Men's Health

Erectile Dysfunction Test

Living life to the fullest starts with taking care of yourself - For a healthier and longer life.

Sexual Function

Decreases in sexual function can be distressing to men and yet often go under-reported and untreated. There is a strong correlation between erectile dysfunction (ED) and cardiovascular disease making ED a potential harbinger of heart disease that may warrant a separate diagnostic workup in appropriate circumstances.

In many cases, after appropriate investigations it is discovered that ED is an isolated symptom that for most patients responds phenomenally well to the safe, highly effective PFE5 inhibitors: sildenafil (Viagra), tadalafil (Cialis), vardenafil (Levitra), and avanafil (Stendra).

Sexual Health Inventory for Men (SHIM) Questionnaire

This is a simple screening tool to help identify men who may have erectile dysfunction. If you have questions about your results, please call 623-1000 or book an appointment with Dr. Kwinter to discuss the results.

INSTRUCTIONS: Each question has five possible responses. Select the response that best describes your own situation. Select only one answer for each question.

Over the last six months:

1. How do you rate your confidence that you could keep an erection?

2. When you had erections with sexual stimulation, how often were your erections hard enough for penetration (entering your partner)?

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

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

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

Total score

22 - 25No significant erectile dysfunction
17 - 21Mild erectile dysfunction
12 - 16Mild-to-moderate erectile dysfunction
8 - 11Moderate erectile dysfunction
5 - 7Severe erectile dysfunction
Adapted from: Rosen RC, Cappelleri JC, Smith MD, Lipsky J, Peña BM Development 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; 319 - 326

If you have any concerning symptoms or even just questions, please call 623-1000 or book an appointment with Dr. Kwinter.

Family Medicine and Urgent Care

Full Scope Family Medicine with Care for All Ages in the Cayman Islands

Dr. David Kwinter, MD, CCFP(EM)


Dr. Kwinter has extensive experience working in a rural general practice, which included his own family medicine clinic and a regional single-physician emergency department. He provides comprehensive medical care for all people, ages, and presentations.

Dr. Kwinter's services include:

Dr. Kwinter invites you to make an appointment to meet him in his clinic and to see how he can help ensure you achieve your health goals.

Clinical Chief of Primary Care and Concierge Medicine.

Call our clinic (623-1000) or Text/WhatsApp Dr. Kwinter (324-2424) or Request more info