Fill out the Diagnosis Survey and use the Diagnosis Chart to better understand your status.
International Index of Erectile Function (IIEF – EF) Questionnaire
Write the number that best describes your erectile function for the past 4 weeks in the spaces provided |
|
Over the past four weeks: |
0 = No sexual activity |
2. When you had erections with sexual stimulation, how often were your erections hard enough for penetration? __________ |
0 = No sexual activity |
3. When you attempted sexual intercourse, how often were you able to penetrate (enter) your partner? __________ |
0 = Did not attempt intercourse |
4. During intercourse, how often were you able to maintain your erection after you had penetrated (entered) your partner? __________ |
0 = Did not attempt intercourse |
5. During sexual intercourse, how difficult was it to maintain your erection to completion of intercourse? __________ |
0 = Did not attempt intercourse |
15. How would you rate your confidence that you could get and keep an erection? __________ |
1 = Very low |
Total IIEF-EF Score: __________
Clinical Interpretation
Erectile function total scores can be interpreted as follows:
Score |
Interpretation |
|
1-10 |
Severe dysfunction |
|
11-16 |
Moderate dysfunction |
|
17-21 |
Mild to moderate dysfunction |
|
22-25 |
Mild dysfunction |
|
26-30 |
No ED |
|
The International Index of Erectile Function (IIEF): a state-of-the-science review |
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R C Rosen1, J C Cappelleri2 and N Gendrano III1 |
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1Department of Psychiatry, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, Piscataway, New Jersey, USA 2Pfizer Inc, Global Research and Development, Groton, Connecticut, USA |