Best sexologist in pune . Female orgasmic disorder Signs and symptoms The medical history should address the following: Chronic and acute medical conditions, including psychiatric conditions Current and, when relevant, past medications, over-the-counter drugs, and supplements Any patterns of substance abuse Sexual complaints Many patients are reluctant to volunteer sexual complaints. A good general strategy for gathering a sexual history might include the following steps:Best sexologist in pune . First, explain the rationale for inquiring about sexual topics, while sympathizing with the patient reluctance to discuss intimate topics Next, ask open-ended, general questions about the overall level of sexual interest and satisfaction Gradually introduce the topic of sexual issues As rapport improves, ask more specific, closed-ended questions that address the details of sexual activity Physical examination includes the following:Best sexologist in pune . General examination Cardiac, pelvic, and neurologic examinations to eliminate any coexisting medical conditions that might be contributing to the orgasmic dysfunction Mental status examination (usually normal in primary FOD; mild, anxious, or depressed mood or affect should be investigated) Diagnosis By definition, the diagnosis of FOD requires that the following criteria be met: Another disorder does not account for the orgasmic dysfunction better than FOD does The dysfunction is not exclusively due to a direct physiologic effect of a substance (eg, a drug of abuse or medication) or a general medical condition Laboratory workup should include the following: Complete blood count (CBC) Chemistry panel Hormone panel Vitamin B-12 and folate levels An informative hormone panel should include the following: Thyroid test (thyroid-stimulating hormone [TSH] and free T4) Estradiol Follicle-stimulating hormone (FSH) and luteinizing hormone (LH Prolactin Testosterone (total and free) only in monitoring testosterone therapy. Best sexologist in pune .Best sexologist in pune .Best sexologist in pune .Best sexologist in pune .Best sexologist in pune .