As clinicians, we know that there can be several ways to assess symptoms and conditions. This is true for sexual function, too.

The Erection Hardness Score (EHS) can be a helpful tool to evaluate erectile dysfunction (ED) – a man’s inability to get or maintain an erection firm enough for sex.

Developed in 1998, the EHS is a single-item Likert scale that men can use on their own. The tool asks them to consider the question “How would you rate the hardness of your erection?” and select one of the following options:

· 0 – Penis does not enlarge.

· 1 – Penis is larger, but not hard.

· 2 – Penis is hard, but not hard enough for penetration.

· 3 – Penis is hard enough for penetration, but not completely hard.

· 4 – Penis is completely hard and fully rigid.

Like most assessment tools, the EHS does have its advantages and disadvantages. Let’s take a look at these aspects more closely.

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