Erectile dysfunction (ED), premature ejaculation (PE), androgen deficiency (AD). Questionnaires to answer.
Erectile Dysfunction (ED)
Premature Ejaculation (PE)
Androgen Deficiency (AD)
Answer the following 3 questionnaires and submit:
Table 2 The IIEF-5 questionnairea
Over the past six months:
- How do you rate your confidence that you could get and keep an erection?
Very low 1 Low 2 Moderate 3 High 4 Very high 5 - 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 - 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 - 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 - 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
- severe (5-7),
- moderate (8-11),
- mild to moderate (12-16),
- mild (17-21), and
- no ED (22-25).
Appendix B. Final PE Diagnostic Tool
Tool for Assessing Premature Ejaculation
This is a questionnaire to help identify men who may have a problem with ejaculating too soon during sexual activity. Even if you do not have difficulties, please answer all the questions.
Ejaculation here refers to ejaculation (release of semen) after penetration (when your penis enters your partner)
- Please mark the box that best represents your answer for each of the questions below.
- Please mark only one box for each question.
- Remember there are no right or wrong answers to these questions.
- While your experiences may change from time to time, what we're interested in here is your general experience with intercourse.
Ejaculation here refers to ejaculation (release of semen) after penetration (when your penis enters your partner)
- How difficult is it for you to delay ejaculation?
Not difficult at all 0 Somewhat difficult 1 Moderately difficult 2 Very difficult 3 Extremely difficult 4 - Do you ejaculate before you want to?
Almost never or never 0% 0 Less than half the time 25% 1 About half the time 50% 2 More than half the time 75% 3 Almost always or always 100% 4 - Do you ejaculate with very little stimulation?
Almost never or never 0% 0 Less than half the time 25% 1 About half the time 50% 2 More than half the time 75% 3 Almost always or always 100% 4 - Do you feel frustrated because of ejaculating before you want to?
Not at all 0 Slightly 1 Moderately 2 Very 3 Extremely 4 - How concerned are you that your time to ejaculation leaves your partner sexually unfulfilled?
Not at all 0 Slightly 1 Moderately 2 Very 3 Extremely 4
- ≤8 "no PE,"
- 9 and 10 "probable PE," and
- ≥11 "PE."
Table 1. Questions Used as Part of the Saint Louis University ADAM Questionnaire
- Do you have a decrease in libido (sex drive)?
Yes | No
- Do you have a lack of energy?
Yes | No
- Do you have a decrease in strength and/or endurance?
Yes | No
- Have you lost height?
Yes | No
- Have you noticed a decreased "enjoyment of life"?
Yes | No
- Are you sad and/or grumpy?
Yes | No
- Are your erections less strong?
Yes | No
- Have you noted a recent deterioration in your ability to play sports?
Yes | No
- Are you falling asleep after dinner?
Yes | No
- Has there been a recent deterioration in your work performance?
Yes | No