IPSS Score Sheet

Instructions

Enter numerical data only into the fields below labeled ‘Enter Value’. Ratios will be calculated and displayed in the fields labeled “Calculated”.

Clicking submit will finalize all entries and take you to a printable page with the final calculated values.

IPSS Calculator

ACTH Right IPS -10 Minutes*
Enter Value
ACTH Left IPS -10 Minutes*
Enter Value
ACTH Peripheral -10 Minutes*
Enter Value
ACTH Central : Peripheral (Right) -10 Minutes
Calculated
ACTH Central : Peripheral (Left) -10 Minutes
Calculated
ACTH Right : Left -10 Minutes
Calculated
Prolactin Right IPS -10 Minutes*
Enter Value
Prolactin Left IPS -10 Minutes*
Enter Value
Prolactin Peripheral -10 Minutes*
Enter Value
Central : Peripheral Prolactin (Right) -10 Minutes
Calculated
Central : Peripheral Prolactin (Left) -10 Minutes
Right ACTH : Right Prolactin -10 Minutes
Calculated
Left ACTH : Left Prolactin -10 Minutes
Calculated
Peripheral ACTH : Peripheral Prolactin -10 Minutes
Calculated
Right ACTH / Prolactin : Peripheral ACTH / Prolactin -10 Minutes
Calculated
Left ACTH / Prolactin : Peripheral ACTH / Prolactin -10 Minutes
Calculated
ACTH Right IPS -5 Minutes*
Enter Value
ACTH Left IPS -5 Minutes*
Enter Value
ACTH Peripheral IPS -5 Minutes*
Enter Value
ACTH Central : Peripheral (Right) -5 Minutes
Calculated
ACTH Central : Peripheral (Left) -5 Minutes
Calculated
ACTH Right : Left -5 Minutes
Calculated
Prolactin Right IPS -5 Minutes*
Enter Value
Prolactin Left IPS -5 Minutes*
Enter Value
Prolactin Peripheral IPS -5 Minutes*
Central : Peripheral Prolactin (Right) -5 Minutes
Calculated
Central : Peripheral Prolactin (Left) -5 Minutes
Calculated
Right ACTH : Right Prolactin -5 Minutes
Calculated
Left ACTH : Left Prolactin -5 Minutes
Calculated
Peripheral ACTH : Peripheral Prolactin -5 Minutes
Calculated
Right ACTH / Prolactin : Peripheral ACTH / Prolactin -5 Minutes
Calculated
Left ACTH / Prolactin : Peripheral ACTH / Prolactin -5 Minutes
Calculated
ACTH Right IPS +2 Minutes*
Enter Value
ACTH Left IPS +2 Minutes*
Enter Value
ACTH Peripheral IPS +2 Minutes*
Enter Value
ACTH Central : Peripheral (Right) +2 Minutes
Calculated
ACTH Central : Peripheral (Left) +2 Minutes
Calculated
ACTH Right : Left +2 Minutes
Calculated
Prolactin Right IPS +2 Minutes*
Enter Value
Prolactin Left IPS +2 Minutes*
Enter Value
Prolactin Peripheral +2 Minutes*
Enter Value
Right ACTH : Right Prolactin +2 Minutes
Calculated
Left ACTH : Left Prolactin +2 Minutes
Calculated
Peripheral ACTH : Peripheral Prolactin +2 Minutes
Calculated
Right ACTH / Prolactin : Peripheral ACTH / Prolactin +2 Minutes
Calculated
Left ACTH / Prolactin : Peripheral ACTH / Prolactin +2 Minutes
Calculated
ACTH Right IPS +5 Minutes*
Enter Value
ACTH Left IPS +5 Minutes
Enter Value
ACTH Peripheral IPS +5 Minutes*
Enter Value
ACTH Central : Peripheral (Right) +5 Minutes
Calculated
ACTH Central : Peripheral (Left) +5 Minutes
Calculated
ACTH Right : Left +5 Minutes
Calculated
Prolactin Right IPS +5 Minutes*
Enter Value
Prolactin Left IPS +5 Minutes*
Enter Value
Prolactin Peripheral +5 Minutes*
Enter Value
Right ACTH : Right Prolactin +5 Minutes
Calculated
Left ACTH : Left Prolactin +5 Minutes
Calculated
Peripheral ACTH : Peripheral Prolactin +5 Minutes
Calculated
Right ACTH / Prolactin : Peripheral ACTH / Prolactin +5 Minutes
Calculated
Left ACTH / Prolactin : Peripheral ACTH / Prolactin +5 Minutes
Calculated
ACTH Right IPS +10 Minutes*
Enter Value
ACTH Left IPS +10 Minutes*
Enter Value
ACTH Peripheral IPS +10 Minutes*
Enter Value
ACTH Central : Peripheral (Right) +10 Minutes
Calculated
ACTH Central : Peripheral (Left) +10 Minutes
Calculated
ACTH Right : Left +10 Minutes
Calculated
Prolactin Right IPS +10 Minutes*
Enter Value
Prolactin Left IPS +10 Minutes*
Enter Value
Prolactin Peripheral +10 Minutes*
Enter Value
Right ACTH : Right Prolactin +10 Minutes
Calculated
Left ACTH : Left Prolactin +10 Minutes
Calculated
Peripheral ACTH : Peripheral Prolactin +10 Minutes
Calculated
Right ACTH / Prolactin : Peripheral ACTH / Prolactin +10 Minutes
Calculated
Left ACTH / Prolactin : Peripheral ACTH / Prolactin +10 Minutes
Calculated
ACTH Right IPS +15 Minutes*
Enter Value
ACTH Left IPS +15 Minutes*
Enter Value
ACTH Peripheral IPS +15 Minutes*
Enter Value
ACTH Central : Peripheral (Right) +15 Minutes
Calculated
ACTH Central : Peripheral (Left) +15 Minutes
Calculated
ACTH Right : Left +15 Minutes
Calculated
Prolactin Right IPS +15 Minutes*
Enter Value
Prolactin Left IPS +15 Minutes*
Enter Value
Prolactin Peripheral +15 Minutes*
Enter Value
Right ACTH : Right Prolactin +15 Minutes
Calculated
Left ACTH : Left Prolactin +15 Minutes
Calculated
Peripheral ACTH : Peripheral Prolactin +15 Minutes
Calculated
Right ACTH / Prolactin : Peripheral ACTH / Prolactin +15 Minutes
Calculated
Left ACTH / Prolactin : Peripheral ACTH / Prolactin +15 Minutes
Calculated
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IPSS Calculator

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