How is your sexual function? The FSFI assesses desire, arousal, lubrication, orgasm, satisfaction, and pain. About 10 minutes.

What Is the Female Sexual Function Index (FSFI-19)?

The FSFI-19 assesses female sexual function across six domains: desire, arousal, lubrication, orgasm, satisfaction, and pain. Rosen and colleagues developed it in 2000, and it's been a go-to clinical tool for evaluating female sexual dysfunction since.

Six Domains

1. Desire (2 items): Frequency and intensity of sexual desire 2. Arousal (4 items): Sensation, frequency, and satisfaction with arousal 3. Lubrication (4 items): Vaginal wetness during sexual activity 4. Orgasm (3 items): Frequency, difficulty, and satisfaction with orgasm 5. Satisfaction (3 items): Satisfaction with sexual relationship and overall sex life 6. Pain (3 items): Discomfort or pain during vaginal penetration

Scoring

Items use various response scales. Domain scores are calculated with weighted multipliers (Desire ×0.6, Arousal ×0.3, Lubrication ×0.3, Orgasm ×0.4, Satisfaction ×0.4, Pain ×0.4). Total score range: 2–36. Clinical cutoff: ≤26.55 (Wiegel et al., 2005) indicates elevated risk of sexual dysfunction.

Reference

Rosen, R., et al. (2000). The Female Sexual Function Index: A multidimensional self-report instrument. *Journal of Sex & Marital Therapy*, 26(2), 191–208.

Result Interpretation

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We calculate your total from your answers, then give you a plain-language explanation of what the numbers mean. Whenever possible, we also show how your results compare to population norms.

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