022). Sexual Counseling Models. Gevher Nesibe Journal Of Medıcal and Health Scıences, 7(17), 50–56. https://doi.org/10.46648/gnj.382
  • Almeida, N. G., Britto, D. F., Figueiredo, J. V., Moreira, T. M. M., Carvalho, R. E. F. L., & Fialho, A. V. M. (2019). PLISSIT model: sexual counseling for breast cancer survivors. Revista brasileira de enfermagem, 72(4), 1109–1113. https://doi.org/10.1590/0034-7167-2018-0525
  • Avasthi, A., Grover, S., & Sathyanarayana Rao, T. S. (2017). Clinical Practice Guidelines for Management of Sexual Dysfunction. Indian journal of psychiatry, 59(Suppl 1), S91–S115. https://doi.org/10.4103/0019-5545.196977
  • Azar, M., Kroll, T., & Bradbury-Jones, C. (2022). How do nurses and midwives perceive their role in sexual healthcare?. BMC women's health, 22(1), 330. https://doi.org/10.1186/s12905-022-01891-y
  • Brookmeyer, K. A., Coor, A., Kachur, R. E., Beltran, O., Reno, H. E., & Dittus, P. J. (2021). Sexual History Taking in Clinical Settings: A Narrative Review. Sexually transmitted diseases, 48(6), 393–402. https://doi.org/10.1097/OLQ.0000000000001319
  • CDC (Centers for Disease Control and Prevention), (2025, February 10). “Discussing Sexual Health with Your Patients” https://www.cdc.gov/hivnexus/hcp/sexual-history/index.html
  • CDC (Centers for Disease Control and Prevention), (2024, June 26). “A Guide to Taking a Sexual History” https://www.cdc.gov/std/treatment/SexualHistory.htm
  • CDC (Centers for Disease Control and Prevention), (2021, July 23). Sexually Transmitted Infections Treatment Guidelines https://www.cdc.gov/std/treatment-guidelines/STI-Guidelines-2021.pdf
  • Cirillo, L., Fusco, G. M., Di Bello, F., Morgera, V., Cacace, G., Di Mauro, E., Mastrangelo, F., Romano, L., Calace, F. P., La Rocca, R., & Napolitano, L. (2023). Sexual dysfunction: Time for a multidisciplinary approach?. Archivio italiano di urologia, andrologia : organo ufficiale [di] Societa italiana di ecografia urologica e nefrologica, 95(1), 11236. https://doi.org/10.4081/aiua.2023.11236
  • Demirci, G., Başgöl, Ş., & Koç, Z. (2024). Cinsel sağlığın değerlendirilmesi: Yaşanan sorunlar ve çözüm önerileri. Androloji Bülteni (Andrology Bullettin), 26(4).
  • Duman, N. B. (Ed.). (2019). Cinsel sağlık. Nobel Tıp Kitabevi.
  • Duman, N.B. (2018) Cinsel Sağlığın Değerlendirilmesinde Model Kullanımı. İçinde: Cinsel Sağlık (Ed: Nuriye Büyükkayacı Duman), Nobel Tıp Kitabevleri, İstanbul, s: 59-66.
  • Hegde, D., Sreedaran, P., & Pradeep, J. (2018). Challenges in Taking Sexual History: A Qualitative Study of Indian Postgraduate Psychiatry Trainees. Indian journal of psychological medicine, 40(4), 356–363. https://doi.org/10.4103/IJPSYM.IJPSYM_64_18
  • Lotti, F., & Maggi, M. (2018). Sexual dysfunction and male infertility. Nature reviews. Urology, 15(5), 287–307. https://doi.org/10.1038/nrurol.2018.20
  • Malakouti, J., Golizadeh, R., Mirghafourvand, M., & Farshbaf-Khalili, A. (2020). The effect of counseling based on ex-PLISSIT model on sexual function and marital satisfaction of postpartum women: A randomized controlled clinical trial. Journal of education and health promotion, 9, 284. https://doi.org/10.4103/jehp.jehp_168_20
