sexual-health

Sexual Health Management Skills

Record sexual health checkups, manage STD screening, track contraceptive methods, and analyze sexual health trends. Supports comprehensive features such as the IIEF-5 interactive questionnaire, FSFI scoring, and sexual activity logs.

Core Process

用户输入 → 解析操作类型 → 执行对应操作 → 生成/更新数据 → 保存 → 输出结果

Supported Operation Types

Operation	Description	Example
checkup	Health Checkup	/sexual checkup libido normal
iief5	IIEF-5 Questionnaire	/sexual iief5 score 18
fsfi	Female Sexual Function Index	/sexual fsfi score 28.5
std	STD Screening	/sexual std hiv negative
contraception	Contraception Management	/sexual contraception condom
activity	Sexual Activity Log	/sexual activity satisfaction 7
medication	Medication Record	/sexual medication sildenafil 50mg
status	Status Query	/sexual status
trend	Trend Analysis	/sexual trend iief5
reminder	Reminder Settings	/sexual reminder std 6 months

Step 1: Parse User Input

Operation Type Recognition

Input Keywords	Operation Type
checkup	checkup
iief5, IIEF	iief5
fsfi	fsfi
std	std
contraception	contraception
activity	activity
medication	medication
status	status
trend	trend
reminder	reminder

IIEF-5 Score Recognition

Total Score	ED Severity	Recommendation
22-25	Normal Erectile Function	Continue to maintain a healthy lifestyle
17-21	Mild ED	Lifestyle adjustment
12-16	Mild to Moderate ED	Recommend consulting a doctor
8-11	Moderate ED	Recommend seeking medical care; medication may be needed
5-7	Severe ED	Need to seek medical care for a comprehensive evaluation

STD Type Recognition

Disease	English	Screening Method
HIV	HIV	Blood test
Syphilis	Syphilis	Blood test
Chlamydia	Chlamydia	Urine/swab
Gonorrhea	Gonorrhea	Urine/swab
HPV	HPV	Swab/DNA test
Hepatitis B	Hepatitis B	Blood test
Herpes	Herpes	Swab/blood test

STD Result Recognition

Normal	Abnormal
negative, clear	positive

Contraceptive Method Recognition

Method	English	Typical Effectiveness
Condom	condom	85%
Pill	pill	91%
IUD	IUD	99%
Implant	implant	99%
Withdrawal	withdrawal	78%
Rhythm	rhythm	76-88%
Sterilization	sterilization	99%

Erectile Difficulty Frequency Recognition

Keyword	Frequency
always	always
usually	usually
sometimes	sometimes
rarely	rarely
almost never	almost_never

Sexual Desire Recognition

Keyword	Level
normal, good	normal
decreased, low	decreased
very low	very_low
absent	absent

Step 2: Check Information Completeness

Required items for iief5 operation

Total score (0-25) or individual item scores

std operation recommended to have

Disease type
Screening result

contraception operation recommended to have

Contraceptive method type

activity operation recommended to have

Frequency or satisfaction

Step 3: Interactive Inquiry (If Needed)

Scenario A: IIEF-5 Questionnaire Initiation

国际勃起功能指数-5 (IIEF-5) 问卷

问题1：在过去6个月内，您有多少次对自己的勃起感到有信心？
• 0分 - 无性活动
• 1分 - 几乎没有/从不
• 2分 - 少数几次（远少于一半时候）
• 3分 - 有时（约一半时候）
• 4分 - 多数时候（远多于一半时候）
• 5分 - 几乎总是/总是

请选择0-5分：

Scenario B: Missing STD Result

请提供STD筛查结果：
• negative / 阴性 / 正常
• positive / 阳性 / 异常

Scenario C: Missing Contraceptive Method

请选择避孕方法：
• condom - 避孕套
• pill - 口服避孕药
• IUD - 宫内节育器
• implant - 皮下埋植
• withdrawal - 体外射精
• rhythm - 安全期法
• none - 未使用

