II. Indications
- Erectile Dysfunction Evaluation
III. Questions: Based on last 6 months (each answer assigned 1-5 score)
- How do you rate your confidence that you could get and keep an Erection?
- Score 1: Very Low
- Score 2: Low
- Score 3: Moderate
- Score 4: High
- Score 5: Very High
- When you had Erections with sexual stimulation, how often were your Erections hard enough for penetration?
- Score 1: Never or almost never
- Score 2: A few times
- Score 3: Sometimes (about half the time)
- Score 4: Most times
- Score 5: Always or almost always
- During sexual intercourse, how often were you able to maintain your Erection after you had penetrated or entered your partner?
- Score 1: Never or almost never
- Score 2: A few times
- Score 3: Sometimes (about half the time)
- Score 4: Most times
- Score 5: Always or almost always
- During sexual intercourse, how difficult was it maintain your Erection to completion of intercourse?
- Score 1: Extremely difficult
- Score 2: Very difficult
- Score 3: Difficult
- Score 4: Slightly difficult
- Score 5: Not difficult
- When you attempted sexual intercourse, how often was it satisfactory for you?
- Score 1: Never or almost never
- Score 2: A few times
- Score 3: Sometimes (about half the time)
- Score 4: Most times
- Score 5: Always or almost always
IV. Interpretation: Based on total sum of scores from 5 questions above
- Scores 22 to 25: Normal
- Scores 17 to 21: Mild
- Scores 12 to 16: Mild to moderate
- Scores 8 to 11: Moderate
- Scores 5 to 7: Severe