ALLOW

Ask the patient about sexual function and activity

Legitimize problems, and acknowledge that dysfunction is a clinical issue

Identify limitations to the evaluation of sexual dysfunction

Open up the discussion, including potential referral

Work with the patient to develop goals and a management plan

PLISSIT15

Obtain permission from the patient to discuss sexuality (e.g., “I ask all my patients about their sexuality, is that okay to do with you now?”)

Give limited information (e.g., inform the patient about normal sexual functioning)

Give specific suggestions about the patient's particular complaint (e.g., advise the patient to practice self-massage to discover what feels good to her)

Consider intensive therapy with a sexual health subspecialist