The “10 Minute” Sexual History

1. CHIEF COMPLAINT

Is this a problem of:

• Desire,
• Arousal (Erection or Lubrication),
• Orgasm (Premature, Delayed, or anorgasmia)
• Sexual Pain

2. ONSET

• Gradual versus sudden (Trigger Red Flags?) 
• Lifelong or Situational

3. SITUATIONAL OR GENERALIZED (GLOBAL)

• Does dysfunction occur with all partners? 
• How does self-stimulation affect problem?
• In Erectile Dysfunction:
  • Waking erections
  • Masturbatory erections
  • Partner shared erections

4. RATING OF PROBLEM

Rate on a scale of 1 - 10.

Example for erections:

5. REST OF SEXUAL RESPONSE

• Review other phases of sexual response cycle 
• Pain with sex or ejaculation

6. SEXUAL RESPONSE OF PARTNER

• If FEMALE: Her desire, arousal and orgasms 
• If MALE: As above (“Does your partner have any concerns about his desire, erections, or orgasm?”)

7. REACTION OF BOTH PARTNERS TO THE PROBLEM

• How do each individually feel about problem? 
• What are the consequences of the problem?

8. CURRENT RELATIONSHIP

• Sexually, what changes in pattern or frequency? 
• motionally, what is the level of intimacy like?

9. MOTIVATION

• Is the patient and their partner willing to continue being assessed? 
• What is the enthusiasm for therapy?