  • Massae, A. F., Mgopa, L. R., Bonilla, Z. E., Mohammed, I., Rosser, B. R. S., Mushy, S. E., … Trent, M. (2024). Addressing sexual health concerns in Tanzania: perceived barriers among healthcare professionals and students in the “training for health professionals” study. Culture, Health & Sexuality, 26(9), 1217–1231. https://doi.org/10.1080/13691058.2024.2306227
  • Mick, J., Hughes, M., & Cohen, M. Z. (2004). Using the BETTER Model to assess sexuality. Clinical journal of oncology nursing, 8(1), 84–86. https://doi.org/10.1188/04.CJON.84-86
  • Morenas, R., Singh, D., & Hellstrom, W. J. G. (2024). Thyroid disorders and male sexual dysfunction. International journal of impotence research, 36(4), 333–338. https://doi.org/10.1038/s41443-023-00768-4
  • National Coalition for Sexual Health (NCSH), (2022) Sexual Health Questions to Ask All Patients https://nationalcoalitionforsexualhealth.org/tools/for-healthcare-providers/sexual-health-questions-to-ask-all-patients National Institute of Health and Clinical Exellence (NICE), (2019, February 5). “Sexual health” https://www.nice.org.uk/guidance/qs178/resources/sexual-health-pdf-75545667625669
  • Oveisi, N., Cheng, V., Brotto, L. A., Peacock, S., McTaggart-Cowan, H., Hanley, G., Gill, S., Rayar, M., Srikanthan, A., Ellis, U., & De Vera, M. A. (2023). Sexual health outcomes among adolescent and young adult cancer patients: a systematic review and meta-analysis. JNCI cancer spectrum, 7(6), pkad087. https://doi.org/10.1093/jncics/pkad087
  • Özer Yurdal, N. E., Özsoy, S., & Karaçam, Z. (2024). Sağlık Çalışanlarının Cinsel Mitlere İnanma Durumunun, Menopoz Tutum Ve Semptomları İle İlişkisi. ERÜ Sağlık Bilimleri Fakültesi Dergisi, 11(1), 10-18.
  • Pretorius, D., Couper, I. D., & Mlambo, M. G. (2022). Sexual history taking by doctors in primary care in North West province, South Africa: Patients at risk of sexual dysfunction overlooked. African journal of primary health care & family medicine, 14(1), e1–e9. https://doi.org/10.4102/phcfm.v14i1.3238
  • Tuğut, N., Gölbaşı, Z. (2014). Cinselliğin Değerlendirilmesi: Hemşireler İçin Öneriler ve Klinik Stratejiler. Hemşirelikte Eğitim ve Araştırma, 11(2),59-63.
  • Turhan, İ., & Akcan, K. (2022). Current Diagnosis and Treatments of Female Sexual Dysfunction. Gevher Nesibe Journal Of Medikal and Health Sciences, 7(17), 57–63. https://doi.org/10.46648/gnj.384
  • Uzdavines, A., Helmer, D. A., Spelman, J. F., Mattocks, K. M., Johnson, A. M., Chardos, J. F., Lynch, K. E., & Kauth, M. R. (2022). Sexual Health Assessment Is Vital to Whole Health Models of Care. JMIRx med, 3(3), e36266. https://doi.org/10.2196/36266
  • World Health Organization (WHO), (2024) “Sexual Health” https://www.who.int/health-topics/sexual-health#tab=tab_1
  • World Health Organization, (WHO). (2018, March 14). International Technical Guidance on Sexuality Education. https://cdn.who.int/media/docs/default-source/reproductive-health/sexual-health/international-technical-guidance-on-sexuality-education.pdf?sfvrsn=10113efc_29&download=true

