sex talk talking care feel topic great discuss effects conversation agree Nurses issues lot bring due thanks strict sexual patients nurse patient relationship sharing younger approach health important interesting knowledge lack mental asked barrier conversations comfortable point person questions school sexuality start stop thoughts top Discussing embarrassed experience age open older negative impact love learn families feeling function generation individual holistic making joining medication break erectile education confident totally Training subject safe sensitive reluctance relationships personal points peoples Potentially practice skills speak support things uncomfortable variety Working concerns cultures elderly Embarrassment Enjoy barriers based avoided aware backgrounds building children assessment hold hear found happy fact experiences fab fabulous family giving gender hide forward healthcare huge idea medications meds matter Leanne men MSM navigate join issue initially lead judged jump male Letting Libido listen aspects antipsychotic affected address ability absolutely caused brought bad awkward behaviour biggest engagement effect dysfunction disclosed educating