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Intimate Health

The part nobody asks about.

Sexual function, pelvic health and pain, measured properly.

Intimate Health brings sexual function, pelvic health, pain and continence into a structured longitudinal record. Validated measurement principles, life-stage context and permission-led sharing support more informed conversations while clinical judgement remains with qualified professionals.

Published reference

A disciplined framework for an underrepresented area of health.

These figures define Intimate Health's public scope and the published measurement landscape. They are reference points, not Shiora outcomes or a claim that every cited instrument is currently deployed.

4public program areas: sexual function, pelvic health, pain and continence
6domains in the published Female Sexual Function Index reference model
20questions in the published Pelvic Floor Distress Inventory short form
3symptom scales in the published PFDI-20 structure

Reference metrics, not Shiora outcomes. Sources: FSFI development study and PFDI-20 validation study.

Program architecture

A dedicated pathway for intimate health.

The program combines private education, clearer symptom language and consent-led routes to qualified support without collapsing sensitive experiences into a generic wellbeing journey.

Intimacy and body education

Access anatomy, sexual response, pleasure, body image and myth-correction resources privately and at an appropriate pace.

Clear information helps members prepare questions without presenting education as diagnosis or treatment.

Understand

Sexual pain support

Learn about concerns such as vaginismus, vulvodynia and dyspareunia and prepare for qualified assessment.

Symptoms, timing and relevant life-stage context can remain connected for a more focused clinical conversation.

Prepare

Desire and relationship context

Consider hormonal, emotional, medication, physical and relationship factors around desire.

Communication and partner resources remain optional, with personal sharing controlled by the member.

Connect

Specialist and pelvic health connections

Connect with sex therapy, pelvic physical therapy, gynecology or couples care where available.

Professional assessment remains central whenever pain, bleeding or a change in function requires review.

Explore the pathway

The program in practice

Private enough to answer honestly. Structured enough to use.

Intimate Health turns sensitive change into language a member can choose to keep private or bring into care.

What you see

A private timeline across function, pain, pelvic health and continence.

You can record what changed, when it began, how it affects daily life and which life events sit around it. Repeated structured measures can show direction. A selected summary can support a clinical conversation without exposing the rest of the record.

Private by design

Worked example

Illustrative record: Sofia, with simulated information.

After childbirth, Sofia records pain and a change in continence. Sana places those entries beside the birth and recovery context already held in Cycles and Pregnancy, then helps her prepare the timing, impact and questions she wants to discuss with a pelvic-health clinician. Sofia chooses the summary to share. The record does not assign a diagnosis.

Simulated example

What it needs from you

Only the information you are comfortable recording.

Timing, location, severity, change and impact can make a later conversation more precise. Medication, surgery, pregnancy, postpartum and menopause context can be connected when relevant. Partner access and clinician sharing remain optional and permission led.

Consent led

How it connects

Intimate health is read beside the events that can change it.

Cycles and Pregnancy provides cycle, pregnancy and postpartum context. Menopause and Midlife preserves menopause-stage information. Mind and Mood keeps mood, anxiety and trauma-related support distinct but connected. Prevention and Vitality contributes relevant prevention and physical-health history. Specialist Care can place intimate-health concerns beside fertility treatment without making them visible to a clinic unless the member chooses.

One record

Clinical structure

Four clinical views. One coherent record.

Validated instruments can make sensitive experiences easier to describe consistently, while professional assessment remains essential.

Sexual function

Published measures can organise desire, arousal, lubrication, orgasm, satisfaction and pain.

Intimate Health keeps any selected measure beside the life events that can affect how a person feels.

Structured

Pelvic health

Urinary, prolapse and colorectal or anal symptoms may require different clinical conversations.

A structured record can preserve symptom timing and impact without treating a questionnaire as a diagnosis.

Contextual

Pain

Location, timing, severity and change over time all matter.

Intimate Health keeps the person's description connected to relevant reproductive, surgical and treatment history.

Longitudinal

Continence

Urinary and bowel symptoms can affect daily life, confidence and intimacy.

Recording the pattern can help someone explain what is happening and what has changed.

Person reported

The connected record

Change appears with its context.

Childbirth, pelvic surgery, cancer treatment, medicines and the menopausal transition can all change intimate health. Intimate Health is designed to keep those events beside the symptoms and measures recorded later.

  • A timeline shows when change began.
  • Repeated measures can show direction without claiming a diagnosis.
  • Relevant history can travel into a clinician conversation without rebuilding the story from memory.
  • The individual remains in control of access to the record.

Program boundary

A score starts a conversation. It does not finish one.

Validated questionnaires can support screening, monitoring and communication, but they do not identify every cause of pain, sexual change, prolapse or incontinence. Clinical review may include history, examination, testing or referral.

Specific licensed instruments should only be named as Intimate Health features after clinical review and licensing are complete. The research references on this page explain the measurement landscape, not a current instrument inventory.

Program and pathway questions

Intimate Health FAQs.

Clear answers on scope, privacy, partners and the program's measurement and care boundaries.

What does Intimate Health cover?

Intimate Health's public scope covers sexual function, pelvic health, pain and continence, with those experiences connected to the wider Shiora record.

Why use validated clinical instruments?

Validated instruments provide consistent questions and published scoring methods. They can make change easier to describe and compare over time, but they do not replace clinical judgement.

Does Intimate Health use the FSFI or PFDI-20?

This page cites those published instruments to explain the field. The exact instrument set should only be presented as an Intimate Health feature after clinical review, appropriate licensing and implementation are complete.

Can a questionnaire diagnose a sexual health condition?

No. A questionnaire can structure symptoms and their impact. Diagnosis requires an appropriately qualified clinician and may require further assessment.

How does Shiora address sexual pain?

The program provides education about concerns such as vaginismus, vulvodynia and dyspareunia, guidance for preparing for care and connections with qualified pelvic-floor professionals where available.

How is intimate health information kept private?

Intimate-health information is designed to remain compartmentalised, with encrypted handling and permission-led connections. You control what is shared.

Can partners use selected resources together?

Yes. Communication exercises, shared education and couples activities can be used together when you choose. Private information is not automatically shared.

How is low desire supported?

Sana helps place desire in a wider context that can include hormones, stress, medication, physical health and relationships, then supports referral when medical assessment is appropriate.

Is trauma-informed support provided?

Yes. Shiora offers trauma-informed resources at your pace and can connect with Mind and Mood or trauma-specialised professionals. It does not replace trauma therapy.

How does menopause connect with intimate health?

Intimate Health can connect with Menopause and Midlife to place vaginal dryness, tissue changes, pain or desire shifts within the wider menopause conversation. Treatment advice remains with a qualified clinician.

How is postpartum intimacy supported?

The program can connect with Cycles and Pregnancy around physical recovery, hormonal changes, fatigue, body image, pain and relationship changes after birth.

Can I share only selected information?

Yes. You choose which relevant information to share and with whom. A clinician summary does not make the rest of the intimate-health record visible by default.

Clinical references: Rosen and colleagues, FSFI development; Barber and colleagues, PFDI-20 and PFIQ-7 validation; WHO menopause fact sheet.

One continuous record

Every Shiora program reads the same record.

What you log here counts in every other chapter of your life, and it stays yours.

Start your record