The Female Sexual Function Index (FSFI)

The Female Sexual Function Index (FSFI) is a scientifically validated tool that helps you understand different aspects of your sexual wellbeing

🕓 This assessment takes about 10 minutes to complete

💡 Remember: there are no "right" or "wrong" answers. Your responses are a reflection of your personal journey, not a scorecard. By exploring your sexual function, you’re taking a powerful step toward deeper self-awareness and pleasure

Answer 19 questions about 6 key aspects (sexual desire, arousal, lubrication, orgasm, overall satisfaction with intimacy, physical comfort during sex) of your sexual wellbeing

SEXUAL DESIRE / LIBIDO

During the past 4 weeks, how often have you felt sexual desire or interest?

Almost always = 5

Most times (more than half the time) = 4

Sometimes (about half the time) = 3

A few times (less than half the time) = 2

Almost never or never = 1

During the past 4 weeks, how would you rate your level of sexual desire or interest?

AROUSAL

During the past 4 weeks, how often did you feel sexually aroused (turned on) during sexual activity?

During the past 4 weeks, how would you rate your level of sexual arousal during sexual activity?

During the past 4 weeks, how confident were you about becoming sexually aroused during sexual activity?

During the past 4 weeks, how satisfied were you with your arousal during sexual activity?

LUBRICATION

During the past 4 weeks, how often did you get wet (lubricated) during sexual activity?

During the past 4 weeks, how difficult was it to get wet (lubricated) during sexual activity?

During the past 4 weeks, how often did you maintain lubrication until completion of sexual activity?

During the past 4 weeks, how difficult was it to maintain lubrication until completion of sexual activity?

ORGASM

During the past 4 weeks, when you had sexual stimulation or intercourse, how often did you reach orgasm?

During the past 4 weeks, when you had sexual stimulation or intercourse, how difficult was it to reach orgasm?

During the past 4 weeks, how satisfied were you with your ability to reach orgasm during sexual activity?

SATISFACTION

During the past 4 weeks, how satisfied have you been with the emotional closeness with your partner during sexual activity?

During the past 4 weeks, how satisfied have you been with your sexual relationship with your partner?

During the past 4 weeks, how satisfied have you been with your overall sexual life?

PAIN

During the past 4 weeks, how often did you experience discomfort or pain during vaginal penetration?

During the past 4 weeks, how often did you experience discomfort or pain following vaginal penetration?

During the past 4 weeks, how would you rate your level of discomfort or pain during or following vaginal penetration?

Sexual desire / libido (your level of interest): 0 points

5.4-6.0: You frequently experience sexual thoughts and interest.
4.2-5.3: Your interest in sex is regular and natural.
3.0-4.1: You experience sexual interest, though it may fluctuate.
1.2-2.9: You may experience less frequent sexual thoughts or interest.

Arousal (how your body responds): 0 points

5.4-6.0: Your body readily responds to sexual stimulation.
4.2-5.3: You generally become physically excited during sexual activity.
3.0-4.1: Your physical response may vary.
0.0-2.9: You might find it challenging to become physically aroused.

Lubrication (natural vaginal wetness): 0 points

5.4-6.0: Your body produces consistent moisture during sexual activity.
4.2-5.3: You generally experience adequate natural wetness.
3.0-4.1: Your natural moisture levels may vary.
0.0-2.9: You might experience some dryness during sexual activity.

Orgasm (ability and satisfaction): 0 points

5.4-6.0: You regularly experience satisfying orgasms.
4.2-5.3: You're generally able to reach orgasm during sexual activity.
3.0-4.1: You may experience orgasms but with some variability.
0.0-2.9: You might experience some challenges reaching orgasm.

Overall satisfaction with intimacy: 0 points

5.4-6.0: You feel very content with your sexual and emotional connection.
4.2-5.3: You generally feel positive about your intimate experiences.
3.0-4.1: Some aspects of your intimate life feel fulfilling while others may need attention.
0.8-2.9: You might desire more fulfillment in your intimate experiences.

Physical comfort during sex: 0 points

5.4-6.0: You rarely or never experience discomfort during sexual activity.
4.2-5.3: Physical intimacy is generally comfortable for you.
3.0-4.1: You may experience occasional discomfort.
0.0-2.9: You might experience some regular discomfort during sexual activity.

Sexual Function Score (Total FSFI Score): 0 points

28-36: Your responses indicate healthy sexual wellbeing across most areas.
23-27: While some areas are strong, others might benefit from attention.
17-22: Several aspects of your sexual wellbeing might benefit from support.
2-16: You might benefit from additional support in multiple areas of sexual function.

Understand Your Results

💡 What influences your score? What to do if your score feels low?

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✔ There is no single “normal” score because sexuality is highly individual.
✔ FSFI scores show where you are right now, not a permanent state.
✔ Many factors influence sexual function, including stress, hormones, emotions, relationships, and health.

If your scores feel lower than you’d like, remember:
✔ This does not mean something is wrong with you.
✔ Many aspects of sexual function are flexible and can improve with time, support, and self-awareness.

Different aspects of sexual function interact but don’t always develop equally. Some common patterns:

✔ High desire, but lower arousal or lubrication? → Your mind is engaged, but your body might need more time or stimulation.
✔ Good arousal, but difficulty with orgasm? → Some people need more relaxation or the right type of stimulation to reach climax.
✔ Lower satisfaction, but good physical response? → Emotional connection, expectations, or external stress may play a role.

💡 Your scores reflect a snapshot of your experience, not a fixed label.

❌ No. These numbers are not a diagnosis.
✔ Your scores simply highlight areas where you may want to explore more self-care, communication, or professional guidance.

💡 If you feel distress about any aspect of your sexuality, it might help to explore this further with resources, self-reflection, or speaking with a specialist.

Yes! Sexual function is adaptable.

Many people notice changes when they:
✔ Reduce stress and create more space for pleasure.
✔ Improve self-connection through movement, self-touch, or body awareness.
✔ Communicate their needs in relationships.
✔ Seek professional support if needed (pelvic floor therapy, hormone balance, counseling).

💡 Small, intentional steps can create meaningful shifts over time.

✔ If your scores feel low and this does not bother you, there’s no need for concern.
✔ If you experience distress, discomfort, or pain, it might be worth exploring supportive resources or speaking with a specialist.

💡 Sexual wellbeing is about what feels good for you—not about meeting a specific standard.