{"id":4699,"date":"2022-02-04T08:00:00","date_gmt":"2022-02-04T01:00:00","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?p=4699"},"modified":"2026-08-25T00:20:15","modified_gmt":"2026-08-24T17:20:15","slug":"evaluation-de-la-dysfonction-erectile","status":"publish","type":"post","link":"https:\/\/drsoaraweeurology.com\/fr\/2022\/02\/04\/erectile-dysfunction-assessment\/","title":{"rendered":"\u00c9valuation de la dysfonction \u00e9rectile : Le Questionnaire IIEF-5"},"content":{"rendered":"\n<div class=\"wp-block-columns coblocks-author-columns has-background is-layout-flex wp-container-core-columns-is-layout-52275889 wp-block-columns-is-layout-flex\" style=\"background-color:#8C8C971A;padding-top:2.5rem;padding-right:2.5rem;padding-bottom:2.5rem;padding-left:2.5rem\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\n<figure class=\"wp-block-image size-full is-style-rounded\"><img data-recalc-dims=\"1\" fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"800\" data-attachment-id=\"7037\" data-permalink=\"https:\/\/drsoaraweeurology.com\/fr\/new-photo-2024\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" data-orig-size=\"800,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=800%2C800&#038;ssl=1\" alt=\"Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand\" class=\"wp-image-7037\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?w=800&amp;ssl=1 800w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=300%2C300&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=150%2C150&amp;ssl=1 150w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=768%2C768&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=12%2C12&amp;ssl=1 12w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=600%2C600&amp;ssl=1 600w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=400%2C400&amp;ssl=1 400w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=200%2C200&amp;ssl=1 200w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:75%\">\n<p class=\"wp-block-paragraph\"><strong><a href=\"https:\/\/drsoaraweeurology.com\/\" target=\"_blank\" rel=\"noreferrer noopener\">Soarawee Weerasopone, Urologist<\/a><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" target=\"_blank\" rel=\"noreferrer noopener\">Bangkok hospital Headquarter, Bangkok<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"tel:+66880221445\" target=\"_blank\" rel=\"noreferrer noopener\">Samitivej Sriracha Hospital \u2014 Urology department: <strong>088-022-1445<\/strong><\/a><\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button is-style-outline is-style-outline--1\"><a class=\"wp-block-button__link has-background-background-color has-text-color has-background has-link-color has-small-font-size has-custom-font-size wp-element-button\" href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" style=\"color:#1b4965\" target=\"_blank\" rel=\"noreferrer noopener\">Book a Consultation<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<ul class=\"wp-block-social-links aligncenter has-normal-icon-size is-style-default coblocks-animate is-content-justification-center is-layout-flex wp-container-core-social-links-is-layout-3e41869c wp-block-social-links-is-layout-flex\"><li class=\"wp-social-link wp-social-link-wordpress wp-block-social-link\"><a href=\"https:\/\/drsoaraweeurology.com\/\" class=\"wp-block-social-link-anchor\"><svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M12.158,12.786L9.46,20.625c0.806,0.237,1.657,0.366,2.54,0.366c1.047,0,2.051-0.181,2.986-0.51 c-0.024-0.038-0.046-0.079-0.065-0.124L12.158,12.786z M3.009,12c0,3.559,2.068,6.634,5.067,8.092L3.788,8.341 C3.289,9.459,3.009,10.696,3.009,12z M18.069,11.546c0-1.112-0.399-1.881-0.741-2.48c-0.456-0.741-0.883-1.368-0.883-2.109 c0-0.826,0.627-1.596,1.51-1.596c0.04,0,0.078,0.005,0.116,0.007C16.472,3.904,14.34,3.009,12,3.009 c-3.141,0-5.904,1.612-7.512,4.052c0.211,0.007,0.41,0.011,0.579,0.011c0.94,0,2.396-0.114,2.396-0.114 C7.947,6.93,8.004,7.642,7.52,7.699c0,0-0.487,0.057-1.029,0.085l3.274,9.739l1.968-5.901l-1.401-3.838 C9.848,7.756,9.389,7.699,9.389,7.699C8.904,7.67,8.961,6.93,9.446,6.958c0,0,1.484,0.114,2.368,0.114 c0.94,0,2.397-0.114,2.397-0.114c0.485-0.028,0.542,0.684,0.057,0.741c0,0-0.488,0.057-1.029,0.085l3.249,9.665l0.897-2.996 C17.841,13.284,18.069,12.316,18.069,11.546z M19.889,7.686c0.039,0.286,0.06,0.593,0.06,0.924c0,0.912-0.171,1.938-0.684,3.22 l-2.746,7.94c2.673-1.558,4.47-4.454,4.47-7.771C20.991,10.436,20.591,8.967,19.889,7.686z M12,22C6.486,22,2,17.514,2,12 C2,6.486,6.486,2,12,2c5.514,0,10,4.486,10,10C22,17.514,17.514,22,12,22z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">WordPress<\/span><\/a><\/li>\n\n<li class=\"wp-social-link wp-social-link-linkedin wp-block-social-link\"><a href=\"https:\/\/www.linkedin.com\/in\/soarawee-weerasopone\/\" class=\"wp-block-social-link-anchor\"><svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M19.7,3H4.3C3.582,3,3,3.582,3,4.3v15.4C3,20.418,3.582,21,4.3,21h15.4c0.718,0,1.3-0.582,1.3-1.3V4.3 C21,3.582,20.418,3,19.7,3z M8.339,18.338H5.667v-8.59h2.672V18.338z M7.004,8.574c-0.857,0-1.549-0.694-1.549-1.548 c0-0.855,0.691-1.548,1.549-1.548c0.854,0,1.547,0.694,1.547,1.548C8.551,7.881,7.858,8.574,7.004,8.574z M18.339,18.338h-2.669 v-4.177c0-0.996-0.017-2.278-1.387-2.278c-1.389,0-1.601,1.086-1.601,2.206v4.249h-2.667v-8.59h2.559v1.174h0.037 c0.356-0.675,1.227-1.387,2.526-1.387c2.703,0,3.203,1.779,3.203,4.092V18.338z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">LinkedIn<\/span><\/a><\/li>\n\n<li