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Female Sexual Function Index (FSFI)3

Female Sexual Function Index (FSFI) Test

Designed for a focused look at recent sexual experiences, the Female Sexual Function Index (FSFI) Test contains 19 questions and takes about four minutes. Its results show patterns across desire, arousal, lubrication, orgasm, satisfaction, and pain, helping you reflect on sexual functioning and areas that may need attention.

Questions: 194 minutes

Female Sexual Function: they sit on the bed

October 2, 2025October 2, 2025Material has been updatedOctober 2, 2025Material has been published

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Scale Explorer

How the Scales are Structured

PainP

Assesses the presence and intensity of pain during or after sexual activity.

example score4/6

4/6Moderate painexample score

0 – 2Minimal or no pain

3 – 4Moderate pain

5 – 6Marked pain

A score of 4 falls in the Moderate pain range, suggesting noticeable pain during or after sexual activity.

SatisfactionS

Assesses a woman's subjective satisfaction with her sexual life and intimate relationship experiences.

example score3/6

3/6Moderate satisfactionexample score

0 – 2Low satisfaction

3 – 4Moderate satisfaction

5 – 6High satisfaction

A score of 3 falls in the moderate range, suggesting a mixed or variable sense of sexual satisfaction.

OrgasmO

This scale reflects how easily a woman is able to reach orgasm during sexual activity, with higher scores indicating fewer difficulties.

example score3/6

3/6Some difficultyexample score

0 – 2More difficulty

3 – 4Some difficulty

5 – 6Few or no difficulties

A score of 3 suggests some difficulty reaching orgasm, with orgasms occurring but not consistently or with reduced ease.

LubricationL

Assesses vaginal lubrication as a physiological sign of sexual arousal during sexual activity.

example score5/6

5/6Adequate lubricationexample score

0 – 2Low lubrication

3 – 4Moderate lubrication

5 – 6Adequate lubrication

A score of 5 indicates generally adequate lubrication, suggesting physiological arousal is typically sufficient in this area.

ArousalA

Measures how easily and consistently a woman experiences sexual arousal during sexual activity.

example score4/6

4/6Moderate arousalexample score

0 – 2Low arousal

3 – 4Moderate arousal

5 – 6High arousal

A score of 4 falls in the Moderate arousal range, suggesting generally adequate arousal with some room for improvement depending on context.

DesireD

Measures the level of sexual interest and desire, with higher scores reflecting stronger attraction.

example score3/6

3/6Moderate desireexample score

0 – 2Low desire

3 – 4Moderate desire

5 – 6High desire

A score of 3 falls in the Moderate desire range, suggesting a noticeable but not strong level of sexual attraction.

Female Sexual Function Index Total ScoreFSFITS

The FSFI total score summarizes multiple domains of female sexual functioning, including desire, arousal, lubrication, orgasm, satisfaction, and pain.

example score20/36

20/36Moderate functioningexample score

0 – 14.4Low functioning

14.5 – 21.6Moderate functioning

21.7 – 36Higher 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.

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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.

Shaded area — where most people score

Dot — the average

You — your score lands on each curve after the test— your score, after the test

PainP

You?

Average1.6

Typical rangeTypical0.8 – 2.5

Possible0 – 6

SatisfactionS

You?

Average1.7

Typical rangeTypical0.9 – 2.5

Possible0 – 6

OrgasmO

You?

Average3.6

Typical rangeTypical2.6 – 4.6

Possible0 – 6

MoisturizingM

You?

Average1.8

Typical rangeTypical0.8 – 2.7

Possible0 – 6

ExcitementE

You?

Average3.7

Typical rangeTypical2.7 – 4.7

Possible0 – 6

AttractionA

You?

Average2.3

Typical rangeTypical1.4 – 3.3

Possible0 – 6

Female Sexual Function IndexFSFI

You?

Average17.7

Typical rangeTypical12.7 – 22.6

Possible0 – 36

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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.

WHAT THE TEST MEASURES

Female Sexual Function Index (FSFI) Test - Description and methodology of the test

sexology

People seeking a structured way to review recent sexual experiences can use the Female Sexual Function Index (FSFI) Test to organize concerns that may be difficult to describe. A female sexual function assessment can show how desire, arousal, lubrication, orgasm, satisfaction, and pain fit together. The result offers a focused profile for self-reflection and identifying topics worth discussing more closely.

What This Assessment Explores

Sexual functioning is organized into related domains; FSFI score interpretation compares them.

The result reports these scales:

Female Sexual Function Index Total Score (0–36) combines domains: Low functioning 0–14.4; Moderate functioning 14.5–21.6; Higher functioning 21.7–36.
Desire (0–6) reflects sexual interest: Low desire 0–2; Moderate desire 3–4; High desire 5–6.
Arousal (0–6) reflects arousal ability: Low arousal 0–2; Moderate arousal 3–4; High arousal 5–6.
Lubrication (0–6) reflects physiological lubrication: Low lubrication 0–2; Moderate lubrication 3–4; Adequate lubrication 5–6.
Orgasm (0–6) reflects orgasmic ability: More difficulty 0–2; Some difficulty 3–4; Few or no difficulties 5–6.
Satisfaction (0–6) reflects sexual-life evaluation: Low satisfaction 0–2; Moderate satisfaction 3–4; High satisfaction 5–6.
Pain (0–6) reflects pain during or after sexual activity: Minimal or no pain 0–2; Moderate pain 3–4; Marked pain 5–6.

Methodology and Evidence Base

Questions refer to the previous four weeks and use response styles covering frequency, intensity, difficulty, and satisfaction. Options such as “No sexual activity” and “No attempts at intercourse” distinguish non-occurrence from difficulty.

The female sexual function questionnaire turns these answers into domain results and a composite total. Because formats differ, interpretation should follow the displayed ranges rather than assume identical point values. A profile may reveal a specific difficulty even when the total is less pronounced.

The published FSFI instrument supplies the six-domain reference. Rosen and colleagues introduced that instrument; Meston’s 2003 validation study examined women with orgasmic disorder and hypoactive sexual desire disorder. Wiegel, Meston, and Rosen (2005) reported cross-validation and clinical cutoff work. This online questionnaire is conceptually consistent with those studies, not a documented adaptation of them.

These studies support the domain structure but do not standardize this online version for every population. Scores alone are not diagnostic: recall, current circumstances, self-awareness, and response bias can affect self-report, so persistent concerns need broader clinical context.

Author: Rosen, R.

Literature:

Rosen, R., Brown, C., Heiman, J., Leiblum, S., Meston, C., Shabsigh, R., Ferguson, D., & D’Agostino, R., Jr. (2000). The Female Sexual Function Index (FSFI): A multidimensional self-report instrument for the assessment of female sexual function. Journal of Sex & Marital Therapy, 26(2), 191–208. 10.1080/009262300278597
Wiegel, M., Meston, C., & Rosen, R. (2005). The Female Sexual Function Index (FSFI): Cross-validation and development of clinical cutoff scores. Journal of Sex & Marital Therapy, 31(1), 1–20. 10.1080/00926230590475206
Meston, C. M. (2003). Validation of the Female Sexual Function Index (FSFI) in women with female orgasmic disorder and in women with hypoactive sexual desire disorder. Journal of Sex & Marital Therapy, 29(1), 39–46. 10.1080/713847100

Updated: 2025-10-02