Grade erectile dysfunction with the five-item Sexual Health Inventory for Men.
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| Score | Severity |
|---|---|
| 22–25 | No erectile dysfunction |
| 17–21 | Mild |
| 12–16 | Mild to moderate |
| 8–11 | Moderate |
| 5–7 | Severe |
Erectile dysfunction can be an early marker of cardiovascular disease. Check blood pressure, QRISK3, HbA1c and lipids.
Check a morning testosterone if libido is low or a PDE5 inhibitor has not worked. A PDE5 inhibitor is first line unless contraindicated, for example with nitrates.
22 to 25 means no erectile dysfunction.
Yes. SHIM is the five-item version of the International Index of Erectile Function.
BP, QRISK3, HbA1c, lipids, and morning testosterone where indicated.
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