Medical history (history of illness) represents an important component in the diagnosis of female libido disorders.
Family history
Social history
- What is your occupation?
- Is there any evidence of psychosocial stress or strain due to your family situation?
- Do you suffer from any psychological conflict?
- Do you have contact disorders?
- Do you suffer a lot from libido disorders?
- Do you have sexual inclinations that deviate from the norm?
- How does your partner assess the situation?
- How were you brought up? Were there any taboo subjects in your upbringing?
- How is/was your relationship with your parents?
- Do you have problems connecting with other people?
Current medical history/systemic history (somatic and psychological complaints).
- Have you noticed a decline in interest in sexuality?
- When does the disturbance occur? Always or only in certain situations (place, certain partner)?
- Is sexual intercourse possible?
- Do you have pain during sexual intercourse?
- How strong is your maximum arousal? Do you get wet during arousal?
- How often did you have sexual intercourse in the past? And how often today?
Vegetative anamnesis incl. nutritional anamnesis.
- When was your last period?
- Do you drink alcohol? If so, what drink(s) and how many glasses of it per day?
Self history incl. medication history.
- Pre-existing conditions (diabetes mellitus, cardiovascular disease, liver disease, kidney disease, thyroid disease, mental disorders).
- Operations (removal of both ovaries?)
- Allergies
- Pregnancies
Medication history
- Amphetamines (orgasmic disorder)
- Anticholinergics (arousal disorder).
- Antidepressants
- Selective serotonin update inhibitors (libido, arousal, and orgasmic dysfunction).
- Tricyclic antidepressants (libido, arousal, and orgasmic dysfunction).
- MAO inhibitors (orgasmic disorder).
- Trazodone (libido disorder)
- Venlafaxine (libido disorder)
- Antipsychotics (neuroleptics) (libido and orgasmic disorder).
- Babiturate (libido, arousal, and orgasmic disorder).
- Benzodiazepines (libido and arousal disorder).
- Chemotherapeutic agents (libido and arousal disorder).
- Histamine receptor blockers
- Hormones
- Anti-androgen-acting drugs – e.g. cyproterone (libido, arousal, and orgasmic disturbance).
- Antiestrogens – tamoxifen (libido and arousal disorder).
- Aromatase inhibitors (libido and arousal disorder).
- GnRH agonists (GnRH analogues) – e.g. goserelin (libido and arousal disorder.
- Hormonal contraceptives (estrogens + progestin) → concentration of SHGB (sex hormone-binding globulin) increases and freely available testosterone decreases, which may be associated with decreasing libido.
- Testosterone derivatives – e.g. Danazol.
- Indometacin (analgesic) (libido disorder).
- Cardiovascular/antihypertensive drugs that may be associated with libido disturbance: Beta-blockers, clonidine (+ arousal disorder), digoxin (+ orgasm disorder), lipid-lowering drugs, methyldopa, spironolactone.
- Ketoconazole (antifungal) (libido disorder).
- Lithium (libido, arousal, and orgasm disorder).
- Phenytoin (anticonvulsant) (libido disorder).
- Sedatives (orgasm disturbance).
