Focused Genital Exam

History of medical comorbidities (especially vascular risk factors)

Congenital or childhood diseases

Psychological disorders (anxiety, depression)

Prior surgeries (especially pelvic or genital)

Medications

Social (smoking, alcohol, recreational drugs, occupational exposures)

Exercise capacity

Duration of sexual dysfunction or infertility

Onset (sudden, gradual) and chronology of complaint(s)

Situational factors

History with partner(s)

Aggravating/alleviating factors

Current and prior sexual function

Penile pain (characterize)

Discuss ejaculation (presence/absence, normal/premature)

Discuss orgasm (presence/absence, normal/delayed)

Assess for sexual incontinence

Reproductive history (prior pregnancies/children, duration trying to conceive)

Prior evaluation(s)

Prior treatments

Focused Genital Examination

The physical examination complements the history and, while sometimes noncontributory, is an essential component to confirm a suspected diagnosis or pick up an otherwise unsuspected etiology to the patients problem (Table 1.2). Useful anatomical images can be found in figures 1.1, 1.2, and 1.3.