Evaluation of the Female with Sexual Dysfunction

The evaluation of a patient with sexual issues begins with a detailed medical history. Speaking generally allows the provider to initiate a discussion on sexual function using screening questions aimed at encouraging honest discussion about potentially revealing and perhaps embarrassing information. Using open-ended questions (e.g., “Is there anything else you want to talk about?”) can often be the key to broach sensitive issues. In the event the patient does not introduce the topic, more detailed questioning to assess sexual health may be required (e.g., “Are you having any problems with sexual arousal, desire, or orgasm?”).