Female Sexual Function Index (FSFI)

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Tool Description

  • The FSFI is a survey measuring the sexual functioning of women in six different domains: desire, arousal, lubrication, orgasm, satisfaction and pain.
  • The index only measures sexual function in these domains over the previous 30 days
  • The FSFI has primarily been tested on women with sexual arousal disorder as well as the general population.
  • The index is less established in groups with spinal cord injury

ICF Domain:

Body Functions - subcategory: Genitourinary and reproductive functions

Number of Items:

19

Brief Instructions for Administration & Scoring

Administration/Scoring:

  • Each item is scored from 0 to 5 except for questions 1, 2, 13-16 (which are scored from 1 to 5)
  • The items are then scaled to achieve a maximum score of 36

Interpretability

MCID: not established for SCI
SEM: not established for SCI
MDC: not established for SCI

Languages:

n/a

Training Required:

n/a

Availability:

The questionnaire is available under the "How to Use" section.

Measurement Property Summary

# of studies reporting psychometric properties: 8

Reliability:

In general population:

  • High Internal Consistency: α = 0.97 (full sample), α = 0.93 (FSAD), α = 0.95 (gen. pop.)
  • High Test-Retest Reliability for total scale: ICC = 0.94
  • High Correlation between online and paper FSFI tests :r =0.934 (P=0.91)

Validity:

In general population:

  • High Significance in difference in mean scores between Female Sexual Arousal Disorder and control groups: P < 0.001
  • Low to Moderate Correlation between FSFI with Wallace Marital Adjustment Test: Control group, r = 0.53 Female Sexual Arousal Disorder group, r = 0.22

[Rosen et al. 2011, Wolpe et al. 2017, Crisp et al. 2014, ]

Responsiveness:

Not established in SCI.

Floor/ceiling effect:

Not established in SCI.

Reviewer

Gurmaan Gill.

Date Last Updated:

January. 24, 2019

Download the measure

Download Worksheet:

Worksheet Document

Video

n/a

Scoring

n/a

Equipment Needed

FSFI:

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. J Sex Marital Ther. 2000;26(2):191-208. https://www.ncbi.nlm.nih.gov/pubmed/10782451

Wiegel M, Meston C, Rosen R. The female sexual function index (FSFI): cross-validation and development of clinical cutoff scores. J Sex Marital Ther. 2005;31(1):1-20.

https://pubmed.ncbi.nlm.nih.gov/15841702/

Burri A, Cherkas L, Spector T. Replication of psychometric properties of the FSFI and validation of a modified version (FSFI-LL) assessing lifelong sexual function in an unselected sample of females. J Sex Med. 2010;7(12):3929-39. https://www.jsm.jsexmed.org/article/S1743-6095(15)32798-3/fulltext

Carpenter JS, Jones SM, Studts CR, Heiman JR, Reed SD, Newton KM, Guthrie KA, Larson JC, Cohen LS, Freeman EW, Jane Lau R, Learman LA, Shifren JL. Female Sexual Function Index Short Version: A MsFLASH Item Response Analysis. Arch Sex Behav. 2016;45(8):1897-1905. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5053877/

Crisp CC, Fellner AN, Pauls RN. Validation of the Female Sexual Function Index (FSFI) for web-based administration. Int Urogynecol J. 2015;26(2):219-22. https://www.ncbi.nlm.nih.gov/pubmed/25023778

Isidori AM, Pozza C, Esposito K, Giugliano D, Morano S, Vignozzi L, Corona G, Lenzi A, Jannini EA. Development and validation of a 6-item version of the female sexual function index (FSFI) as a diagnostic tool for female sexual dysfunction. J Sex Med. 2010;7(3):1139-46. https://www.jsm.jsexmed.org/article/S1743-6095(15)32925-8/fulltext

Kalmbach DA, Ciesla JA, Janata JW, Kingsberg SA. The Validation of the Female Sexual Function Index, Male Sexual Function Index, and Profile of Female Sexual Function for Use in Healthy Young Adults. Arch Sex Behav. 2015;44(6):1651-62. https://www.ncbi.nlm.nih.gov/pubmed/25091215

Wolpe RE, Queiroz APA, Zomkowski K, Sperandio FF. Psychometric properties of the Female Sexual Function Index in the visual analogue scale format. Sex Health. 2017;14(3):213-220. http://www.publish.csiro.au/sh/SH16131