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Female Sexual Function Index (FSFI)3

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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Questions: 194 minutes

08:30

October 2, 2025

October 2, 2025
Material has been updated

October 2, 2025
Material has been published

32,003 views

2,314 completions

1,828 likes

Verified by Daniel Hall

Psychologist with 25 years of experience

Scale Explorer

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

0 – 14.4: Low functioning | 14.5 – 21.6: Moderate functioning | 21.7 – 36: Higher 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

0 – 2: Minimal or no pain | 3 – 4: Moderate pain | 5 – 6: Marked 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

0 – 2: Low satisfaction | 3 – 4: Moderate satisfaction | 5 – 6: High 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

0 – 2: More difficulty | 3 – 4: Some difficulty | 5 – 6: Few 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

0 – 2: Low lubrication | 3 – 4: Moderate lubrication | 5 – 6: Adequate 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

0 – 2: Low arousal | 3 – 4: Moderate arousal | 5 – 6: High 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

0 – 2: Low desire | 3 – 4: Moderate desire | 5 – 6: High 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.

Benchmarking

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

12.7 — 22.6

min.

max.

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

0.8 — 2.5

min.

max.

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

0.9 — 2.5

min.

max.

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

2.6 — 4.6

min.

max.

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

0.8 — 2.7

min.

max.

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

2.7 — 4.7

min.

max.

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

1.4 — 3.3

min.

max.

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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SAMPLE QUESTIONS

Example Questions From the Test

- Almost always or always
- Most of the time (more than half the time)
- Sometimes (about half the time)
- A few times (less than half the time)
- Almost never or never
- Very high
- High
- Moderate
- Low
- Very low
- No sexual activity
- Almost always or always
- Most times (more than half the time)
- Sometimes (about half the time)
- A few times (less than half the time)
- Almost never or never
- No sexual activity

These are 3 of the 19 real questions — the rest appear in the test. No sign-up needed to start.

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WHAT THE TEST MEASURES

About This Assessment

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

sexology

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.