This questionnaire asks about your general sexual health — interest in sex, ability to become aroused and incidence of pain during sex. For each item, please mark the number that best shows your thoughts and feelings. Your answers will be private and anonymous.


1. During the last month how often have you had sexual feelings or fantasies?

Once or more a day Once a month
Three or four times a week Never
One to two times a week  

2. In the past 4 weeks when you have attempted intercourse, how successful have you been?

We achieved painless penetration almost every time.
We achieved penetration every time but it hurt.
We could achieve full penetration some of the time but it hurt.
I was able to achieve only partial penetration or penetration for a short time because of the pain.
I was unable to achieve penetration.

3. When I have sex with my partner I get turned on:

Always Hardly ever
Usually Never
Sometimes  

4. Over the past 4 weeks, how would you rate your orgasms?

5. During the last month how often were you in the mood to have a sexual encounter with your partner?

Once or more a day Every two weeks
Three or four times a week Never
One to two times a week  

6. When I have sex with my partner:

I know I will be aroused and lubricated until we finish.
I am pretty sure I’ll be aroused and lubricated for the whole time and if not, we use lubricant and I’m fine.
Sometimes I will not stay aroused and lubricated for the whole time and lubricants don’t always help.
I am anxious because often I don’t “stay” turned on during sex.
I never get aroused, wet, tingly or excited.

7. Over the past 4 weeks when I had sex (intercourse or other physical sexual stimulation with a hand, mouth or vibrator) I had orgasms:

Every time 10 -20% of the time
75% of the time Never
50% of the time  

8. When I start fantasizing about sex, I get wet, tingly and aroused.

Always Hardly ever
Usually Never
Sometimes  

9. How would you describe your feelings during intercourse?

Intercourse is pleasurable and there is never pain
Intercourse feels really good, most of the time
I can take it or leave it
It often hurts. I can stand it but it’s not fun
It often feels like ripping or burning – almost unbearable

10. Over the past 4 weeks how difficult was it to reach orgasm when you had sex (intercourse or other physical sexual stimulation with a hand, mouth or vibrator):

It was easy to have an orgasm every time.
Rarely difficult 
Sometimes it was a little difficult but not a big deal.
It took a long time and was pretty difficult.
I wasn’t able to achieve orgasm

11. Rate the degree of pain, if any, you have had with intercourse during the past 4 weeks.

12. During the last month when your partner approached you for a sexual encounter, how easy or difficult was it to respond positively?

I was happy to have sex.
I hadn’t thought about having sex but it was pretty easy to get into it.
I really didn’t want to have sex, but I did and it was fine.
I really didn’t want to, but I did and it was hard to get into it.
I couldn’t do it.

13. Over the past 4 weeks how often did you experience pain with vaginal intercourse?

I never have pain with intercourse
I almost never have any pain
Once in a while, but not too often.
Not every time, but most times.
Every time I had intercourse.

14. Over the past 4 weeks how difficult was it to reach orgasm when you self-stimulated (with a hand or vibrator):

It was easy to have an orgasm every time.
Sometimes it was a little difficult but not a big deal.
It took a long time and was pretty difficult.
I wasn’t able to achieve orgasm
I do not self stimulate.

15. During the last month, which would you say best describes your behavior?

It’s easy to say yes when my partner approaches me and sometimes I’ll initiate sex with my partner.
I don’t have spontaneous urges to have sex, but when my partner approaches me, it’s easy to say yes.
I stay in the shower (or on the computer) hoping my partner will fall asleep before I come to bed.
I really want to make my partner happy , but I’m rarely in the mood
I love my partner, but I just can’t bring myself to have sex with him/her.

16. When I have sex my arousal can be described as:

 

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Take our Sexual Desire Questionnaire

Our Sexual Desire Quiz is a simple quiz that asks about your level of sexual desire in cognitive terms, as opposed to previous measures that used predominantly behavioral methods. With a possible score range from 0 to 101, yours may indicate you’re suffering from low desire, a condition that may be helped by ing a practitioner who specializes in the medical diagnosis and treatment of female sexual dysfunction. Obviously problems cannot be diagnosed by one questionnaire, but it might help you think about your sexual situation in a thoughtful way, and flag problems if you are having them.

How women describe female sexual dysfunction

Treatment for sexual dysfunction varies depending upon individual sexual and medical history, as well as the different manifestations of the problem a patient experiences. Furthermore, the conditions related to sexual dysfunction in women may often overlap. Read some of our patient’s stories — real words from real Congtythamtu patients — each of whom came to us with her own physical, medical and emotional situation that contributed to her particular problem with sexual function.

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