Female Sexual Function Index (FSFI) Test

In about 4 minutes, it clarifies key areas of a woman’s sexual function, from desire and arousal to satisfaction and pain. A 19 item format supports quick, focused clinical discussions.
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Questions194 minutes
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08:30
October 2, 2025
October 2, 2025
Material has been updated
28,900 views
1,944 completions
1,601 likes
Verified by Daniel Hall
Psychologist with 25 years of experience
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How the Scales are Structured

example score
20/36
Female Sexual Function Index Total Score (FSFITS)
The FSFI total score summarizes multiple domains of female sexual functioning, including desire, arousal, lubrication, orgasm, satisfaction, and pain.
Low functioning
Moderate functioning
Higher functioning
014.4Low functioning14.521.6Moderate functioning21.736Higher functioning
A score of 20 falls in the Moderate functioning range, suggesting some areas of sexual functioning may be less consistent while others may be relatively intact.
example score
4/6
Pain (P)
Assesses the presence and intensity of pain during or after sexual activity.
Minimal or no pain
Moderate pain
Marked pain
02Minimal or no pain34Moderate pain56Marked pain
A score of 4 falls in the Moderate pain range, suggesting noticeable pain during or after sexual activity.
example score
3/6
Satisfaction (S)
Assesses a woman's subjective satisfaction with her sexual life and intimate relationship experiences.
Low satisfaction
Moderate satisfaction
High satisfaction
02Low satisfaction34Moderate satisfaction56High satisfaction
A score of 3 falls in the moderate range, suggesting a mixed or variable sense of sexual satisfaction.
example score
3/6
Orgasm (O)
This scale reflects how easily a woman is able to reach orgasm during sexual activity, with higher scores indicating fewer difficulties.
More difficulty
Some difficulty
Few or no difficulties
02More difficulty34Some difficulty56Few or no difficulties
A score of 3 suggests some difficulty reaching orgasm, with orgasms occurring but not consistently or with reduced ease.
example score
5/6
Lubrication (L)
Assesses vaginal lubrication as a physiological sign of sexual arousal during sexual activity.
Low lubrication
Moderate lubrication
Adequate lubrication
02Low lubrication34Moderate lubrication56Adequate lubrication
A score of 5 indicates generally adequate lubrication, suggesting physiological arousal is typically sufficient in this area.
example score
4/6
Arousal (A)
Measures how easily and consistently a woman experiences sexual arousal during sexual activity.
Low arousal
Moderate arousal
High arousal
02Low arousal34Moderate arousal56High arousal
A score of 4 falls in the Moderate arousal range, suggesting generally adequate arousal with some room for improvement depending on context.
example score
3/6
Desire (D)
Measures the level of sexual interest and desire, with higher scores reflecting stronger attraction.
Low desire
Moderate desire
High desire
02Low desire34Moderate desire56High desire
A score of 3 falls in the Moderate desire range, suggesting a noticeable but not strong level of sexual attraction.
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DATA-BASED USER COHORTS

Who Usually Takes This Test?

Women noticing changes
42%OF USERS
Women who have recently experienced lower desire, difficulty with arousal or lubrication, pain, or less satisfying orgasms and want a clear snapshot of what’s going on.
Postpartum and midlife women
33%OF USERS
Women navigating hormonal or body changes after childbirth, during breastfeeding, perimenopause, or menopause who want to track how these shifts affect sex and comfort.
Couples working on intimacy
25%OF USERS
Women in relationships who want a structured way to discuss intimacy concerns with a partner or clinician and identify specific areas to focus on.
BASED ON AGGREGATED, ANONYMIZED DATA FROM TENS OF THOUSANDS OF FREUDLY USERS.
RESULTS YOU CAN ACTUALLY USE

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You’ll receive a structured, clinically-grounded explanation. Our AI analyzes patterns and relationships between scales to provide a coherent interpretation, without exaggerated language.
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Comparison
See how your results compare to others. Anonymized platform data is used to create a percentile scale, which identifies whether your results are typical.
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Get insights on behavioral and thought patterns you might not notice on your own. By uncovering subtle connections between your responses, you’ll better understand what may be driving your current results.
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Clarify, reflect, and explore your results right away. Talk through your experience, ask questions, and explore meanings in a calm, non-diagnostic dialogue.
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Used in 52+ countries
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See How You Compare

Once you complete the test, your results are compared with real-world data from people in your country.
Below is a preview of how scores are typically distributed across each scale.
Female Sexual Function Index (FSFI)
Average
17.7
Normal range
12.722.6
min.
0
max.
36
Majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Pain (P)
Average
1.6
Normal range
0.82.5
min.
0
max.
6
Majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Satisfaction (S)
Average
1.7
Normal range
0.92.5
min.
0
max.
6
Majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Orgasm (O)
Average
3.6
Normal range
2.64.6
min.
0
max.
6
Majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Moisturizing (M)
Average
1.8
Normal range
0.82.7
min.
0
max.
6
Majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Excitement (E)
Average
3.7
Normal range
2.74.7
min.
0
max.
6
Majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Attraction (A)
Average
2.3
Normal range
1.43.3
min.
0
max.
6
Majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear on the scale so you can see how you compare.
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CLEAR ANSWERS TO COMMON QUESTIONS

Frequently Asked Questions

What does this questionnaire measure?
It measures key aspects of sexual function: desire, arousal, lubrication, orgasm, satisfaction, and pain during intercourse. Scores help identify areas that may need clinical attention.
What time period should be used when answering the items?
Use the time frame stated in each item, which is typically the past four weeks. If no sexual activity occurred, select the response option that indicates no activity or not applicable, when provided.
How long does it take to complete and how many items are included?
Completion time is approximately four minutes. The questionnaire includes 19 items.
How should the responses be interpreted?
Results summarize patterns across several domains rather than providing a diagnosis by themselves. Interpretation should consider medical history, relationship context, medications, and relevant cultural factors.
What if an item feels unclear or difficult to answer?
Answer using the best available estimate based on recent experiences. If an item cannot be answered, it should be left blank or marked according to the instructions, and reviewed during follow-up.
WHAT THE TEST MEASURES
About This Assessment
Female Sexual Function Index, FSFI Test

Female Sexual Function Index (FSFI) Test - Symptoms and Signs

This self-report measure is used to screen and quantify multiple domains of female sexual functioning over a recent reference period. The Female Sexual Function Index (FSFI) provides domain-based scores that can support clinical interviewing, treatment planning, and outcome monitoring (Rosen, R.).

It consists of 19 items and typically takes about 4 minutes to complete. Items assess key areas such as sexual desire, arousal, lubrication, orgasm, overall satisfaction, and pain associated with sexual activity.

Results from the Female Sexual Function Index (FSFI) are best interpreted in clinical context, considering medical, relational, and psychosocial factors, as well as cultural and language considerations when using non-local versions or translations. The measure is not diagnostic on its own but can help structure discussion of concerns and identify areas for further assessment.

Author: Rosen, R.
Literature: Rosen, R., Brown, C., Heiman, J., Leiblum, S., Meston, C., Shabsigh, R., Ferguson, D., & D’Agostino, R., Jr. The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. Journal of Sex & Marital Therapy. 2000.
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