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>>>16.09 Male Sexual Dysfunction
>>>16.09.07 The 5-Item Version of the International Index of Erectile Function (IIEF-5)
Overview:
Rosen et al developed a shortened version of the 15-item International Index of Erectile Function (IIEF) that contained 5 items the IIEF-5. The items focus on erectile function and intercourse satisfaction. This was shown to be an excellent diagnostic test for erectile dysfunction.
Over the past 4 weeks:
|
Question |
Response |
|
|
(1) How do you rate your confidence that you could get an keep an erection? |
very low or none at all |
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 or 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 or always |
5 |
|
(3) During sexual intercourse how often were you able to maintain your erection after you had penetrated (entered) your partner? |
almost never or 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 |
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almost always or always |
5 |
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(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 |
|
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not difficult |
5 |
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(5) When you attempted sexual intercourse how often was it satisfactory for you? |
almost never or never |
1 |
|
a few times (much less than half the time) |
2 |
|
|
sometimes (about half the time) |
3 |
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most times (much more than half the time) |
4 |
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almost always or always |
5 |
where:
• These questions correspond to questions 15 2 4 5 and 7 of the original International Index (see above).
score =
= SUM(points for the 5 questions)
Interpretation:
• minimum score: 1
• maximum score: 25
• The higher the score the better the erectile function.
• The weighted kappa for classifying patients correctly was 0.82
|
Score |
Interpretation |
|
22 – 25 |
no erectile dysfunction |
|
17 – 21 |
mild erectile dysfunction |
|
12- 16 |
mild to moderate ED |
|
8 – 11 |
moderate erectile dysfunction |
|
5 - 7 |
severe erectile dysfunction |
References:
Rosen RC Cappelleri JC et al. Development and evaluation of an abridged 5 version of the International Index of Erectile Function (IIEF-5) as a diagnostic tool for erectile dysfunction. International J Impotence Research. 1999; 11: 319-326.
Zesiewicz TA Helal M Hauser RA. Sildenafil citrate (Viagra) for the treatment of erectile dysfunction in men with Parkinson's disease. Movement Disorders. 2000; 15: 305-308.
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