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 |