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Articles in the December issue discuss various health issues affecting school-aged children, including acne, eczema and growth disorders. Volume 46, No. This article encourages GPs to take the lead in initiating a conversation about sex and sexual difficulties with their patients by taking a brief sexual history as a routine part of a medical history. If any sexual concerns are identified, a longer appointment can be arranged for a detailed history and examination, and to discuss treatment options, including referral. There is a high risk of sexual difficulties arising from illness, medication, and personal and relationship difficulties. Erectile dysfunction is particularly important to identify as it is a predictor of cardiovascular and other microvascular disease.
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