class=\"wp-social-link wp-social-link-mail wp-block-social-link\"><a href=\"mailto:bhquro@bdms.co.th\" class=\"wp-block-social-link-anchor\"><svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M19,5H5c-1.1,0-2,.9-2,2v10c0,1.1.9,2,2,2h14c1.1,0,2-.9,2-2V7c0-1.1-.9-2-2-2zm.5,12c0,.3-.2.5-.5.5H5c-.3,0-.5-.2-.5-.5V9.8l7.5,5.6,7.5-5.6V17zm0-9.1L12,13.6,4.5,7.9V7c0-.3.2-.5.5-.5h14c.3,0,.5.2.5.5v.9z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">E-mail<\/span><\/a><\/li><\/ul>\n\n\n\n<style>\n\/* Hover effect for Social Dr Pom Block - Social Icons *\/\n.wp-block-social-links .wp-social-link {\n  transition: transform 0.2s ease, opacity 0.2s ease !important;\n}\n.wp-block-social-links .wp-social-link:hover {\n  transform: scale(1.15);\n  opacity: 0.9;\n}\n<\/style>\n\n<div class=\"dr-pom-academic-icons\" style=\"display: flex; gap: 16px; margin-top: 12px; align-items: center; justify-content: center;\">\n  \n  <a href=\"https:\/\/www.researchgate.net\/profile\/Soarawee-Weerasopone\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"ResearchGate Profile\"\n     aria-label=\"View ResearchGate Profile\"\n     style=\"text-decoration: none; color: #00CCBB; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewBox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M19.586 0c-.818 0-1.508.19-2.073.565-.563.377-.97.936-1.213 1.68a3.193 3.193 0 0 0-.112.437 8.365 8.365 0 0 0-.078.53 9 9 0 0 0-.05.727c-.01.282-.013.621-.013 1.016a31.121 31.121 0 0 0 .014 1.017 9 9 0 0 0 .05.727 7.946 7.946 0 0 0 .077.53h.001c.024.115.06.262.112.438.243.743.65 1.303 1.213 1.68.565.376 1.255.564 2.073.564.8 0 1.536-.213 2.105-.603.57-.39.94-.916 1.175-1.65.076-.235.135-.558.177-.93a15.4 15.4 0 0 0 .063-1.207v-.512a.27.27 0 0 0-.273-.273h-2.95a.27.27 0 0 0-.274.273v.785c0 .228.0.343.273.343h1.337c.094 0 .14.045.14.137 0 .61-.063 1.043-.155 1.318-.182.546-.7 1.018-1.683 1.018-.654 0-1.135-.114-1.475-.356-.34-.244-.55-.585-.658-1.024a3.797 3.797 0 0 1-.111-.43 5.515 5.515 0 0 1-.06-.51 19.85 19.85 0 0 1-.025-.726c-.004-.28-.004-.628-.004-1.045 0-.418 0-.766.004-1.046a19.85 19.85 0 0 1 .025-.726 5.475 5.475 0 0 1 .06-.51 3.785 3.785 0 0 1 .111-.43c.108-.44.318-.78.658-1.024.34-.243.82-.357 1.475-.357.6 0 1.064.078 1.413.293.347.215.595.515.74.91.063.155.166.21.31.156l.967-.4c.15-.058.187-.18.13-.32a3.025 3.025 0 0 0-1.262-1.452C21.12.218 20.428.0 19.586 0zM8.512 4.32c-2.7 0-4.066.997-4.066 3.06v.04c0 1.92.992 2.83 3.046 2.83 1.27 0 2.038-.39 2.385-1.05h.13l.067.51c.04.2.207.34.41.34h.99V7.95c0-2.59-1.06-3.63-2.962-3.63zm-.18 1.61c1.118 0 1.628.56 1.628 1.86v.4l-1.65.16c-1.35.13-1.86.46-1.86 1.13v.04c0 .67.41 1.06 1.45 1.06.85 0 1.55-.32 1.93-.84.04-.06.13-.07.18-.02.05.03.07.1.07.16v.43c0 .26.13.42.34.42h1.05c.21 0 .34-.16.34-.42v-3.6c0-1.94-1.13-2.83-3.46-2.83-1.94 0-3.07.86-3.4 2.04l1.55.45c.18-.69.6-1.04 1.83-1.04zM2.135 16.314c-.587 0-1.066-.156-1.434-.469-.367-.312-.618-.704-.752-1.176-.034-.124-.061-.232-.082-.327a3.794 3.794 0 0 1-.044-.366 8.83 8.83 0 0 1-.022-.547C0 13.221 0 12.985 0 12.704c0-.281 0-.515.001-.704a8.81 8.81 0 0 1 .022-.547 3.802 3.802 0 0 1 .044-.366c.02-.094.048-.203.082-.328.134-.471.385-.864.752-1.176.368-.313.847-.469 1.434-.469.477 0 .892.087 1.246.262.353.175.622.443.806.804.044.083.083.157.117.222.034.066.069.144.105.235.022.054.011.099-.034.135l-.66.292c-.045.027-.082.013-.112-.045a4.043 4.043 0 0 0-.155-.27 1.247 1.247 0 0 0-.49-.495c-.225-.131-.522-.196-.892-.196-.402 0-.726.064-.972.193-.247.13-.422.302-.527.518-.027.045-.054.099-.082.16a1.39 1.39 0 0 0-.067.197 2.46 2.46 0 0 0-.05.282 5.51 5.51 0 0 0-.033.43c-.008.17-.013.376-.013.617 0 .242.005.448.013.618.008.17.02.314.034.43.013.117.03.21.05.282.02.072.042.137.066.197.105.216.28.39.527.518.246.13.57.193.972.193.4 0 .714-.07.94-.21.227-.14.394-.346.503-.617a2.43 2.43 0 0 0 .104-.395c.018-.123.027-.282.027-.477V13.2H2.34c-.04 0-.06-.02-.06-.062v-.5c0-.04.02-.062.06-.062h1.812c.04 0 .062.02.062.06v.5c0 .156-.005.296-.014.422a4.71 4.71 0 0 1-.04.342 1.732 1.732 0 0 1-.064.262c-.13.523-.402.913-.815 1.17-.413.255-.95.382-1.61.382z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/orcid.org\/0009-0004-8387-3559\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"ORCID iD\"\n     aria-label=\"View ORCID Profile\"\n     style=\"text-decoration: none; color: #A6CE39; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewBox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M12 0C5.372 0 0 5.372 0 12s5.372 12 12 12 12-5.372 12-12S18.628 0 12 0zM7.369 4.378c.525 0 .947.431.947.947 0 .525-.422.947-.947.947-.525 0-.946-.422-.946-.947 0-.525.421-.947.946-.947zm-.722 3.038h1.444v10.041H6.647V7.416zm3.562 0h3.9c3.712 0 5.344 2.653 5.344 5.025 0 2.578-2.016 5.025-5.325 5.025h-3.919V7.416zm1.444 1.303v7.444h2.297c3.272 0 4.022-2.484 4.022-3.722 0-2.016-1.284-3.722-4.097-3.722h-2.222z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/scholar.google.com\/citations?user=lTgsRMUAAAAJ&#038;hl=en\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"Google Scholar\"\n     aria-label=\"View Google Scholar Profile\"\n     style=\"text-decoration: none; color: #4285F4; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewBox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M5.242 13.769L0.5 9.5 12 1l11.5 8.5-4.742 4.269C17.548 11.249 14.978 9.5 12 9.5c-2.977 0-5.548 1.748-6.758 4.269zM12 10a7 7 0 1 0 0 14 7 7 0 0 0 0-14z\"\/>\n    <\/svg>\n  <\/a>\n  \n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Erectile dysfunction is difficult to talk about and easy to postpone, which is why a short questionnaire is useful: it turns something vague and embarrassing into a number you can bring to an appointment. The tool used worldwide is the <strong>IIEF-5<\/strong>, also known as the Sexual Health Inventory for Men (SHIM) \u2014 a five-question version of the longer International Index of Erectile Function, designed to be completed in about two minutes.