Methodology

How this was built, and what it doesn't claim.

If you're going to trust a 15-question read on something this private, you should know exactly where the questions came from, how the report is assembled, and where the limits are.

The 15 questions

The intake was modelled on the structure of a real urology consult opening: chief complaint, duration, the morning-erection screen, lifelong-vs-acquired distinction, medical history, current medications, lifestyle (sleep, alcohol, nicotine, activity), and mood. The wording is deliberately plain so a man can answer honestly without having to learn the vocabulary first.

The screening questions draw on validated instruments rather than being invented from scratch. Specifically:

• The erection-function questions are adapted from the International Index of Erectile Function (IIEF / IIEF-5 / SHIM).
• The premature-ejaculation questions are adapted from the Premature Ejaculation Diagnostic Tool (PEDT).
• The desire and mood questions are adapted from elements of the Sexual Desire Inventory and the PHQ-2/PHQ-9, used as screening, not diagnosis.
• The lifestyle and history questions follow the structure recommended in the AUA Erectile Dysfunction Guideline and NICE CKS for sexual-dysfunction intake.

How the report is generated

The report is template-based, not free-form generated. Your 15 answers select from a fixed library of report fragments written and signed off in advance by our medical reviewer. There is no live model output dressed up as medical writing.

Each fragment was written to do four things, in this order:

1. Name the most likely driver, in plain language, given the pattern of answers.
2. Name what is most likely to actually help, with concrete starting actions.
3. Name what is known to waste your time in this pattern (specific supplements, "tricks," common myths).
4. Name the red flags that mean you should see a clinician in person, not finish reading this.

What this explicitly does not do

• It does not diagnose. A diagnosis requires a clinician examining you in person, often with bloodwork and history we cannot collect.
• It does not prescribe. Nothing in the report is a prescription. Where prescription medication is the standard of care, the report says so and tells you to see a clinician.
• It does not replace urgent care. Symptoms like sudden severe pain, priapism, blood in semen or urine, testicular lumps, or new severe ED with chest symptoms are flagged as in-person urgencies, not topics to read about.
• It does not cover everyone. The intake is built for adult men and is not appropriate for under-18s, post-surgical recovery cases, or rare endocrine conditions, all of which need clinician guidance.

Editorial & review process

1. Drafting. A new question or a new report fragment is drafted by the editorial lead.
2. Source-binding. Each clinical claim is tied to at least one peer-reviewed source or guideline before it can be staged.
3. Medical review. The medical reviewer (board-certified urologist) reviews wording, accuracy, and the absence of inappropriate certainty.
4. Outside review. Sensitive topics (mental-health language, medication interactions) get an additional outside reviewer where relevant.
5. Date-stamping. Every page carries a "last reviewed" date. We re-review the full intake and report library at least every 6 months.

Corrections policy

If you spot a factual error or an out-of-date citation, email editor@mysecretdoctor.com. Verified corrections are made within 7 days, the affected page's "last reviewed" date is bumped, and a one-line note is added to the bottom of this page describing what changed.

Recent corrections: none on file as of April 2026.

Conflicts of interest

None of the editorial team or the medical reviewer holds equity in, or receives payments from, any pharmaceutical, supplement, or telehealth company referenced in the report. The reviewer's clinical practice is disclosed in their bio on the About page.

Data & privacy

The intake runs entirely in your browser. Your 15 answers are kept in sessionStorage on the device you used and are gone when the tab closes. We run no third-party analytics, ad pixels, or session-replay tools on the audit. Payment for the report is handled by Dodo Payments at checkout, under their terms. Full detail is on the About page.

References

1. Rosen RC, Riley A, Wagner G, Osterloh IH, Kirkpatrick J, Mishra A. The International Index of Erectile Function (IIEF): a multidimensional scale for assessment of erectile dysfunction. Urology. 1997;49(6):822–30. PMID 9187685.
2. Symonds T, Perelman MA, Althof S, Giuliano F, Martin M, May K, et al. Development and validation of a Premature Ejaculation Diagnostic Tool (PEDT). Eur Urol. 2007;52(2):565–73. PMID 17207912.
3. Mulhall JP, Trost LW, Brannigan RE, Kurtz EG, Redmon JB, Chiles KA, et al. Evaluation and management of testosterone deficiency: AUA guideline. J Urol. 2018;200(2):423–32. AUA.
4. Burnett AL, Nehra A, Breau RH, Culkin DJ, Faraday MM, Hakim LS, et al. Erectile dysfunction: AUA guideline. J Urol. 2018; amended 2024. AUA.
5. National Institute for Health and Care Excellence. Erectile dysfunction: clinical knowledge summary. NICE CKS. cks.nice.org.uk/topics/erectile-dysfunction.
6. Spitzer RL, Kroenke K, Williams JBW. Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. JAMA. 1999;282(18):1737–44. PMID 10568646.