man testing himself for impotence

Take this short impotence test questionnaire to self-diagnose your erectile function or sexual potency. Do fill in this questionnaire before seeing your doctor/GP/physician.  The questions are based on the International Index of Erectile Function (IIEF-5) Questionnaire.

This self-assessment impotence test is not intended to replace a comprehensive diagnosis. This can only be done by a fully qualified doctor/GP/physician.

The test may help you start the conversation with your doctor. It will also give you food for thought and a place to start your research. Your test results will give your doctor a better idea of what you have been experiencing and how you feel about it.

Please select the answer that best describes your condition over the past SIX months.

Please note:
– Only chose one answer per question, otherwise the the overal result will not be correct!
– Be honest with yourself.

 

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

 

 

 

 

 

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

 

 

 

 

 

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

 

 

 

 

 

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

 

 

 

 

 

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