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Female Sexual Function History Form Date: Name: DOB: AGE: Race: Referring physician: Married (x1, x2, x3) Divorced (x1, x2, x3) Single Widow Why are you here? Duration of problem Onset was: sudden
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How to fill out female sexual function history

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How to fill out female sexual function history:

01
Start by gathering relevant information about the patient's sexual health. Ask about any past or current sexual concerns, any changes in sexual desire or satisfaction, and any pain or discomfort during sexual activity.
02
Inquire about the patient's sexual history, including the age of sexual debut, number of sexual partners, and any history of sexually transmitted infections or pelvic surgeries. This information can provide insight into potential factors affecting sexual function.
03
Ask about the patient's current relationship status to understand any potential relational factors that may impact sexual function. Inquire about the quality of the relationship, communication patterns, and any recent changes or stressors within the relationship.
04
Explore any medical conditions or medications that may affect sexual function. Inquire about conditions such as diabetes, hypertension, or hormonal imbalances, as well as any medications that have been prescribed for these conditions.
05
Assess the patient's mental health and emotional well-being. Inquire about any history of anxiety, depression, or other mental health disorders that may impact sexual function. Ask about stress levels and any recent life events that may have affected the patient's emotional state.
06
Discuss the patient's lifestyle factors that may impact sexual function. Ask about smoking, alcohol or substance use, and exercise habits, as these can all play a role in sexual health.

Who needs female sexual function history:

01
Any healthcare provider who is responsible for the overall well-being and healthcare management of a female patient may need her sexual function history. This includes primary care physicians, gynecologists, and sexual health specialists.
02
Patients who are experiencing sexual concerns or changes in sexual function should provide their sexual function history to their healthcare providers. This information can help guide diagnosis, treatment, and management options.
03
Women who are planning to start or change their contraceptive method may need to provide their sexual function history. Certain contraceptives can have an impact on sexual desire or satisfaction, so understanding a patient's sexual function can help guide appropriate contraceptive choices.
In conclusion, filling out a female sexual function history involves gathering information about past and current sexual concerns, sexual history, medical conditions, mental health, lifestyle factors, and relationship status. This information is important for healthcare providers to assess and address any potential issues related to sexual function.
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