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This study was conducted to evaluate the prevalence of erectile dysfunction (ED) according to the Sexual Health Inventory for Men (SHIM) and its relationship with age and education. Six hundred and thirty-nine male patients aged =20 years attending a urology clinic were studied. After a detailed history and physical examination, all patients were evaluated with SHIM. Scores were categorized into 5 groups: severe (1–7), moderate (8–11), mild-moderate (12–16), mild (17–21) and normal (22–25). The patients were classified into three groups according to their application to the urology clinic: A - patients attending specifically for ED; B - patients not ED based on SHIM and attending not for ED; C - patients ED based on SHIM, but attending not for ED. In addition, patients were partitioned into 3 age groups according to their age: 20–35, 35–55 and >55 years. Educational levels were of 2 groups: lower education and higher education. Erectile dysfunction was determined in 3.7% in the 20–35 years group, 55% in 35–55 years and 41% in >55 years ( P SHIM is a diagnostic tool used for ED, and routine application of SHIM for patients attending the urology clinic is advisable. [ABSTRACT FROM AUTHOR]