RE ON
The new wave in relationship medicine

🔷 IIEF-5 (SHIM) Questionnaire 🔷

International Index of Erectile Function - Global Clinical Standard

Over the past four weeks

About the Questionnaire

The IIEF-5 questionnaire is the internationally recognized standard instrument for assessing erectile function, developed by Rosen and colleagues (1997) and adopted by the American Urological Association (AUA) and the European Association of Urology (EAU).

Over the past four weeks, how would you rate your confidence that you could get and keep an erection?
Over the past four weeks, when you had erections with sexual stimulation, how often were your erections hard enough for penetration?
Over the past four weeks, during sexual intercourse, how often were you able to maintain your erection after you had penetrated your partner?
Over the past four weeks, during sexual intercourse, how difficult was it to maintain your erection to completion of intercourse?
Over the past four weeks, how do you rate your satisfaction with sexual intercourse?
0
Please answer all questions to see the result

🔷 IIEF-5 (SHIM) Questionnaire Results Interpretation 🔷

21-24 points ✅ No erectile dysfunction
16-20 points ⚡ Mild erectile dysfunction
11-15 points ⚠️ Mild to moderate erectile dysfunction
7-10 points 🚨 Moderate erectile dysfunction
4-6 points 🔴 Severe erectile dysfunction

🏥 Clinic Information - Re-On Expert

📞 Contact Information

Availability: 24/7 for initial consultation

⚕️ Medical Specializations

• Relationship and sexuality medicine
• Erectile dysfunction diagnosis and treatment
• Professional couples counseling
• Integrative and personalized medicine

🎯 Our Mission

"Re-On leads the revolution in relationship medicine, combining advanced technologies with a human and professional approach. We specialize in personalized solutions to improve sexual and relationship quality of life, emphasizing discreet, professional, and effective treatment."

📞 Call Now ✉️ Send Email 🌐 Visit Website

📚 Professional Medical Glossary

Normal Sexual Function ▼
Clinical Definition: A state of physical, mental and social well-being related to sexuality, based on the four-phase model by Masters and Johnson (1966): excitement, plateau, orgasm and resolution. Includes the ability to achieve full erection, maintain stable erection, achieve normal ejaculation and sexual satisfaction.
Source: Masters & Johnson (1966), Human Sexual Response
Erection - Physiological Mechanism ▼
Definition: Complex neuro-vascular process involving dilation of cavernous arteries, increased blood flow to corpora cavernosa, and compression of veins. The mechanism includes nitric oxide (NO) release, cGMP system activation and smooth muscle relaxation. Pressure increase from 10 to 120 mmHg.
Source: NCBI StatPearls (2024), Physiology of Erection
Sexual Stimulation ▼
Types of Stimulation:
• Psychogenic: Erection from cognitive stimuli (visual, auditory, imagination)
• Reflexogenic: Erection from direct tactile stimulation of genitals
Neural Pathways: Brain processing through sympathetic system or spinal cord level reflexes.
Source: BUMC Sexual Medicine Publications (2023)
Erectile Dysfunction (ED) - Clinical Definition ▼
Official Definition (AUA/EAU): "Consistent or recurrent inability to attain and/or maintain an erection sufficient for satisfactory sexual performance"
Criteria: Persistent symptoms, impact on satisfaction and quality of life. Diagnosis requires comprehensive history, physical examination and laboratory tests.
Source: American Urological Association Guidelines (2018)
Main Causes of Erectile Dysfunction ▼
Vascular (70-80%): Arterial insufficiency, venous occlusive dysfunction
Neurogenic (10-19%): Stroke, spinal cord injuries, diabetic neuropathy
Hormonal (10-20%): Testosterone deficiency, thyroid disorders
Psychogenic (10-15%): Performance anxiety, depression, stress
Drug-related: Diuretics, beta-blockers, SSRIs
Source: MDPI Journal (2021), ED Pathophysiology Review
IIEF - International Index ▼
IIEF-5 (SHIM): The standard tool for erectile function assessment, developed by Rosen et al. (1997). Recognized by AUA and EAU.
Diagnostic threshold: ≤21 points (sensitivity 0.98, specificity 0.88)
Time frame: Past four weeks
Advantages: High reliability (α>0.90), cross-cultural validity, sensitivity to therapeutic changes
Source: Rosen et al. (1999), Int J Impot Res
Libido and Sexual Desire ▼
Libido: Sum of forces leading toward or away from sexual behavior
Spontaneous desire: Sexual thoughts that occur naturally
Responsive desire: Desire that results from sexual stimulation
HSDD: Hypoactive Sexual Desire Disorder - persistent absence of sexual thoughts and desire causing distress
Source: BMC Psychology (2025), Sexual Distress Scale Development
Sexual Performance Anxiety ▼
Definition: Anxiety specifically related to sexual performance, occurs in 9-25% of men
Characteristics: Self-monitoring during sexual activity, decreased sexual confidence
Impact: Creates vicious cycle - anxiety causes function problems, which worsen anxiety
Treatment: Cognitive-behavioral therapy, anxiety reduction techniques
Source: PMC (2022), Psychological Factors in Young Men ED