The medical history of issues related to sexual medicine
may be inhibited by a reluctance of the patient to disclose intimate or
uncomfortable information. Even if such an issue is on the patient's
mind, he or she often doesn't start talking about such an issue without
the physician initiating the subject by a specific question about sexual health.
Some familiarity with the doctor generally makes it easier for patients
to talk about intimate issues such as sexual subjects, but for some
patients, a very high degree of familiarity may make the patient
reluctant to reveal such intimate issues. .When visiting a health provider about sexual issues, having both
partners of a couple present is often necessary, and is typically a good
thing, but may also prevent the disclosure of certain subjects, and,
according to one report, increases the stress level.