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This article explains what it asks, how it is scored and what the result means. But before any of that, there are two things the score cannot tell you, and one of them matters more than the erection does.<\/p>\n\n\n<script type=\"application\/ld+json\">\r\n{\r\n  \"@context\": \"https:\/\/schema.org\",\r\n  \"@type\": \"FAQPage\",\r\n  \"mainEntity\": [\r\n    {\r\n      \"@type\": \"Question\",\r\n      \"name\": \"What is the IIEF-EF questionnaire for erectile dysfunction?\",\r\n      \"acceptedAnswer\": {\r\n        \"@type\": \"Answer\",\r\n        \"text\": \"The IIEF-EF (International Index of Erectile Function \u2013 Erection Function) is a validated medical questionnaire used by urologists to assess the severity of erectile dysfunction. It consists of 6 questions about a man's sexual function over the past four weeks, covering erection frequency, hardness, ability to penetrate, ability to maintain erection, difficulty maintaining erection, and confidence in erections.\"\r\n      }\r\n    },\r\n    {\r\n      \"@type\": \"Question\",\r\n      \"name\": \"How many questions are in the IIEF-EF questionnaire?\",\r\n      \"acceptedAnswer\": {\r\n        \"@type\": \"Answer\",\r\n        \"text\": \"The IIEF-EF questionnaire contains 6 questions. They assess: how often erections occur during sexual activity, how often erections are hard enough for penetration, how often penetration is achieved, how often erection is maintained after penetration, how difficult it is to maintain erection to completion, and confidence in getting and keeping an erection.\"\r\n      }\r\n    },\r\n    {\r\n      \"@type\": \"Question\",\r\n      \"name\": \"Why do urologists use the IIEF-EF questionnaire?\",\r\n      \"acceptedAnswer\": {\r\n        \"@type\": \"Answer\",\r\n        \"text\": \"The IIEF-EF is used because erectile dysfunction affects not only the patient but also their partner significantly. It provides urologists with a standardized, objective measurement of erectile function severity, which is essential alongside medical history, physical examination, and laboratory investigations when evaluating a patient.\"\r\n      }\r\n    },\r\n    {\r\n      \"@type\": \"Question\",\r\n      \"name\": \"What time period does the IIEF-EF questionnaire cover?\",\r\n      \"acceptedAnswer\": {\r\n        \"@type\": \"Answer\",\r\n        \"text\": \"The IIEF-EF questionnaire asks patients to reflect on their sexual function over the past four weeks. Patients are encouraged to answer as honestly and clearly as possible to ensure accurate assessment.\"\r\n      }\r\n    },\r\n    {\r\n      \"@type\": \"Question\",\r\n      \"name\": \"Is erectile dysfunction a common problem?\",\r\n      \"acceptedAnswer\": {\r\n        \"@type\": \"Answer\",\r\n        \"text\": \"Yes. Erectile dysfunction is one of the most common men's health issues seen in urology clinics. It can affect men of various ages and has a significant negative impact on quality of life and relationships. It is a natural medical condition that deserves open discussion and proper evaluation by a urologist or andrologist.\"\r\n      }\r\n    }\r\n  ]\r\n}\r\n<\/script>\n\n\n\n<h2 class=\"wp-block-heading\">What the Score Cannot Tell You<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>First: it cannot tell you why.<\/strong> A score of 11 tells you the problem is moderate; it says nothing about whether the cause is vascular, hormonal, neurological, drug-related or psychological \u2014 and those are treated very differently. Self-scoring and then buying tablets online skips the only step that actually matters.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Second, and more important: erectile dysfunction is frequently the earliest sign of vascular disease.<\/strong> The arteries supplying the penis are narrower than the coronary arteries, so the same process shows up there first \u2014 often years before any heart symptom. A man in his forties or fifties with new erectile dysfunction and no obvious explanation is, statistically, a man who should have his cardiovascular risk assessed. That is the single strongest argument for not treating this quietly by yourself, and it is why the assessment covers blood pressure, blood sugar, cholesterol, weight, sleep and testosterone rather than just the erection. I have written more about that in <a href=\"https:\/\/drsoaraweeurology.com\/2020\/07\/31\/erectile-dysfunction-ed\/\">the four causes behind almost every case of ED<\/a>.