Psychosexual Issues with Doc Laitan
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16 May 2013
FOR MEN ONLY !
Erectile function questionnaire
The IIEF-5 (International Index of Erectile Function-5) is an international questionnaire for identifying erectile dysfunction.
Select the answer that best describes your condition over the past six months
1.
How do you rate your confidence that you could get and keep an erection?
Very low
1 point
Low
2 points
Moderate
3 points
High
4 points
Very high
5 points
2.
When you had erections with sexual stimulation, how often were your erections hard enough for penetration (entering your partner)?
Almost never or never
1 point
A few times
2 points
Sometimes
3 points
Most times
4 points
Almost always or always
5 points
3.
During sexual intercourse, how often were you able to maintain your erection after you had penetrated your partner?
Almost never or never
1 point
A few times
2 points
Sometimes
3 points
Most times
4 points
Almost always or always
5 points
4.
During sexual intercourse, how difficult was it to maintain your erection to completion of intercourse?
Extremely difficult
1 point
Very difficult
2 points
Difficult
3 points
Slightly difficult
4 points
Not difficult
5 points
5.
When you attempted sexual intercourse, how often was it satisfactory to you?
Almost never or never
1 point
A few times
2 points
Sometimes
3 points
Most times
4 points
Almost always or always
5 points
20– 25 = Normal erectile function (no ED)
17 – 21 = Mild ED
12 – 16 = Mild to moderate ED
8 – 11 = Moderate ED
1 – 7 = Severe ED
If your score is lower than 21, it is recommended that you talk to someone. Doclaitan@gmail.com
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