There is a huge omission in the practice of gynecology. It is called Intimacy and Romance Counseling. Physicians may feel comfortable discussing the sexual wellness problems and challenges of menopause; however, not every physician is comfortable talking about the intimate conversations of romance and intimacy. Since OB/GYN’s have busy obstetrics practices, there is little time to sit down and talk to women about sexuality and happiness in their intimate relationship. Women are living longer than they ever have before and they are maintaining an active sexual life longer than any other time in history. With the introduction of drugs for erectile dysfunction, it is imperative for women to prepare themselves for the menopausal transition. Women must be educated about the changes that are going to take place during menopause and what they can do to prevent and/or prepare for these changes.
In general, men and women have a difficult time discussing their intimate sexual relationship even after being married or together for many decades. Sexual health and function have often been viewed by patients as a “taboo subject”. It is not a taboo subject with Dr. Pam. Women should welcome change as growth; growing to a state of romantic and sexual happiness is paramount in long-term marriages. As we live our lives, our bodies change and, most often, it is difficult to explain these changes to our partner. Dr. Pam’s goal is to encourage and promote this kind of communication and help make the transition into menopause easier for both women and men. Improving communication between partners is imperative for surviving the challenges of menopause and long-term marriages.
(*Discussions will be completely private and non-judgmental. The medical record will not be on a computer or available to anyone except Dr. Pam.)