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. 2017 Apr 15;18(10):1864–1872. doi: 10.1093/pm/pnw306
Part C. The following questions ask about the impact of your pelvic or genital pain on vaginal sexual intercourse as well as other types of sexual activity such as self-stimulation or masturbation. During the past two weeks, has your pelvic or genital pain affected:
9. Your desire or interest in having sexual intercourse or other types of sexual activity (including self-stimulation or masturbation)? ○ Not at all ○ A little bit ○ Moderately ○ Quite a bit ○ Extremely
10. How frequently you had sexual intercourse or other types of sexual activity (including self-stimulation or masturbation)? ○ Not at all ○ A little bit ○ Moderately ○ Quite a bit ○ Extremely
11. Your ability to become aroused during sexual activity (including self-stimulation or masturbation)? ○ Not at all ○ A little bit ○ Moderately ○ Quite a bit ○ Extremely
○ Not applicable—I have not had sexual activity of any kind recently
12. Your ability to be spontaneous about sexual activity (including self-stimulation and masturbation)? ○ Not at all ○ A little bit ○ Moderately ○ Quite a bit ○ Extremely
○ Not applicable—I have not had sexual activity of any kind recently
13. Your ability to relax and enjoy sexual activity (including self-stimulation or masturbation)? ○ Not at all ○ A little bit ○ Moderately ○ Quite a bit ○ Extremely
○ Not applicable—I have not had sexual activity of any kind recently
14. The amount of pleasure you experienced during sexual activity (including self-stimulation or masturbation)? ○ Not at all ○ A little bit ○ Moderately ○ Quite a bit ○ Extremely
○ Not applicable—I have not had sexual activity of any kind recently
15. Your desire or interest in being in a sexual relationship? ○ Not at all ○ A little bit ○ Moderately ○ Quite a bit ○ Extremely
16. Your overall satisfaction with your sex life? ○ Not at all ○ A little bit ○ Moderately ○ Quite a bit ○ Extremely