Measurement of Erectile Dysfunction
11 Nov 2025 · 15 min
Dr. Anne Truong explains the IIEF-5, a five-question test that scores erectile dysfunction from 1 to 5 per question. The total score ranges from no ED to severe ED and helps clinicians decide treatment intensity, from lifestyle changes to shockwave therapy and Botox injections.
Questions this episode answers
May 25, 2023.
About 3,000 men.
About 67%.
Five questions, each scored 1–5.
22–25.
Chapters
Do you know there is a test that you can take to see if you have ED or not and to see if you improve after treatment? Well, stay tuned. In this episode I'll dive into it.
And go over all the things you need to know.
This podcast is for you. The Modern Man I'm Dr. Anne Truong, your host. I'm an intimate health medical doctor and best selling author of the book Erectile Dysfunction Fix. I'll do a deep dive into sexual health and performance and how it affects men of all ages and backgrounds. So let's get started and be sure to visit my website@sexualhealthformenpodcast.com for more information.
And resources from the show.
See you on the inside.
Do you know that you can measure the severity of your ED or that you even have ed? Well, there is a validated test that been used for the past two decades that is called the International Erectile Dysfunction Test IIEF or the SHIM test shim, which has been validated by research as well as been used by doctors throughout the world to grade the severity of ED and to also help determine treatment protocol. So I'm going to show you that because this is a quick way to find out whether you have ED or not. Interestingly, there was a large study that was done on 3000 men and they found out that about 67% of them don't even know that they even have ED according to this questionnaire. What this questionnaire shows is the five questions and you answer it from a scale of one to five with the most severe ED is 5.5 and then no ED is between 22 and 25 points. So let me show that to you. You answer what your symptoms are within the past six months and the first question is how do you rate your confidence that you could get and keep an erection? And then you answer From a scale, 1 to 5 is very low, low moderate is 3, high is 4 and very high is 5. So if you able to see my screen, you can see the numbers. So that's the first question. The second question is when you had an erection with sexual stimulation, how often were your erection hard enough to penetrate? And one is almost never, two is a few times, three is sometimes, four is most times, and five is almost always Question number three. During sexual intercourse, how often were you able to maintain your erection after you had penetrated your partner? One is almost never, two is a few times, much less than half, three is sometimes about half the time and four is most of the time more than half the time and five is almost always. The fourth question is, during sexual intercourse, how difficult was it to maintain your erection to completion of intercourse? Score one is extremely difficult, Score two is very difficult. Score three is difficult. Score four is slightly difficult, and score five is not difficult. The last question, question number five. When you attempted sexual intercourse, how often was it satisfactory for you? Score one is almost never. Score two is a few times less than half the time. Score three is sometimes, Score four is most times more than half the time. And score five is almost always. And so you tally up your score scale from the least is 5 up to 25. And when you tally up your score, and this is a reflection of your activity from the past six months, and if your score is 22 to 25 is you have no ED. And if your score is 17 to 21, you have mild ED and your score is moderate to mild, that's the score of 12 to 16. And then if you score between 8 to 11, that's moderate ed. And if you score between 5 to 7, that's severe ed. And this will help, at least for me, guide me in how I recommend treatment. So the more severe ED you have, you probably need more intensive and longer treatment versus someone that's mild or even mild. Moderate most oftentimes. If you're older and you have a decade of ED and without medication, you're probably as severe. So you score between five to seven and it's going to take a lot more to treat that.
But we can be treated.
