sexual dysfunction. A sexual history incorporates social, medical, and surgical information, and should touch on all factors that affect an individual's sexuality. Essentially, it is a conversation between a health care provider and an individual that is geared towards obtaining information about the person's sexual health status. If this is done properly, it will be easier for the physician to address concerns the individual may have. Some people may not be comfortable in sharing information, but it is the role of the physician to create a comfortable and non-judgemental, private environment for those they are working with to speak openly. Sexual dysfunctions in men are often associated with testosterone deficiency. Signs and symptoms of testosterone deficiencies vary in each individual. Therefore, physical examinations could be done for men who suspect testosterone deficiencies to identify physical signs of the disorder. Common physical signs include fatigue, increased body fat, weight gain, muscle weakness, and depressed mood. Laboratory tests may also be used to assist with diagnosis, such as blood glucose levels, lipid panel, and hormonal profile. Additionally, diagnostic categories of sexual disorders are listed in both the ICD-10 and DSM-5. ICD-10 categorizes the disorders by sexual desire, sexual arousal, orgasm, and sexual pain, while DSM-5 categorizes the dysfunctions by gender, substance/medication induced, paraphilic, or gender dysphoria. Risk factors for sexual dysfunction The risk of developing a sexual dysfunction increases with age in both men and women. There are several risk factors that are associated with sexual dysfunction in both men and women. Cardiovascular disease, diabetes mellitus, genitourinary disease, psychological/psychiatric disorders, and presence of a chronic disease are all common risk factors for developing a sexual dysfunction. Endothelial dysfunction is a risk factor that is specifically associated with erectile dysfunction. Past family medical history of sexual dysfunction disorders are also a risk factor for development. Sociocultural factors may also contribute to sexual problems, such as personal, religious, or cultural beliefs about sex. Personal well-being may also impact an individual's sexual activity. Stress and fatigue may contribute to developing a decreased sexual response or interest. Fatigue may result from poor sleep or another underlying medical problem. Current or past sexual abuse, whether physical or emotional, is also a risk factor for developing sexual problems. Disorders of sexual function Sexual dysfunctions are sexual problems that are continuous in a person's life, adding stress and difficulty to personal relationships. Congenital or acquired, these conditions refer to