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Get seen urgently for these<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Chest pain or breathlessness on exertion, or on sexual activity<\/strong> \u2014 emergency department, or 1669 in Thailand<\/li>\n\n\n\n<li><strong>An erection lasting more than four hours<\/strong>, especially a painful one without arousal. This is priapism, a true emergency: treated within four to six hours it usually resolves, while delay beyond twenty-four hours makes permanent erectile dysfunction likely<\/li>\n\n\n\n<li><strong>Erectile dysfunction that began suddenly after an injury to the perineum or pelvis<\/strong>, or alongside new numbness in the groin, leg weakness or bladder or bowel changes \u2014 these need assessment now, not a questionnaire<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"4721\" data-permalink=\"https:\/\/drsoaraweeurology.com\/fr\/2022\/02\/04\/erectile-dysfunction-assessment\/indoor-shot-of-upset-female-in-bed-shrugging-shoulders-in-confusion-worrying-about-her-husband-who-is-suffering-from-impotence-but-keeps-trying-to-do-his-best-and-be-able-to-perform-sexually\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/02\/Upset-couple.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;5.6&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;Canon EOS 5D Mark II&quot;,&quot;caption&quot;:&quot;Indoor shot of upset female in bed shrugging shoulders in confusion, worrying about her husband who is suffering from impotence but keeps trying to do his best and be able to perform sexually&quot;,&quot;created_timestamp&quot;:&quot;1504463542&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;43&quot;,&quot;iso&quot;:&quot;100&quot;,&quot;shutter_speed&quot;:&quot;0.00625&quot;,&quot;title&quot;:&quot;Indoor shot of upset female in bed shrugging shoulders in confusion, worrying about her husband who is suffering from impotence but keeps trying to do his best and be able to perform sexually&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Erectile dysfunction always upset couple life.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Erectile dysfunction always upset couple life.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/02\/Upset-couple.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/02\/Upset-couple.jpg?resize=800%2C533&#038;ssl=1\" alt=\"A couple sitting apart looking troubled \u2014 erectile dysfunction affects partners as well and is worth addressing early\" class=\"wp-image-4721\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/02\/Upset-couple.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/02\/Upset-couple.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/02\/Upset-couple.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/02\/Upset-couple.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/02\/Upset-couple.jpg?resize=18%2C12&amp;ssl=1 18w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">The effect is rarely confined to one person, which is part of why postponing it costs so much.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">What the IIEF-5 Asks About<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><em>A note on why the questions themselves are not reproduced here: the IIEF is a copyrighted instrument, and licensing for its use is administered by the Mapi Research Trust. Publishing the item wording on a public web page requires permission, which this site does not hold, so what follows is a description of what the five items cover rather than the items themselves. Your doctor will give you the actual questionnaire \u2014 and completing it in the clinic is better anyway, because the score is interpreted alongside your history rather than on its own.<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">All five items ask about the <strong>last six months<\/strong>, and each is answered on a five-point scale worth 1 to 5. Between them they cover:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Confidence<\/strong> \u2014 how confident you feel that you could get and keep an erection, rated from very low to very high<\/li>\n\n\n\n<li><strong>Firmness<\/strong> \u2014 how often erections were hard enough for penetration, rated from almost never to almost always<\/li>\n\n\n\n<li><strong>Maintenance<\/strong> \u2014 how often the erection was kept after penetration<\/li>\n\n\n\n<li><strong>Difficulty<\/strong> \u2014 how hard it was to keep the erection until intercourse was finished, rated from extremely difficult to not difficult<\/li>\n\n\n\n<li><strong>Satisfaction<\/strong> \u2014 how often intercourse was satisfactory for you<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">Notice what that list is and is not. Four of the five items are about the erection itself and one is about satisfaction; <strong>none asks about desire, ejaculation or orgasm<\/strong>. If your actual complaint is low libido, or coming too quickly, or reaching orgasm and feeling nothing, this questionnaire will not capture it \u2014 and those are common, treatable and quite separate problems. Say so at the appointment rather than letting the score speak for you.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How the Score Is Interpreted<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The five answers are added together, giving a total from <strong>5 to 25<\/strong>.<\/p>\n\n\n\n<figure class=\"wp-block-table is-style-stripes\"><table><thead><tr><th>Total score<\/th><th>Severity<\/th><\/tr><\/thead><tbody><tr><td>22\u201325<\/td><td>No erectile dysfunction<\/td><\/tr><tr><td>17\u201321<\/td><td>Mild<\/td><\/tr><tr><td>12\u201316<\/td><td>Mild to moderate<\/td><\/tr><tr><td>8\u201311<\/td><td>Moderate<\/td><\/tr><tr><td>5\u20137<\/td><td>Severe<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">A cutoff of <strong>21<\/strong> separates men with erectile dysfunction from those without, with high sensitivity and reasonable specificity in the original validation study. A score of 21 or below is worth discussing rather than ignoring.