Step 4: Generate JSON

Sexual Health Data Structure

{
  "sexual_health_tracking": {
    "last_updated": "2025-01-01T00:00:00.000Z",

    "male_assessment": {
      "iief5": {
        "last_assessed": null,
        "total_score": null,
        "risk_level": null,
        "q1_confidence": null,
        "q2_erection": null,
        "q3_penetration": null,
        "q4_maintenance": null,
        "q5_satisfaction": null,
        "score_history": []
      },
      "libido": {
        "level": null,
        "change": null,
        "notes": ""
      }
    },

    "female_assessment": {
      "fsfi": {
        "last_assessed": null,
        "total_score": null,
        "desire_score": null,
        "arousal_score": null,
        "lubrication_score": null,
        "orgasm_score": null,
        "satisfaction_score": null,
        "pain_score": null,
        "score_history": []
      }
    },

    "std_screening": {
      "last_screened": null,
      "next_due": null,
      "risk_level": "low",
      "results": {
        "hiv": {"status": null, "date": null},
        "syphilis": {"status": null, "date": null},
        "chlamydia": {"status": null, "date": null},
        "gonorrhea": {"status": null, "date": null},
        "hpv": {"status": null, "date": null},
        "hepatitis_b": {"status": null, "date": null},
        "herpes": {"status": null, "date": null}
      }
    },

    "contraception": {
      "current_method": null,
      "start_date": null,
      "effectiveness": null,
      "side_effects": [],
      "satisfaction": null,
      "history": []
    },

    "activity_log": {
      "frequency_weekly": null,
      "frequency_monthly": null,
      "satisfaction_average": null,
      "protection_usage": null,
      "last_activity": null,
      "logs": []
    },

    "medication": {
      "pde5_inhibitors": {
        "current_use": false,
        "medication": null,
        "dose": null,
        "frequency": null,
        "effectiveness": null,
        "side_effects": []
      },
      "other_medications": []
    },

    "notes": ""
  }
}

For the complete Schema definition, see schema.json。

Step 5: Save Data

Read data/sexual-health-tracker.json
Update the corresponding data
Write back to file

Execution Instructions

1. 解析用户输入，确定操作类型
2. 根据操作类型执行相应逻辑
3. 验证输入数据和状态
4. 生成符合 schema.json 的 JSON
5. 保存到 data/sexual-health-tracker.json
6. 向用户输出操作结果和摘要

Example Interactions

Example 1: IIEF-5 Scoring

用户: /sexual iief5 score 18

系统:
IIEF-5评估完成

IIEF-5总分：18分

风险评估：轻度ED

建议：
• 生活方式调整（戒烟、限酒、运动）
• 减轻压力和焦虑
• 如持续或加重，建议咨询医生

ED可能是心血管健康的预警信号，
建议关注整体健康状况。

Example 2: STD Screening

用户: /sexual std screening all clear

系统:
STD筛查已记录

筛查日期：2025年1月1日

结果：
• HIV：阴性
• 梅毒：阴性
• 衣原体：阴性
• 淋病：阴性
• 乙肝：阴性
• 疱疹：阴性

下次筛查：
建议：1年后复查

风险等级：低

Example 3: Contraception Record

用户: /sexual contraception condom

系统:
避孕记录已更新

当前方法：避孕套

有效性：
• 典型使用有效率：85%
• 完美使用有效率：98%

优点：
• 预防性传播疾病
• 无激素副作用
• 易于获得

注意事项：
• 每次使用都要正确佩戴
• 注意保质期
• 储存在阴凉干燥处

Example 4: View Status

用户: /sexual status

系统:
性健康状态概览

男性性功能：
• IIEF-5评分：18分（轻度ED）
• 最后评估：2025年1月1日

STD筛查：
• 最后筛查：2025年1月1日
• 结果：全阴性
• 下次筛查：2026年1月

避孕：
• 当前方法：避孕套
• 满意度：良好

建议：
• 3个月后复评IIEF-5
• 继续使用保护措施
• 年度STD筛查

For more examples, see examples.md。