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Lack of orgasm Assessment Questionnaire

Questions Your Doctor May Ask - and Why!

During a consultation, your doctor will use various techniques to assess the symptom: Lack of orgasm. 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 problems with lack of orgasm?

    Why: to determine if lack of orgasm has 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. Is the lack of orgasm intermittent or constant?

    Why: must determine if the lack of orgasm 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.

  3. If lack of orgasm is intermittent, have you noticed any change in the intensity of your orgasm?
  4. Are you able to achieve orgasm from other activities such as masturbation, manual or oral stimulation?
  5. 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).

  6. Is the person with the lack of orgasm male or female?

    Why: Orgasm problems in women are common. Ejaculation problem are common in men (especially premature ejaculation) but orgasm problems in men are uncommon. It is important to note that in men ejaculation and orgasm are distinct phenomenon. It may be mystifying to differentiate the terms ejaculation and orgasm because the two phenomenon usually occur simultaneously. However sometimes there is a problem with one and not the other.

  7. What is your sexual desire or interest level usually like?
  8. 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.

  9. What is the reaction of your partner to your problem with lack of orgasm?

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

  10. Are you able to communicate with your partner about what turns you on, your sexual requirements, fantasies, likes and dislikes?
  11. Do you spend much time on love play/ fore play?
  12. Does love making make you feel happy and relaxed?
  13. What positions do you usually use during sexual intercourse?

    Why: some positions are more likely to achieve orgasm in females.

  14. Do you worry about getting pregnant?
  15. Do you worry about getting an STD?
  16. Stress levels?

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

  17. 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?

  18. History of sexual abuse as a child or adult?
  19. History of trauma or accidents?

    Why: spinal cord injury, injury to sex organs or broken bones in the pelvic area may cause nerve damage that interrupts the connection between the nervous system and the genitals.

  20. Past medical history?

    Why: many erection and ejaculation problems are associated with other physical conditions e.g. high blood pressure, stroke, heart disease, diabetes, peripheral vascular disease, multiple sclerosis, hormonal disorders ( hyperthyroidism, hypothyroidism, hypogonadism, high prolactin levels), kidney disease, liver disease, prostate enlargement or cancer, Peyronie's disease.

  21. Past surgical history?

    Why: surgery to organs such as prostate, bladder or colon may damage nerves that interrupt the connection between the nervous system and the penis.

  22. Medications?

    Why: some medications may cause interference with orgasm in women including methadone, methyldopa, phenelzine, imipramine, clonidine; SSRI antidepressant may cause difficulty with erections in males and also difficulty with ejaculation if erection is achieved.

  23. Pain with sexual intercourse, and 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.

  24. 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. Problems relating to lubrication in the absence of diminished desire are common in postmenopausal women usually due to the result of estrogen deficiency or vaginal pathology.

  25. Symptoms of depression?

    Why: e.g. sadness, crying spells, lack of interest in activities, poor energy, poor concentration and attention span, poor sleep, reduced libido, poor self esteem and sometimes suicidal thoughts - if you are depressed it is common to have problems with erection and ejaculation due to the physical and emotional state of your body when you are depressed. Treating the depression may alleviate the erection problems as well. It is important to remember that sexual dysfunction due to a physical cause can also increase the risk of developing depression.

  26. Symptoms of anxiety?

    Why: e.g. nervousness, shakiness, tremor, restlessness, irritability, insomnia, poor concentration, heart palpitations, racing heart, sweating, dizziness, diarrhea, lump in throat and frequency of urination - anxiety and worry can affect your sexual function.

Conditions listing medical symptoms: Lack of orgasm:

The following list of conditions have 'Lack of orgasm' 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 Lack of orgasm or choose View All.

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