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Two further caveats on the number. Because it looks back six months, <strong>a problem that started only recently may score better than it currently feels<\/strong> \u2014 mention that if it applies, because sudden-onset erectile dysfunction is a different clinical picture from a gradual decline. And the questionnaire <strong>assumes you have been attempting intercourse<\/strong>, so it works poorly for a man who has not, or who does not have a partner: a low score in that situation reflects the instrument\u2019s design rather than his physiology.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"4719\" data-permalink=\"https:\/\/drsoaraweeurology.com\/fr\/2022\/02\/04\/erectile-dysfunction-assessment\/hand-holding-old-purple-eggplant-as-a-symbol-of-sexual-dysfunction\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/02\/ED.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;18&quot;,&quot;credit&quot;:&quot;BonNontawat&quot;,&quot;camera&quot;:&quot;ILCE-7RM2&quot;,&quot;caption&quot;:&quot;Hand holding old purple eggplant as a symbol of sexual dysfunction on white background&quot;,&quot;created_timestamp&quot;:&quot;1522967948&quot;,&quot;copyright&quot;:&quot;@BonNontawat&quot;,&quot;focal_length&quot;:&quot;50&quot;,&quot;iso&quot;:&quot;50&quot;,&quot;shutter_speed&quot;:&quot;0.004&quot;,&quot;title&quot;:&quot;Hand holding old purple eggplant as a symbol of sexual dysfunction&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Erectile dysfunction is a natural issue so better be open-mind for this problem.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Erectile dysfunction is a natural issue so better be open-mind for this problem.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/02\/ED.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/02\/ED.jpg?resize=800%2C533&#038;ssl=1\" alt=\"A man in consultation with a urologist \u2014 erectile dysfunction is common, treatable, and worth assessing rather than self-treating\" class=\"wp-image-4719\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/02\/ED.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/02\/ED.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/02\/ED.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/02\/ED.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/02\/ED.jpg?resize=18%2C12&amp;ssl=1 18w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Common, treatable, and worth a proper assessment rather than a guess.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">If your total is 21 or below, the next step is finding the cause, not choosing a treatment. Assessment covers cardiovascular risk, diabetes, blood pressure, weight, sleep apnoea, testosterone, medications and the psychological side \u2014 several of which are reversible. The <a href=\"https:\/\/drsoaraweeurology.com\/services\/erectile-dysfunction-bangkok\/\">erectile dysfunction service page<\/a> sets out what that involves, including penile duplex ultrasound where it is indicated.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Frequently Asked Questions<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">What is the IIEF-5 questionnaire?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">A validated five-item questionnaire, also called the Sexual Health Inventory for Men (SHIM), abridged from the longer International Index of Erectile Function. It covers confidence, erection firmness, ability to maintain an erection, difficulty maintaining it, and satisfaction with intercourse, over the past six months. It is used to screen for erectile dysfunction and to grade its severity, and to track change over time. It is a copyrighted instrument licensed through the Mapi Research Trust, so the item wording is not reproduced here.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">How is the IIEF-5 score interpreted?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The total runs from 5 to 25: 22 to 25 indicates no erectile dysfunction, 17 to 21 mild, 12 to 16 mild to moderate, 8 to 11 moderate, and 5 to 7 severe. A cutoff of 21 best separates men with erectile dysfunction from those without. The score grades severity but does not identify the cause, which is what determines treatment.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Is erectile dysfunction a warning sign of heart disease?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">It frequently is. The arteries supplying the penis are narrower than the coronary arteries, so vascular disease often becomes apparent there first, sometimes years before any cardiac symptom. New erectile dysfunction without an obvious explanation, particularly in a man in his forties or fifties, is a reason to have cardiovascular risk assessed \u2014 blood pressure, blood sugar, cholesterol and weight. Chest pain or breathlessness on exertion or during sexual activity needs emergency assessment.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">What are the treatment options for erectile dysfunction?