Evaluation of Sexual Health: International Guide Recommendations

Yıl 2025, Cilt: 5 Sayı: 2, 99 - 110, 31.07.2025
https://doi.org/10.71255/maunsbd.1638393

Öz

Sexual health is defined as a state of general well-being in terms of sexuality and is a crucial component of overall health. However, it is not routinely assessed by healthcare professionals. Challenges in initiating or maintaining communication about sexual health, as well as issues such as lack of knowledge, time constraints, and uncertainty about how to ask the right questions, are major barriers for healthcare professionals. International guidelines recommend that individuals' sexual health be routinely assessed by healthcare providers. Accordingly, systematic and comprehensive approaches, including assessment steps, models, and scales, have been developed to enable healthcare professionals to conduct thorough sexual health evaluations. This review discusses the steps to be followed in assessing sexual health and provides recommendations for healthcare professionals, based on current evidence-based international guidelines.

Kaynakça

  • ACOG (American College of Obstetricians and Gynecologist), (2020, October). The Initial Reproductive Health Visit. https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2020/10/the-initial-reproductive-health-visit
  • Akcan, K., & Turhan, İpek. (2022). Sexual Counseling Models. Gevher Nesibe Journal Of Medıcal and Health Scıences, 7(17), 50–56. https://doi.org/10.46648/gnj.382
  • Almeida, N. G., Britto, D. F., Figueiredo, J. V., Moreira, T. M. M., Carvalho, R. E. F. L., & Fialho, A. V. M. (2019). PLISSIT model: sexual counseling for breast cancer survivors. Revista brasileira de enfermagem, 72(4), 1109–1113. https://doi.org/10.1590/0034-7167-2018-0525
  • Avasthi, A., Grover, S., & Sathyanarayana Rao, T. S. (2017). Clinical Practice Guidelines for Management of Sexual Dysfunction. Indian journal of psychiatry, 59(Suppl 1), S91–S115. https://doi.org/10.4103/0019-5545.196977
  • Azar, M., Kroll, T., & Bradbury-Jones, C. (2022). How do nurses and midwives perceive their role in sexual healthcare?. BMC women's health, 22(1), 330. https://doi.org/10.1186/s12905-022-01891-y
  • Brookmeyer, K. A., Coor, A., Kachur, R. E., Beltran, O., Reno, H. E., & Dittus, P. J. (2021). Sexual History Taking in Clinical Settings: A Narrative Review. Sexually transmitted diseases, 48(6), 393–402. https://doi.org/10.1097/OLQ.0000000000001319
  • CDC (Centers for Disease Control and Prevention), (2025, February 10). “Discussing Sexual Health with Your Patients” https://www.cdc.gov/hivnexus/hcp/sexual-history/index.html
  • CDC (Centers for Disease Control and Prevention), (2024, June 26). “A Guide to Taking a Sexual History” https://www.cdc.gov/std/treatment/SexualHistory.htm
  • CDC (Centers for Disease Control and Prevention), (2021, July 23). Sexually Transmitted Infections Treatment Guidelines https://www.cdc.gov/std/treatment-guidelines/STI-Guidelines-2021.pdf
  • Cirillo, L., Fusco, G. M., Di Bello, F., Morgera, V., Cacace, G., Di Mauro, E., Mastrangelo, F., Romano, L., Calace, F. P., La Rocca, R., & Napolitano, L. (2023). Sexual dysfunction: Time for a multidisciplinary approach?. Archivio italiano di urologia, andrologia : organo ufficiale [di] Societa italiana di ecografia urologica e nefrologica, 95(1), 11236. https://doi.org/10.4081/aiua.2023.11236
  • Demirci, G., Başgöl, Ş., & Koç, Z. (2024). Cinsel sağlığın değerlendirilmesi: Yaşanan sorunlar ve çözüm önerileri. Androloji Bülteni (Andrology Bullettin), 26(4).
  • Duman, N. B. (Ed.). (2019). Cinsel sağlık. Nobel Tıp Kitabevi.
  • Duman, N.B. (2018) Cinsel Sağlığın Değerlendirilmesinde Model Kullanımı. İçinde: Cinsel Sağlık (Ed: Nuriye Büyükkayacı Duman), Nobel Tıp Kitabevleri, İstanbul, s: 59-66.
  • Hegde, D., Sreedaran, P., & Pradeep, J. (2018). Challenges in Taking Sexual History: A Qualitative Study of Indian Postgraduate Psychiatry Trainees. Indian journal of psychological medicine, 40(4), 356–363. https://doi.org/10.4103/IJPSYM.IJPSYM_64_18
