ASMH/SMSNA Men's Health Checklist
For practitionersEVAL Foundation
The checklist items are applicable to an individual patient based on their age and risk (either normal or increase risk)
Collection
Sexual Medicine Society of North America (SMSNA)
Evaluations in Sexual Medicine Society of North America (SMSNA)
Brief Sexual Function Inventory (BSFI)
For practitionersSMSNA
Assessment of male sexual function and any disturbance due to lower urinary tract symptoms (LUTS).
Decreased Sexual Desire Screener (DSDS)
For practitionersSMSNA
5 question diagnostic tool to assist in considering the diagnosis of Hypoactive Sexual Desire Disorder (HSDD) in women.
Epidemiology & Treatment of Erectile Dysfunction
For practitionersSMSNA
Educational Resource for clinicians who treat erectile dysfunction.
ErecTrack
For patientsSMSNA
Report & track an erection-related medication response.
Female Sexual Function Index (FSFI)
For practitionersSMSNA
Measures six domains of female sexual function: desire, arousal, lubrication, orgasm, satisfaction, and pain.
International Index of Erectile Function (IIEF)
For practitionersSMSNA
Assesses ED and related male sexual functions: erectile, orgasmic, desire, intercourse/overall satisfaction using IIEF.
International Index of Erectile Function-6 (IIEF-6)
For practitionersSMSNA
6-item quiz to identify erectile dysfunction and severity over the past 4 weeks.
International Prostate Symptoms Score (IPSS)
For practitionersSMSNA
Used to quantify benign prostatic hyperplasia (BPH) & to monitor treatment success.
Locke-Wallace Marital Adjustment Test (MAT)
For practitionersSMSNA
AKA the Short Marital Adjustment Test (SMAT) used to assess marital satisfaction and adjustment within married couples.
Peyronie's Disease Questionnaire (PDQ)
For practitionersSMSNA
Evaluates symptoms & psychological effects in patients with PD who have had vaginal intercourse within the last 3 months
Premature Ejaculation Diagnostic Tool (PEDT)
For practitionersSMSNA
A 5-question tool to help identify men who may have a problem with premature ejaculation (PE) during sexual activity.
Premature Ejaculation Profile (PEP)
For practitionersSMSNA
A 4-item patient self-reported questionnaire to assess the impact and severity of premature ejaculation (PE).
Memorial Sloan Kettering Cancer Center
A 16-question survey for patients to report their satisfaction and experience with their inflatable penile implant.
Sexual Desire Inventory-2 (SDI-2)
For practitionersSMSNA
Self-report questionnaire designed to measure various facets of sexual desire.
Sexual Health Inventory For Men (SHIM) or IIEF-5
For practitionersSMSNA
5-item quiz to identify erectile dysfunction and severity. AKA the International Index of Erectile Function-5 (IIEF-5)
VulvaDerm Differential & Atlas
For practitionersSMSNA
Assist the practitioner in a vulvar dermatological differential diagnosis.