Erectile function questionnaire

The IIEF-5 (International Index of Erectile Function-5) is an international questionnaire for identifying erectile dysfunction. Please fill in this questionnaire before seeing your doctor.

Select the answer that best describes your condition over the past six months. Write the score into the box.

1.How do you rate your confidence that you could get and keep an erection?
 1 point
 2 points
 3 points
 4 points
 5 points
2.When you had erections with sexual stimulation, how often were your erections hard enough for penetration (entering your partner)?
 1 point
 2 points
 3 points
 4 points
 5 points
3.During sexual intercourse, how often were you able to maintain your erection after you had penetrated your partner?
 1 point
 2 points
 3 points
 4 points
 5 points
4.During sexual intercourse, how difficult was it to maintain your erection to completion of intercourse?
 1 point
 2 points
 3 points
 4 points
 5 points
5.When you attempted sexual intercourse, how often was it satisfactory to you?
 1 point
 2 points
 3 points
 4 points
 5 points
Total points
 

Source: Rosen RC, et al. Urology 2006.

22 – 25 = Normal erectile function (no ED)
17 – 21 = Mild ED
12 – 16 = Mild to moderate ED
8 – 11 = Moderate ED
1 – 7 = Severe ED (5 – 7, if a man had no opportunity to engage in sexual activity)

If your score is lower than 21, it is recommended that you talk to your doctor.

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