  • Lotti, F., & Maggi, M. (2018). Sexual dysfunction and male infertility. Nature reviews. Urology, 15(5), 287–307. https://doi.org/10.1038/nrurol.2018.20
  • Malakouti, J., Golizadeh, R., Mirghafourvand, M., & Farshbaf-Khalili, A. (2020). The effect of counseling based on ex-PLISSIT model on sexual function and marital satisfaction of postpartum women: A randomized controlled clinical trial. Journal of education and health promotion, 9, 284. https://doi.org/10.4103/jehp.jehp_168_20
  • Massae, A. F., Mgopa, L. R., Bonilla, Z. E., Mohammed, I., Rosser, B. R. S., Mushy, S. E., … Trent, M. (2024). Addressing sexual health concerns in Tanzania: perceived barriers among healthcare professionals and students in the “training for health professionals” study. Culture, Health & Sexuality, 26(9), 1217–1231. https://doi.org/10.1080/13691058.2024.2306227
  • Mick, J., Hughes, M., & Cohen, M. Z. (2004). Using the BETTER Model to assess sexuality. Clinical journal of oncology nursing, 8(1), 84–86. https://doi.org/10.1188/04.CJON.84-86
  • Morenas, R., Singh, D., & Hellstrom, W. J. G. (2024). Thyroid disorders and male sexual dysfunction. International journal of impotence research, 36(4), 333–338. https://doi.org/10.1038/s41443-023-00768-4
  • National Coalition for Sexual Health (NCSH), (2022) Sexual Health Questions to Ask All Patients https://nationalcoalitionforsexualhealth.org/tools/for-healthcare-providers/sexual-health-questions-to-ask-all-patients National Institute of Health and Clinical Exellence (NICE), (2019, February 5). “Sexual health” https://www.nice.org.uk/guidance/qs178/resources/sexual-health-pdf-75545667625669
  • Oveisi, N., Cheng, V., Brotto, L. A., Peacock, S., McTaggart-Cowan, H., Hanley, G., Gill, S., Rayar, M., Srikanthan, A., Ellis, U., & De Vera, M. A. (2023). Sexual health outcomes among adolescent and young adult cancer patients: a systematic review and meta-analysis. JNCI cancer spectrum, 7(6), pkad087. https://doi.org/10.1093/jncics/pkad087
  • Özer Yurdal, N. E., Özsoy, S., & Karaçam, Z. (2024). Sağlık Çalışanlarının Cinsel Mitlere İnanma Durumunun, Menopoz Tutum Ve Semptomları İle İlişkisi. ERÜ Sağlık Bilimleri Fakültesi Dergisi, 11(1), 10-18.
  • Pretorius, D., Couper, I. D., & Mlambo, M. G. (2022). Sexual history taking by doctors in primary care in North West province, South Africa: Patients at risk of sexual dysfunction overlooked. African journal of primary health care & family medicine, 14(1), e1–e9. https://doi.org/10.4102/phcfm.v14i1.3238
  • Tuğut, N., Gölbaşı, Z. (2014). Cinselliğin Değerlendirilmesi: Hemşireler İçin Öneriler ve Klinik Stratejiler. Hemşirelikte Eğitim ve Araştırma, 11(2),59-63.
  • Turhan, İ., & Akcan, K. (2022). Current Diagnosis and Treatments of Female Sexual Dysfunction. Gevher Nesibe Journal Of Medikal and Health Sciences, 7(17), 57–63. https://doi.org/10.46648/gnj.384
  • Uzdavines, A., Helmer, D. A., Spelman, J. F., Mattocks, K. M., Johnson, A. M., Chardos, J. F., Lynch, K. E., & Kauth, M. R. (2022). Sexual Health Assessment Is Vital to Whole Health Models of Care. JMIRx med, 3(3), e36266. https://doi.org/10.2196/36266
  • World Health Organization (WHO), (2024) “Sexual Health” https://www.who.int/health-topics/sexual-health#tab=tab_1
  • World Health Organization, (WHO). (2018, March 14). International Technical Guidance on Sexuality Education. https://cdn.who.int/media/docs/default-source/reproductive-health/sexual-health/international-technical-guidance-on-sexuality-education.pdf?sfvrsn=10113efc_29&download=true
Toplam 28 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Ebelik (Diğer)
Bölüm Derlemeler
Yazarlar

Büşra Çokyeter 0000-0003-3447-9243

Şükran Başgöl 0000-0001-9451-4544

Zeliha Koç 0000-0002-8702-5360

Yayımlanma Tarihi 31 Temmuz 2025
Gönderilme Tarihi 12 Şubat 2025
Kabul Tarihi 16 Haziran 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 5 Sayı: 2

Kaynak Göster

APA Çokyeter, B., Başgöl, Ş., & Koç, Z. (2025). Cinsel Sağlığın Değerlendirilmesi: Uluslararası Rehber Önerileri. Muş Alparslan Üniversitesi Sağlık Bilimleri Dergisi, 5(2), 99-110. https://doi.org/10.71255/maunsbd.1638393