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Low libido Assessment Questionnaire

Questions Your Doctor May Ask - and Why!

During a consultation, your doctor will use various techniques to assess the symptom: Low libido. These will include a physical examination and possibly diagnostic tests. (Note: A physical exam is always done, diagnostic tests may or may not be performed depending on the suspected condition) Your doctor will ask several questions when assessing your condition. It is important to openly share any pertinent information to help your doctor make an accurate diagnosis.

It is also very important to bring an up-to-date list of all of your all medical conditions, medications including dosages, and names of numbers of any specialist you see.

Create your printable checklist by answering questions that your doctor may ask below:

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  1. How long have you had low libido?

    Why: to determine if libido problems have existed since the onset of adult sexual function (lifelong) or may have been preceded by a period of unimpaired function (acquired). This differentiation is ultimately needed to give proper therapeutic direction.

  2. Sudden or gradual onset of the difficulties?

    Why: gradual onset may suggest an organic cause (i.e. due to medical problems) while sudden onset often suggests a psychological cause (i.e. depression, bereavement, stress, fatigue, performance anxiety, anger and relationship problems).

  3. Is the low libido intermittent or constant?

    Why: must determine if the low libido exists under all (generalized) or just some (situational) sexual circumstances. Generally a problem that appears only sometimes (e.g. with one sexual partner but not with another) can be thought of as arising from psychosocial origins.

  4. Are you in a monogamous relationship?
  5. Is your low libido causing problems to you or your partner?

    Why: to determine if there are any deleterious consequences of the low libido. There is no "right" or "normal" number of times you should want to make love. Desire can wax and wane with circumstances and at different periods in a relationship. Low sexual desire doesn't have to be a problem at all - unless there is a discrepancy with the desire level of your partner.

  6. What is the reaction of your partner to your low libido?

    Why: worries about a sexual problem can become an important perpetuating factor.

  7. Does your partner have any problems with sexual desire, sexual response, orgasm or pain?

    Why: Sexual function involves a partner and thus any sexual dysfunction is also partner related.

  8. Does love making make you feel happy and relaxed?
  9. Do you spend much time on love play/fore play?
  10. Are you able to communicate with your partner about what turns you on, your sexual requirements, fantasies, likes and dislikes?
  11. Relationship problems?

    Why: problems in a relationship can cause sexual dysfunction. e.g. are you and your partner sexually attracted to each other?, how often do you argue with your partner?, do you talk things over with your partner?, how is your love for your partner?

  12. Stress levels?

    Why: this is one of the key factors for causing sexual problems. Stress lowers the levels of some body chemicals and thus may have the effect of reducing sexual desire and reducing the ability to perform when you do try.

  13. Age of person with low libido?

    Why: e.g. Menopause may be associated with a reduced libido.

  14. History of sexual abuse as a child or adult?
  15. Concurrent medical illness?

    Why: Any medical condition that causes fatique or tiredness may potentially cause low libido e.g. glandular fever, flu.

  16. Medications?

    Why: some medications are associated with a reduced sexual desire including clomipramine, fluphenazine, methadone, guanethidine, chlorthalidone, guanedrel, methyldopa, spironolactone, fluoxetine, danazol, digoxin, ethinyl estradiol, ketoconazole and niacin.

  17. Family history?

    Why: e.g. hemochromatosis, depression, bipolar affective disorder.

  18. Illicit drug usage?

    Why: e.g. marijuana may reduce libido.

  19. Pain with sexual intercourse, if so where is the location of the pain, what does the pain feel like, and what makes the pain better or worse?

    Why: e.g. Vaginismus causes strong, involuntary tightening of the vaginal muscles which can make penetration extremely painful and impossible and therefore reduce sexual interest.

  20. Lack of vaginal lubrication?

    Why: Vaginal lubrication is, from a functional point of view, the equivalent of erections in a man in that both are evidence of sexual arousal.

  21. Lack of orgasm?

    Why: Are you able to achieve orgasm from sexual intercourse or other activities such as masturbation, manual or oral stimulation?

  22. Menopausal symptoms?

    Why: e.g. palpitations, hot flushes, night sweats, lethargy, dry vagina, dry skin, emotional changes, reduced sexual drive.

  23. Symptoms of depression?

    Why: e.g. depressed mood, crying spells, anhedonia (loss of interest or pleasure), increase or decrease in appetite (usually decreased), weight loss or gain, insomnia or increased sleeping (usually early morning waking), fatigue, loss of energy, feelings of worthlessness, feelings of excessive guilt, poor concentration, difficulty making decisions, low libido, thoughts of death or suicide attempt. If you are depressed it is common to have problems with reduced libido due to the physical and emotional state of your body when you are depressed. Treating the depression may alleviate the libido problems as well.

  24. Symptoms of Cushing's syndrome

    Why: e.g. weight gain especially central abdominal, change of appearance, moon-like face, thin skin, easy bruising, excessive facial hair growth, acne, muscle weakness, lack of or rare menstrual periods, poor libido, psychosis, insomnia, frequent urination, excessive thirst - Cushing's syndrome may also present with depression.

  25. Symptoms of hemochromatosis?

    Why: e.g. fatigue, painful joints, impotence, bronze discoloration of skin, poor libido.

Conditions listing medical symptoms: Low libido:

The following list of conditions have 'Low libido' or similar listed as a symptom in our database. This computer-generated list may be inaccurate or incomplete. Always seek prompt professional medical advice about the cause of any symptom.

Select from the following alphabetical view of conditions which include a symptom of Low libido or choose View All.

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Conditions listing medical complications: Low libido:

The following list of medical conditions have 'Low libido' or similar listed as a medical complication in our database.

 

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