Pelvic organ prolapse/ Urinary Inontinence Sexual Questionnaire (PISQ-12)

Pelvic organ prolapse/ Urinary Inontinence Sexual Questionnaire (PISQ-12)

How frequently do you feel sexual desire? This feeling may include wanting to have sex, planning to have sex, feeling frustrated due to lack of sex,etc.

Not tested
Always
Usually
Sometimes
Seidom
Never

Do you climax (have an orgasm) when having sexual intercourse with your partner?

Not tested
Always
Usually
Sometimes
Seidom
Never

Do you feel sexually excited (turned on) when having sexual activity with your partner?

Not tested
Always
Usually
Sometimes
Seidom
Never

How satisfied are you with the variety of sexual activities in your current sex life?

Not tested
Always
Usually
Sometimes
Seidom
Never

Do you feel pain during sexual intercourse?

Not tested
Always
Usually
Sometimes
Seidom
Never

Are you incontinent of urine (leak urine) with sexual activity?

Not tested
Always
Usually
Sometimes
Seidom
Never

Does fear of incontinence (either stool or urine) restrict your sexual activity

Not tested
Always
Usually
Sometimes
Seidom
Never

Do you avoid sexual intercourse because of bulging in the vagina (either the bladder, rectum, or vagina falling out)?

Not tested
Always
Usually
Sometimes
Seidom
Never

When you have sex with your partner, do you have negative emotional reactions such as fear, disgust, shame or guilt?

Not tested
Always
Usually
Sometimes
Seidom
Never

Does your partner have a problem with erections that affects your sexual activity?

Not tested
Always
Usually
Sometimes
Seidom
Never

Does your partner have a problem with premature ejaculation that affects your sexual activity?

Not tested
Always
Usually
Sometimes
Seidom
Never

Compare to orgasms you've had in the past, how intense are the orgasms you've had in the past six months?

Not tested
Always
Usually
Sometimes
Seidom
Never

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