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">In rough order of escalation: treating the underlying causes, which is where most benefit comes from; oral PDE5 inhibitors such as sildenafil and tadalafil; vacuum erection devices; injection therapy into the penis; and a penile implant for men who have not responded to conservative treatment. Low-intensity shockwave therapy and platelet-rich plasma injection are also used, but they sit in a different evidence category from the treatments above and should be described as such rather than listed alongside them \u2014 PRP in particular is still classified as investigational by the major urological associations.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Can I take ED tablets with my other medication?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Not always, and one combination is genuinely dangerous. <strong>PDE5 inhibitors must never be taken by a man using nitrates for angina<\/strong>, including sprays, patches and the tablets placed under the tongue, because together they can cause a catastrophic drop in blood pressure. Caution is also needed with alpha blockers, which are widely prescribed for the prostate, since both lower blood pressure. Tell the prescribing doctor everything you take, and never use a tablet obtained from a friend or an unregulated online source, where neither the dose nor the contents can be relied upon.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Does the IIEF-5 cover low libido or premature ejaculation?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">No. Four of its five items concern the erection and one concerns satisfaction with intercourse. Desire, ejaculation and orgasm are not assessed at all. If your main difficulty is low libido, ejaculating too quickly, or reaching orgasm without pleasure, the IIEF-5 will look reassuring while missing the actual problem \u2014 so raise it directly at the appointment. Those are common and separately treatable.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">When should I see a urologist about erectile dysfunction?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">When the difficulty is persistent rather than occasional \u2014 as a rough guide, occurring in more than half of attempts \u2014 or when it began suddenly, or when it is affecting your relationship or your mood. Occasional failure is normal and universal. What is worth attention is a consistent change from your own baseline, and the earlier it is looked at, the more of the underlying causes turn out to be reversible.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Book an Appointment<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Dr. Soarawee Weerasopone assesses and treats erectile dysfunction at <a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" target=\"_blank\" rel=\"noreferrer noopener\">Bangkok Hospital Headquarters<\/a> and at Samitivej Sriracha Hospital, Chonburi \u2014 Urology department <a href=\"tel:0880221445\">088-022-1445<\/a>. The questionnaire is completed in the clinic; what helps most is bringing a list of every medication you take, since several common ones affect erections. Questions about cost are answered by the hospital rather than by Dr. Soarawee \u2014 for Bangkok Hospital, by email to <a href=\"mailto:bhquro@bdms.co.th\">bhquro@bdms.co.th<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bangkok Hospital Telemedicine is available for patients who cannot attend in person, including international patients \u2014 arrange it in advance by email to the Urology department at <a href=\"mailto:bhquro@bdms.co.th\">bhquro@bdms.co.th<\/a>. It suits an initial discussion and reviewing results you already have; examination, blood tests and ultrasound require an in-person visit. Samitivej Sriracha is in-person only.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>References<\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Rosen RC, Cappelleri JC, Smith MD, Lipsky J, Pe\u00f1a BM. 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. <em>Int J Impot Res.<\/em> 1999;11(6):319-326. \u2014 PubMed: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/10637462\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/10637462\/<\/a><\/li>\n\n\n\n<li>Sangkum P, Sukying C, Viseshsindh W, et al. Validation and reliability of a Thai version of the International Index of Erectile Function (IIEF-5) for Thai population. <em>J Med Assoc Thai.<\/em> 2017;100(Suppl 9):S73-S79. \u2014 Full text: <a href=\"http:\/\/www.jmatonline.com\/PDF\/S73-S79-PB-100-S9.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">http:\/\/www.jmatonline.com\/PDF\/S73-S79-PB-100-S9.pdf<\/a><\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Disclaimer:<\/strong> This article is written and reviewed by Dr. Soarawee Weerasopone, a board-certified urologist at Bangkok Hospital Headquarters. It is educational only, is not medical advice, and does not create a doctor\u2013patient relationship. The IIEF-5 grades symptom severity and does not diagnose a cause or exclude other conditions; it is a copyrighted instrument and its item wording is not reproduced here. Never take a PDE5 inhibitor with nitrates, and do not obtain prescription medication from unregulated sources. No diagnosis, prescription or individual medical advice is given through personal messaging channels or social media, and Dr. Soarawee operates no public social media account \u2014 any account offering private consultation in his name is fraudulent. An erection lasting more than four hours, or chest pain during sexual activity, means an emergency department or 1669 in Thailand.