Table 1.

Summary of themes and sub-themes

Themes	Sub-themes
Personal and health system limitations as a barrier to history taking for sexual dysfunction.	Forgotten subject. Doctors do not even think of sexual dysfunction. (17 responses)
	Insufficient training Insufficient training, knowledge and/or skill to deal with sexual dysfunction screening or management. (12 responses)
	Lack of resources The prescribed medication lists that do not have medicine for sexual dysfunction. (9 responses)
Presuppositions and assumptions as a barrier to history taking for sexual dysfunction.	Competing clinical priorities Doctors’ understanding of the priority tasks linked to addressing the clinical needs of their patients. (12 responses)
	Perception of patient responsibility Doctor expected the patient to take responsibility for the discourse on sexual functioning. (15 responses)
	Positive focus The doctors’ attempts to focus on positive aspects of the illness and management. (3 responses)
Socio-cultural differences as a barrier to history taking for sexual dysfunction.	Doctor-patient characteristic differences Personal characteristics that differ between patients and doctors. (4 responses)
	Taboo topic Value system prevents doctor talking about sexual matters. (2 responses)
Patient- doctor Relationship as a facilitator of history taking for sexual dysfunction.	Rapport building The ability to connect with the patient. (6 responses)
	Cultural sensitivity Cultural backgrounds differ and influence patients on the way they narrate their symptoms. (2 responses)