Management of Erectile Dysfunction

Management of Erectile Dysfunction

Five-Item Version of the International Index of Erectile Function Questionnaire
1. Over the past six months, how do you rate your confidence that you could get and keep an erection?

Very Low Low Moderate High Very High
2. Over the past six months, when you had erections with sexual stimulation, how often were your erections hard enough for penetration?

Almost never or never A few times* Sometimes Most times** Almost always or always
3. Over the past six months, during sexual intercourse, how often were you able to maintain your erection after you had penetrated (entered) your partner?

Almost never or never A few times* Sometimes+ Most times** Almost always or always
4. Over the past six months, how difficult was it to maintain your erection to completion of intercourse

Extremely difficult Very difficult Difficult Slightly difficult Not difficult
5. Over the past six months, when you attempted sexual intercourse, how often was it satisfactory for you?

Almost never or never A few times* Sometimes+ Most times** Almost always or always
NOTE: The score is the sum of the above five question responses. Erectile dysfunction is classified based on these scores: 17 to 21 = mild; 12 to 16 = mild to moderate; 8 to 11 = moderate; 5 to 7 = severe.

*—Much less than one half the time.

+—About one half the time.

**--Much more than one half the time.
Adapted with permission from Rosen RC, Cappelleri JC, Smith MD, Lipsky J, Peña BM. Development and evaluation of an abridged, 5-item version of the International Index of Erectile Function (IIEF-5) as a diagnostic tool for erectile dysfunction. Int J Impot Res. 1999;11:322.

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