'Impotence' is better than 'erectile dysfunction'

When doctors use formal medical terms to describe conditions rather than common words patients…

by Cathy Gulli on Monday, December 8, 2008 11:57am - 3 Comments

When doctors use formal medical terms to describe conditions rather than common words patients become more worried about their health problems, shows a study by McMaster University.

The research, which was published in the online journal Public Library of Science: ONE, found that medical terminology makes conditions sound more severe to patients than lay terms. They also sound rarer.

Participants were surveyed about 16 disorders, including high blood pressure versus hypertension; excessive sweating versus hyperhidrosis; impotence versus erectile dysfunction; and gastro esophageal reflux disease versus chronic heartburn. The scientists found that when patients are diagnosed using the medical term, they may think they’re sicker than they actually are.

The study highlights the importance of good clear communication between doctors and patients, especially as the amount of time allotted to a single appointment is squeezed as a way of managing patient loads. I’ve written about the connection between physical illness and a patient’s mental state.

It’s also relevant because doctors are using “medicalese” more than ever (check out the rising incidence of GERD, also known as heartburn, here). Critics call this “disease-mongering”—giving common conditions that have been historically accepted as normal variations in health more serious status. Some suspect that’s been helped along by pharmaceutical giants, “who want to make you think that you have a disease that will need to be treated with drug,” says Karen Humphreys, one of the study authors.

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  • Shawn in Montreal

    Yeah, I don’t know about this. “Impotence” — literally, a lack of potency or power — is a MUCH more loaded word for guys.
    I had a friend who had problems in that, ahem, area.
    We would talk about it. We actually used the term ‘ED’ and it made it a lot easier and stigmatizing to discuss.
    I think it’s noteworthy that this article was written by a woman. There’s no WAY impotence is a “better” or less worrisome word, for men.

  • Shawn in Montreal

    sorry, that should be “less stigmatizing,” natch. Damn these impotent typing fingers.

  • http://vitalitymedical.wordpress.com/ vitalitymedical

    Great Blog! I think that everyone who works in any way in Men’s health should read it.

    I had never had to deal with ED/Impotence before joining the Vitality Medical crew. We sell medical supplies online. Anyway, one of our biggest sellers are the Pumps. What happens is a guy gets prostate problems (usually cancer) and they have to have the prostate removed which often leads to ED problems as well as incontinence. I remember one time when I first got here an old gentleman was asking about the pumps and he just stopped talking. After a pause he said to me, “That surgery robs a man of his dignity.” I tell you what, that changed my opinion of the prostate exam. Anyway for people who suffer from ED, for any reason, the term Impotence can be very degrading.

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