Performance Enhancing Medication (PEM) Sexual and Fertility Risk Assessment Questionnaire
Creating a comprehensive risk assessment questionnaire for individuals using performance-enhancing medications (PEMs) involves evaluating potential risks to sexual and fertility health. Here’s a structured approach with self-scoring and risk grading:
Scoring Instructions:
Scoring and Risk Grading
Calculate the scores based on the responses to each section:
– *PEM Usage Duration Score:* Response from question 2 (range: 0-3)
– *Sexual Function Changes Score:* Sum responses to questions 4 and 6 (range: 0-10)
– *Fertility Issues Score:* Response from question 7 (0 or 1)
– *Medical Follow-Up Score:* Response from question 11 (0 or 1)
 Risk Grading
Based on the total scores, assess the risk level associated with PEM usage:
Total Score Interpretation:
– 0-3: Low risk
– 4-7: Moderate risk
– 8-10: High risk
NOTE – This questionnaire is a tool to help assess sexual and fertility health risks associated with performance-enhancing medications. Please discuss your responses with your healthcare provider to ensure appropriate evaluation and treatment based on your risk grading and scores. Adjustments can be made to better suit specific concerns or clinical settings as needed.
