Registration, consents, medical and sexual history, ACE screening. Same packet for all patients.
PHQ-9, Perceived Stress Scale, Sexual Distress Scale, plus FSFI (female) or IIEF (male). Choose the version matching the anatomy being evaluated.
Bring to any lab for hormone panel. Panels differ by sex due to different reference ranges.
If you have genital, pelvic, or sexual pain, including PGAD.
For men with diagnosed or suspected Peyronie's disease.
Once you've completed the forms, choose one of the options below. For your privacy, please do not email completed forms — email is not a secure transmission method for protected health information.
Many of our patients arrive at our practice having been told for years that their condition is not real, not treatable, or not worth discussing. It is real. It is treatable. And at San Diego Sexual Medicine, this is what we specialize in. This is what we are known for. This is what we do
A 6x world Jiu Jitsu champion and an IBJJF hall of fame inductee, Alexandre “Xande” Ribeiro is one of the all-time greatest Brazilian Jiu Jitsu practitioners and instructors. We worked with him to create an iconic logo that represented his tenacity, fluidity of movement and incredible balance. The result is a mark that is easily distinguished within the crowded, logo-heavy world of Brazilian Jiu Jitsu academies.
A 6x world Jiu Jitsu champion and an IBJJF hall of fame inductee, Alexandre “Xande” Ribeiro is one of the all-time greatest Brazilian Jiu Jitsu practitioners and instructors. We worked with him to create an iconic logo that represented his tenacity, fluidity of movement and incredible balance. The result is a mark that is easily distinguished within the crowded, logo-heavy world of Brazilian Jiu Jitsu academies.