Your relationship with your doctor should be a partnership - where you and your doctor work together to make the best possible decisions about your healthcare.

It is very important that you be able to communicate openly and honestly with your doctor about any healthcare needs or concerns. At the same time your doctor should be able to communicate important health information to you in a clear understandable way. Take time to ask questions if you don't understand something your doctor says.

Preparing for a visit with your doctor will ensure that you take full advantage of the time you have together. Here are some suggested steps you can take before your visit.

• Write down any questions you want to discuss with your doctor during your visit or give the list to your doctor so that he or she can go over them with you.
• Write down any symptoms or health concerns you have. Try to be as specific as possible, and include what the symptoms are, when they started, what the symptoms feel like, any lifestyle changes you made when the symptoms started, anything that triggers the symptoms, or anything that relieves the symptoms.
• Be prepared to tell your doctor about all the medications you take, including prescription and nonprescription medications, vitamins, alternative therapies and other supplements you may take.
• Be completely honest about your lifestyle, including your diet, use of alcohol or other drugs, smoking history, sexual history and other health care you receive.
• Be sure to inform your doctor about any cultural or religious beliefs that may affect a treatment option.
• Make sure you understand your doctor's recommendations.

Many people find it difficult to discuss sensitive topics, such as sexual problems and sexually transmitted diseases, incontinence, emotional problems, domestic violence, eating disorders, and substance abuse. But your doctors can't treat a problem they don't know about. Even if it's difficult, its worth bringing up.

Do not worry about confidentiality. Your conversations with your doctor are private. Your doctor will not share any information with anyone unless you give your permission.

Some people feel comfortable discussing sensitive subjects alone, while others feel better having moral support from a friend or family member. Do what makes it easiest for you.

Sometimes people fear the reaction they will get from their doctor. Your doctor has had years of training and experience treating patients--chances are good that your doctor has heard it before. Your disclosure is likely to meet with understanding and possible solutions. If you get a negative reaction, such as rejection or impatience, or you simply don't feel comfortable talking to your doctor, find a new one. You must feel comfortable discussing all of your health issues with your doctor.