Sexual function screening and assessment
| Are you currently sexually active? With men, women, or both? |
| Do you have any sexual problems? |
| How do you describe the problem(s)? |
| Were there any triggering events? Are there exacerbating or alleviating factors? |
| Is the problem specific to one situation or partner, or is it present in all situations and all partners? |
| Are you experiencing any emotional problems that may affect your sexual function, such as stress, anxiety, depression, resentment, and guilt? |
| Are you experiencing any physical problems that may affect your sexual function, such as pain, fatigue, and medical illness? |
| Do you have any concerns about your relationship with your partner? |
| Does your partner have any sexual problems? |
| Specifically, do you have any distress related to: Your level of sexual desire or interest? Your ability to become or stay sexually aroused (vaginal lubrication, warmth or tingling feelings in genitals)? Your ability to experience, or the intensity of, orgasm? |
| Are you experiencing any genital pain, specifically: Vaginal dryness or burning? Painful sexual activity (insertional or deeper pain)? Genital pain not associated with sexual activity? |
| What treatments have you tried? How effective have they been? |
Adapted with permission from Faubion S. Sexual dysfunction in women: a practical approach. Am Fam Physician 2015; 92: 281–288; and from Kingsberg S. Hypoactive sexual desire in women. Menopause 2013; 20:1284–1300.