Test your health - IIEF: INTERNATIONAL INDEX of ERECTILE DYSFUNCTION QUESTIONNAIRE

This questionnaire has been developed for the study of male sexual function , and consists in its entirety of 15 multiple-choice questions . Here are reported only the 6 questions that analyze the penile erection ( Erectile Function Domain Score) because are those commonly used in clinical practice everyday . The questionnaire, do not in any way replace the medical examination which remains the essential tool for the evaluation of patients with erectile dysfunction.

These questions concern the effects that your erection problems have had on your sex life in the past 4 weeks. Please answer the following questions as honestly and clearly as possible. If you are uncertain about how to respond , please tick only the answer you think best . Also keep in mind the following definitions :

• Sexual intercourse : defined as vaginal penetration
• • Sexual Activity : includes sexual intercourse , caressing , foreplay and masturbation
• • • Ejaculation : emission of sperm from the penis ( or the feeling of this )
• • • • Sexual stimulation : includes situations like foreplay with your partner,see erotic videos , etc. .

---

The International Index of Erectile Function (IIEF-5) Questionnaire

Reprinted by permission from Macmillan Publishers Ltd: Rosen RC, Cappelleri JC, Smith MD, et al. 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 Dec;11(6):319-26. © 1999
Over the past 6 months:
1. How do you rate your confidence that you could get and keep an erection?	Very low 1	Low 2	Moderate 3	High 4	Very high 5
2. When you had erections with sexual stimulation, how often were your erections hard enough for penetration?	Almost never/never 1	A few times (much less than half the time) 2	Sometimes (about half the time) 3	Most times (much more than half the time) 4	Almost always/always 5
3. During sexual intercourse, how often were you able to maintain your erection after you had penetrated (entered) your partner?	Almost never/never 1	A few times (much less than half the time) 2	Sometimes (about half the time) 3	Most times (much more than half the time)4	Almost always/always 5
4. During sexual intercourse, how difficult was it to maintain your erection to completion of intercourse?	Extremely difficult 1	Very difficult 2	Difficult 3	Slightly difficult 4	Not difficult 5
5. When you attempted sexual intercourse, how often was it satisfactory for you?	Almost never/never 1	A few times (much less than half the time) 2	Sometimes (about half the time) 3	Most times (much more than half the time) 4	Almost always/always 5
IIEF-5 scoring: The IIEF-5 score is the sum of the ordinal responses to the 5 items. 22-25: No erectile dysfunction 17-21: Mild erectile dysfunction 12-16: Mild to moderate erectile dysfunction 8-11: Moderate erectile dysfunction 5-7: Severe erectile dysfunction