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Erectile Dysfunction Score Calculator

IIEF-5 questionnaire scoring and severity classification.

About this calculator

This calculator scores the standard 5-question IIEF-5 (SHIM) questionnaire into a 1-25 total, then classifies severity into five clinical bands from 22-25 (no ED) down to 1-7 (severe). Rosen and colleagues published the IIEF-5 in 1999 as an abridged, 5-item version of the longer 15-item International Index of Erectile Function, validating it as a diagnostic screening tool for erectile dysfunction — it's also known as SHIM, the Sexual Health Inventory for Men, the name it's given on many clinic intake forms. IIEF-5 total score, Severity, and Quality of life impact respond only to the five questionnaire answers -- your age, BMI, and comorbidity flags never enter that calculation at all, even though they clearly matter for erectile function in reality. Age and the comorbidity flags (diabetes, hypertension, smoking) instead drive a separate Vascular risk score, reflecting the clinical reality that ED is often an early marker of cardiovascular disease rather than a symptom of it.

That vascular risk score then feeds Psychological component (%) in the opposite direction -- a higher vascular risk score, or an older age, lowers the estimated likelihood that psychological factors explain the ED, since more physical risk factors present makes a vascular cause more probable. Predicted PDE5i response (%) starts at 80% and is reduced by diabetes, older age, smoking, and more severe IIEF-5 scores, reflecting published lower medication response rates in those groups. This tool approximates a validated screening questionnaire and risk framework; it does not diagnose ED or its cause, and a low score should prompt a medical evaluation rather than self-treatment.

Inputs

Results

IIEF-5 total score (1-25)

15

Severity (0-4)2
Vascular risk score (0-100)20
Psychological component (%)70
Predicted PDE5i response (%)80
Quality of life impact (0-100)41.7

Figures current as of 1999. Source: 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.

How to Use This Calculator
  1. Answer all five IIEF-5 questions (Q1–Q5) on a scale of 1–5 based on your experiences over the past 4 weeks.
  2. Enter your age and indicate yes/no for diabetes, hypertension, and smoking status.
  3. Enter your BMI to factor vascular risk from body composition.
  4. Review the IIEF-5 total score (1–25): 22–25 = no ED, 17–21 = mild, 12–16 = mild-moderate, 8–11 = moderate, 1–7 = severe.
  5. Check Predicted PDE5i response (%) for medication likelihood and Vascular risk score to guide discussion with your doctor.

What each input means

Q1: Confidence in erection (1-5)
How confident are you that you could get and keep an erection? 1=very low, 5=very high.
Q2: Erections for penetration (0-5)
Erections hard enough for penetration? 0=no activity, 1=almost never, 5=almost always.
Q3: Maintaining after penetration (1-5)
Ability to maintain erection after penetration? 1=almost never, 5=almost always.
Q4: Difficulty maintaining (1-5)
How difficult to maintain erection to completion? 1=extremely difficult, 5=not difficult.
Q5: Satisfaction (1-5)
Satisfaction with intercourse? 1=almost never, 5=almost always.
Age
Your age in years.
Diabetic (0=No, 1=Yes)
1 if you have diabetes.
Hypertensive (0=No, 1=Yes)
1 if you have high blood pressure.
Smoker (0=No, 1=Yes)
1 if you currently smoke.
BMI
Body mass index (weight kg / height m squared).

What each result means

IIEF-5 total score (1-25)
Total IIEF-5 / SHIM score. 22-25=no ED, 17-21=mild, 12-16=mild-moderate, 8-11=moderate, 1-7=severe.
Severity (0-4)
0=no ED, 1=mild, 2=mild-moderate, 3=moderate, 4=severe.
Vascular risk score (0-100)
Estimated contribution of vascular risk factors to ED.
Psychological component (%)
Estimated likelihood that psychological factors contribute to ED.
Predicted PDE5i response (%)
Estimated likelihood of responding to PDE5 inhibitor medication.
Quality of life impact (0-100)
Estimated quality-of-life impact. Higher = greater impact.

How this is calculated

Worked example, using the default values

  1. Identify Input Parameters
    4 parameters
    Q1: Confidence in erection (1-5) = 3, Q2: Erections for penetration (0-5) = 3, Q3: Maintaining after penetration (1-5) = 3, Q4: Difficulty maintaining (1-5) = 3 = 10 input(s) provided
  2. Calculate IIEF-5 total score
    IIEF-5 total score
    15 = 15
  3. Calculate Severity
    2 = 2
  4. Calculate Vascular risk score
    Vascular risk score
    20 = 20

Figures and sources

Engine last updated . Checked against 2 independently-derived tests — how we verify calculators. Built by Paul Gunder, a software engineer, not a licensed financial, medical, or legal professional.

Frequently Asked Questions

Why doesn't my age or BMI change my IIEF-5 total score?

IIEF-5 total score is the sum of your five questionnaire answers only (confidence, penetration, maintaining erections, difficulty, and satisfaction) -- age, BMI, and the diabetes/hypertension/smoking flags never appear in that formula, since Rosen et al.'s 1999 validated IIEF-5/SHIM instrument was designed as a compact 5-item questionnaire in its own right. Those risk factors instead feed a separate Vascular risk score, calculated independently.

How is Vascular risk score different from my IIEF-5 total score?

IIEF-5 total score measures how severe your erectile symptoms are; Vascular risk score estimates how much of that dysfunction might trace back to cardiovascular risk factors, combining age brackets, diabetes, hypertension, smoking, and BMI. The two scores can move in completely different directions -- severe symptoms with low vascular risk points toward a non-vascular cause.

Why does a higher Vascular risk score lower my Psychological component estimate?

Psychological component (%) is calculated as 100 minus Vascular risk score minus an age-based adjustment, so the two move inversely by construction -- more identified physical/vascular risk factors mechanically leaves less of the estimate attributed to psychological causes. It's a subtraction, not an independent clinical assessment.

Does BMI affect my Predicted PDE5i response percentage?

No -- Predicted PDE5i response (%) starts at 80% and is reduced only by diabetes (-15), older age (-10 over 65, -5 over 55), smoking (-5), and more severe IIEF-5 scores (-10 for moderate-or-worse). BMI does not appear anywhere in that calculation, even though it does affect Vascular risk score and Psychological component.

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