OBJECTIVES: Trade-off measures such as standard gamble (SG) generally are regarded as more valid than direct elicitation measures such as visual analog scale (VAS). The objective was to compare SG and VAS measures of utility for erectile dysfunction health states. METHODS: A representative (U.S.) sample of 1,000 adults completed an online survey about their own (for men) or partner’s (for women in a heterosexual relationship) erectile function health states and quality of life.  Health states utilities were measured using both SG and VAS questions (counterbalanced order). CONCLUSIONS: With respect to obtaining estimates of health state utility or quality of life associated with ED, the SG and VAS measures yielded utility estimates that are comparable for decision-making purposes.  The VAS is easier to administer than the SG, requiring as few as two questions.  Pending the covariate matching to compare the utility estimates for the first position measure, the results indicate that VAS yields utility estimates for ED health state that are very close to estimates obtained using SG.