I've had patients that are severe scoring at five, that with treatment with your own stem cells, such as platelet rich plasma and shockwave therapy and testosterone, and also combination with Botox and of course lifestyle modification, that patient can go from severe to even a mild. And when it's mild, if you keep on with good lifestyle modifications such as minimize alcohol, no smoking, sleep, stress reduction and exercise, and a Mediterranean diet, you can have improvement. We've seen it happen with patient in the severe patient, in patient that has had at least two decades of ED, it may take longer, as in like maybe six months to nine months to see the improvement versus if you are a mile between 17 and 21, then maybe just modifying alcohol or stopping smoking or decreasing stress, get better sleep, changing your diet and checking your testosterone, maybe that alone will be able to reverse your ed. And so as with anything, if you start treating it early, it doesn't take that much to reverse it. And if moderate, even mild ed, you can actually have reversal fairly quickly, very, very quickly, within probably a month to three months. But you let it go for decades, it's gonna take a lot longer to treat it at this time. But what the message I'm trying to get out is like, treat yourself like your car. If you're starting to have symptoms or you're starting to feel like, especially with erection, if your erection is not as firm as it used to be, or you feel that when you penetrate, it's not as firm, take this test, take this IIEF test, see where you score. Be honest with yourself. If you have mild ed, first things first, let's get your blood measure. Let's see what your cholesterol is, your blood sugar, your testosterone level, and look at, are you sleeping? How's your stress level, how's your diet? Are you exercising? Are you overweight? Look at that first. And if you're mild, if you just treat some of that, what I just mentioned, you can actually probably improve your ED without resorting to taking ED medication. And most of the cases I see with the patients I treat, the thousands of patients I treat, is that they're probably mild and severe and moderate. But the most of them are probably moderate. They're ranging between probably 11 to like 17. Just know that your ED didn't occur overnight, okay? It takes years to have symptomatic ed, but the good news is that you can reverse it, and there are new treatment to reverse it. Like my framework of the GET heart system of addressing the six systems of the brain, the emotion, the hormones, and the blood vessel, the nerve and then the penis muscle. My framework of the GET heart system is the new way to treat ED that will restore function again without medication. We've seen it work in thousands of men. So now if you feel that you're not performing as well as you used to, take this test, see where you're at, try. And then as you make the improvement about three months later, take this test again and see where you're at. This is a objective measure of your performance, and it does. It's very much validated. I see my patient improve from mild to no ED and from moderate to even no ED as well. And the older you are, the more likely you may have more severe ed. Essentially, the longer you have ed, you're probably going to progress to severe cases. Now, just know that even though you have an erection with Viagra doesn't mean that your ED is treated. But if you take this test without Viagra, that's where you should be. And what's even worse is that if you take this test with Viagra and you still have ed. That means that you probably have a pretty moderate to severe case of ED and you're definitely going to need some intensive in office treatment such as platelet rich plasma shockwave. And now the new sexy treatment with Botox injected into the penis which then relaxes the muscle and it's essentially having Viagra in your penis all the time and that the muscles relax. All you have to do is just get aroused in your brain and get stimulated and bring in more blood flow down there. Okay, so the next episode I'm going to talk about the test to test your libido as well as your testosterone. And I want to mention before I leave is that the definition of ED is the inability for a man to have satisfactory sexual intercourse with penetration.
So that means that ED can range.
From a man that's taking longer to get an erection or he has an erection and he loses firmness, or he has an erection and he's not able to penetrate, or he penetrates and he loses his firmness all the way to.
Inability to have orgasm or even inability.
To have erection at all. So that means you can still have an erection and still have ed.
So I will see you in the.
Next episode and we will talk about libido and testosterone. Don't forget to subscribe to my podcast and also get your free gift in the show notes. Hello there.
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The strip can determine if your nitric oxide or deficient which can help us advise you on the best way to reverse your edge. Even more important, since ED is an early warning sign of problems with circulation and heart health, this can also be a great way to prevent heart related problems such as strokes and heart attack. Number three and the best part of all, a 30 day free trial access to the Modern Man Club as part of our mission to make men hard again, we launched the Modern Man Club as a way to provide education and support to community of men who's on the path to reversing their ed with pre recorded and live session being offered every week. I will help men regain sexual health through training support. I will be there all the way.
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The most incredible free gift design to help you improve performance quickly. Go to my website@sexualhealthformenpodcast.com to get the book the Five Common Costly Mistake Men Make When Facing Ed. I would appreciate if you subscribe, leave a review on Apple Podcasts or wherever.
You listen and just know that you.
Can have sexual vitality for life.
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Until next time.