<\/p>\n\n\n\n<script type=\"application\/ld+json\">\n{\n  \"@context\": \"https:\/\/schema.org\",\n  \"@graph\": [\n    {\n      \"@type\": \"MedicalWebPage\",\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/2022\/02\/04\/erectile-dysfunction-assessment\/#webpage\",\n      \"url\": \"https:\/\/drsoaraweeurology.com\/2022\/02\/04\/erectile-dysfunction-assessment\/\",\n      \"name\": \"Erectile Dysfunction Assessment: The IIEF-5 Questionnaire\",\n      \"description\": \"What the IIEF-5 (SHIM) measures, how it is scored and what the severity bands mean, what the score cannot tell you, why erectile dysfunction is often the earliest sign of vascular disease, and the emergencies that need same-day care.\",\n      \"inLanguage\": \"en\",\n      \"datePublished\": \"2022-02-04\",\n      \"dateModified\": \"2026-08-24\",\n      \"lastReviewed\": \"2026-08-24\",\n      \"specialty\": \"https:\/\/schema.org\/Urologic\",\n      \"isPartOf\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#website\" },\n      \"author\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"reviewedBy\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"publisher\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"medicalAudience\": { \"@type\": \"MedicalAudience\", \"audienceType\": \"Patient\" },\n      \"about\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/2022\/02\/04\/erectile-dysfunction-assessment\/#iief5\" },\n      \"citation\": [\n        \"Rosen RC, Cappelleri JC, Smith MD, Lipsky J, Pena BM. 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;11(6):319-326.\",\n        \"Sangkum P, Sukying C, Viseshsindh W, et al. Validation and reliability of a Thai version of the International Index of Erectile Function (IIEF-5) for Thai population. J Med Assoc Thai. 2017;100(Suppl 9):S73-S79.\"\n      ],\n      \"disambiguatingDescription\": \"Updated August 2026. The verbatim IIEF-5 item wording was previously reproduced on this page and has been removed: the IIEF is a copyrighted instrument licensed through the Mapi Research Trust, and this site does not hold permission to publish the items. The page now describes what the five domains cover and how scoring works, which are factual descriptions of the instrument. Separately, an earlier version listed platelet-rich plasma injection alongside PDE5 inhibitors, shockwave therapy and penile implants as if the evidence were equivalent; PRP is classified as investigational and is now described as such. The nitrate contraindication for PDE5 inhibitors, priapism as an emergency, and the cardiovascular significance of erectile dysfunction have been added.\"\n    },\n    {\n      \"@type\": \"MedicalTest\",\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/2022\/02\/04\/erectile-dysfunction-assessment\/#iief5\",\n      \"name\": \"International Index of Erectile Function, 5-item version (IIEF-5 \/ SHIM)\",\n      \"description\": \"Validated five-item patient-reported instrument covering the preceding six months, assessing erection confidence, firmness sufficient for penetration, maintenance after penetration, difficulty maintaining to completion, and intercourse satisfaction. Each item scores 1 to 5, total 5 to 25. Severity bands: 22-25 no erectile dysfunction, 17-21 mild, 12-16 mild to moderate, 8-11 moderate, 5-7 severe, with a cutoff of 21 separating affected from unaffected men. The instrument grades severity only and does not identify aetiology. It presupposes attempted intercourse during the recall period, so it performs poorly in men without a partner, and it does not assess desire, ejaculation or orgasm. It is a copyrighted instrument licensed through the Mapi Research Trust.\",\n      \"usedToDiagnose\": {\n        \"@type\": \"MedicalCondition\",\n        \"name\": \"Erectile dysfunction\",\n        \"description\": \"Frequently the earliest clinical manifestation of endothelial and vascular disease, since penile arteries are of smaller calibre than coronary arteries. New unexplained erectile dysfunction warrants cardiovascular risk assessment.\"\n      }\n    },\n    {\n      \"@type\": \"FAQPage\",\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/2022\/02\/04\/erectile-dysfunction-assessment\/#faq\",\n      \"isPartOf\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/2022\/02\/04\/erectile-dysfunction-assessment\/#webpage\" },\n      \"mainEntity\": [\n        {\n          \"@type\": \"Question\",\n          \"name\": \"What is the IIEF-5 questionnaire?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"A validated five-item questionnaire, also called the Sexual Health Inventory for Men, abridged from the longer International Index of Erectile Function. It covers confidence, erection firmness, ability to maintain an erection, difficulty maintaining it, and satisfaction with intercourse over the past six months, and is used to screen for erectile dysfunction, grade severity and track change. It is a copyrighted instrument licensed through the Mapi Research Trust.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"How is the IIEF-5 score interpreted?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"The total runs from 5 to 25: 22 to 25 no erectile dysfunction, 17 to 21 mild, 12 to 16 mild to moderate, 8 to 11 moderate, and 5 to 7 severe. A cutoff of 21 best separates men with erectile dysfunction from those without. The score grades severity but does not identify the cause, which is what determines treatment.