What are the key components of the initial evaluation for sexual dysfunction (SD) as outlined in the chapter?

The initial evaluation for sexual dysfunction includes a comprehensive history covering medical, surgical, obstetric, gynecologic, urological, social, relationship, and sexual aspects, along with a review of medications. It also involves assessing mental health, trauma, and abuse history, and understanding the patient's gender, sexual identity, and orientation. Subjective symptoms related to sexual and genital issues, as well as other related symptoms, are assessed. Objective evaluations include vital signs and physical examinations, particularly of the abdomen and genitalia.

The initial evaluation for sexual dysfunction (SD) is comprehensive and begins with gathering a detailed history that includes medical, surgical, obstetric, gynecologic, urological, social, relationship, and sexual aspects, as well as a review of the patient’s medications. Understanding the patient's mental health, trauma, and abuse history is crucial, as these can significantly impact SD. Additionally, an understanding of the patient's gender, sexual identity, and sexual orientation is essential to guide the examination and treatment process. The subjective assessment focuses on sexual and genital symptoms such as lack of desire, response, orgasm, sensation, and issues like painful intercourse or genital pain. Other symptoms that may be related include abdominal pain, bowel and bladder complaints, and pelvic floor symptoms. The objective assessment involves checking vital signs and conducting a thorough physical examination, including abdominal and genital examinations to assess for any abnormalities or issues that could contribute to SD.