https://www.hiv.va.gov/provider/manual-primary-care/urology-tool2.asp 2019. 01. 12. The International Index of Erectile Function (IIEF-5) Questionnaire - HIV/AIDS https://www.hiv.va.gov/provider/manual-primary-care/urology-tool2.asp 1/3 HIV/AIDS The International Index of Erectile Function (IIEF-5) Questionnaire 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 youco uld 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 From Urology (/provider/manual-primary-care/urology.asp) Primary Care of Veterans with HIV Office of Clinical Public Health Programs Veterans Health Administration, 2009 2019. 01. 12. The International Index of Erectile Function (IIEF-5) Questionnaire - HIV/AIDS https://www.hiv.va.gov/provider/manual-primary-care/urology-tool2.asp 3/3 U.S. Department of Veterans Affairs | 810 Vermont Avenue, NW Washington DC 20420 Last updated February 9, 2018