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Is erectile dysfunction a warning sign of heart disease?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"It frequently is. Penile arteries are narrower than coronary arteries, so vascular disease often becomes apparent there first, sometimes years before any cardiac symptom. New unexplained erectile dysfunction, particularly in a man in his forties or fifties, is a reason to have cardiovascular risk assessed. Chest pain or breathlessness on exertion or during sexual activity needs emergency assessment.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"What are the treatment options for erectile dysfunction?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"Treating the underlying causes first, then oral PDE5 inhibitors such as sildenafil and tadalafil, vacuum erection devices, intracavernosal injection therapy, and a penile implant for men who have not responded to conservative treatment. Low-intensity shockwave therapy and platelet-rich plasma injection are also used but sit in a different evidence category; PRP in particular remains classified as investigational by the major urological associations.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Can ED tablets be taken with other medication?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"Not always, and one combination is dangerous. PDE5 inhibitors must never be taken by a man using nitrates for angina, including sprays, patches and sublingual tablets, because together they can cause a catastrophic fall in blood pressure. Caution is also required with alpha blockers, since both lower blood pressure. Medication obtained from unregulated sources cannot be relied upon for dose or contents.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Does the IIEF-5 cover low libido or premature ejaculation?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"No. Four of its five items concern the erection and one concerns satisfaction with intercourse. Desire, ejaculation and orgasm are not assessed. A man whose main difficulty is low libido, premature ejaculation or anorgasmia may score reassuringly while the actual problem is missed, so these should be raised directly at consultation.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"When should a man see a urologist about erectile dysfunction?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"When difficulty is persistent rather than occasional, as a rough guide occurring in more than half of attempts, or when it began suddenly, or when it is affecting the relationship or mood. Occasional failure is normal. A consistent change from a man's own baseline warrants attention, and earlier assessment finds more reversible causes.\"\n          }\n        }\n      ]\n    }\n  ]\n}\n<\/script>\n","protected":false},"excerpt":{"rendered":"<p>The IIEF-5 takes two minutes and tells you how severe your erectile dysfunction is. Dr. Soarawee Weerasopone provides the full questionnaire with scoring \u2014 plus the two things the score cannot tell you, one of which can matter more than the erection itself.<\/p>","protected":false},"author":185281453,"featured_media":10038,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"How the IIEF-5 (SHIM) erectile dysfunction score works and what it means \u2014 the five domains, the 5 to 25 scale, severity bands, what the score cannot tell you, and why ED is often the first sign of vascular disease.","jetpack_seo_html_title":"IIEF-5 Questionnaire with Scoring | Dr. Pom Urology Bangkok","jetpack_seo_noindex":false,"jetpack_seo_schema_type":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_wpcom_ai_launchpad_first_post":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"{title}\n\n{excerpt}\n\n{url}","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"_wpas_customize_per_network":false,"jetpack_post_was_ever_published":false},"categories":[1363],"tags":[1377,1678,1679],"class_list":["post-4699","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-mens-health","tag-erectile-dysfunction","tag-erectile-dysfunction-questionnaire","tag-iief-ef"],"jetpack_publicize_connections":[],"jetpack_likes_enabled":false,"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/pgZdrK-1dN","jetpack_featured_media_url":"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/04\/ED-Assessment-IIEF.webp?fit=1200%2C630&ssl=1","_links":{"self":[{"href":"https:\/\/drsoaraweeurology.com\/fr\/wp-json\/wp\/v2\/posts\/4699","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drsoaraweeurology.com\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drsoaraweeurology.com\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/fr\/wp-json\/wp\/v2\/users\/185281453"}],"replies":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/fr\/wp-json\/wp\/v2\/comments?post=4699"}],"version-history":[{"count":37,"href":"https:\/\/drsoaraweeurology.com\/fr\/wp-json\/wp\/v2\/posts\/4699\/revisions"}],"predecessor-version":[{"id":11618,"href":"https:\/\/drsoaraweeurology.com\/fr\/wp-json\/wp\/v2\/posts\/4699\/revisions\/11618"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/fr\/wp-json\/wp\/v2\/media\/10038"}],"wp:attachment":[{"href":"https:\/\/drsoaraweeurology.com\/fr\/wp-json\/wp\/v2\/media?parent=4699"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/fr\/wp-json\/wp\/v2\/categories?post=4699"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/fr\/wp-json\/wp\/v2\/tags?post=4699"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}