勃起功能障碍评估：IIEF-5问卷

最后更新： 2026年5月20日

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Erectile dysfunction problem always upsetting someone who suffering from. This condition is not only affecting the gentlemen but also making a very compromising on their partners. Today I will show you a well-constructed, validated screening questionnaire for erectile dysfunction assessment, the IIEF-5 (also known as the Sexual Health Inventory for Men, or SHIM). It is an abridged 5-item version of the original 15-item International Index of Erectile Function (IIEF), designed for quick and easy use in the clinic.

These questions ask about the effects that your erectile dysfunction has had on your sexual life over the past 6 months. Please try to answer the questions as honestly and clearly as you can. For each question, choose the response that best describes your situation and note the number next to it.

The IIEF-5 Questionnaire

1. How do you rate your confidence that you could get and keep an erection?

1 = Very low

2 = Low

3 = Moderate

4 = High

5 = Very high

2. When you had erections with sexual stimulation, how often were your erections hard enough for penetration?

1 = Almost never or never

2 = A few times (much less than half the time)

3 = Sometimes (about half the time)

4 = Most times (much more than half the time)

5 = Almost always or always

3. During sexual intercourse, how often were you able to maintain your erection after you had penetrated (entered) your partner?

1 = Almost never or never

2 = A few times (much less than half the time)

3 = Sometimes (about half the time)

4 = Most times (much more than half the time)

5 = Almost always or always

4. During sexual intercourse, how difficult was it to maintain your erection to completion of intercourse?

1 = Extremely difficult

2 = Very difficult

3 = Difficult

4 = Slightly difficult

5 = Not difficult

5. When you attempted sexual intercourse, how often was it satisfactory for you?

1 = Almost never or never

2 = A few times (much less than half the time)

3 = Sometimes (about half the time)

4 = Most times (much more than half the time)

5 = Almost always or always

How to Interpret Your IIEF-5 Score

Add up the scores from all 5 questions. The total IIEF-5 score ranges from 5 to 25. The severity of erectile dysfunction is classified as follows:

Total Score	Severity of ED
22 – 25	No erectile dysfunction
17 – 21	Mild ED
12 – 16	Mild to moderate ED
8 – 11	Moderate ED
5 – 7	Severe ED

A cutoff score of 21 has been shown to discriminate best between men with and without ED, with a sensitivity of 0.98 and specificity of 0.88. A score of 21 or below suggests the presence of erectile dysfunction and is worth discussing with a urologist.

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常见问题解答

Q1: What is the IIEF-5 questionnaire and why is it used?

The IIEF-5 (the abridged 5-item version of the International Index of Erectile Function), also known as the Sexual Health Inventory for Men (SHIM), is a validated clinical questionnaire used by urologists worldwide to screen for and assess the severity of erectile dysfunction. It consists of 5 questions covering erection confidence, firmness, the ability to maintain an erection, difficulty maintaining it, and intercourse satisfaction over the past 6 months. The total score helps classify ED from mild to severe, guiding appropriate treatment decisions.

Q2: How is the IIEF-5 score interpreted?

The IIEF-5 score ranges from 5 to 25. A score of 22-25 indicates no erectile dysfunction, 17-21 indicates mild ED, 12-16 indicates mild-to-moderate ED, 8-11 indicates moderate ED, and 5-7 indicates severe ED. A cutoff score of 21 best distinguishes men with ED from those without. Your urologist will use this score alongside your medical history and physical examination to recommend the most appropriate treatment.

问题3：阳痿是严重潜在疾病的迹象吗？

勃起功能障碍有时是潜在心血管疾病、糖尿病、激素失衡或心理状况的早期预警信号。这就是为什么在开始任何治疗之前，由泌尿科医生或男科医生进行彻底的医学评估很重要。在许多情况下，治疗根本原因可以显著改善或解决勃起功能障碍。.

阳痿的治疗方案有哪些？

勃起功能障碍的治疗方案多种多样，从生活方式调整、口服药物（如PDE5抑制剂，例如他达拉非、西地那非）到低强度体外冲击波疗法、富血小板血浆注射，以及用于严重病例的手术植入。合适的治疗方案取决于勃起功能障碍的严重程度、潜在病因以及泌尿科医生评估的个体患者偏好。.

第五题：我什么时候应该去看泌尿科医生治疗勃起功能障碍？

如果您在达到或维持满意的性交勃起方面持续存在困难，尤其是在超过一半的性行为尝试中出现此问题，您应该咨询泌尿科医生。早期评估很重要，因为勃起功能障碍会严重影响生活质量，并可能预示着可治疗的潜在健康问题。.

如果您患有勃起功能障碍并希望进行全面评估，Soarawee Weerasopone 医生将在曼谷医院总部提供男科专家咨询。. 预约咨询.

References

1. Rosen RC, Cappelleri JC, Smith MD, Lipsky J, Peña 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. — PubMed: https://pubmed.ncbi.nlm.nih.gov/10637462/
2. 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. — Full text: http://www.jmatonline.com/PDF/S73-S79-PB-100-S9.pdf

**免责声明：** 本内容由曼谷医院总院的认证泌尿科医生 Soarawee Weerasopone 医生撰写和审阅。本内容仅用于教育目的，不构成医疗建议。在开始任何医疗治疗前，请务必咨询合格的医疗专业人士。.