COSMIN database

Questionnaires for assessment of female sexual dysfunction: a review and proposal for a standardized screener

Giraldi, A., Rellini, A., Pfaus, J. G., Bitzer, J., Laan, E., Jannini, E. A., and Fugl-Meyer, A. R.
INTRODUCTION: There are many methods to evaluate female sexual function and dysfunction (FSD) in clinical and research settings, including questionnaires, structured interviews, and detailed case histories. Of these, questionnaires have become an easy first choice to screen individuals into different categories of FSD.

AIM: The aim of this study was to review the strengths and weaknesses of different questionnaires currently available to assess different dimensions of women's sexual function and dysfunction, and to suggest a simple screener for FSD.

METHODS: A literature search of relevant databases, books, and articles in journals was used to identify questionnaires that have been used in basic or epidemiological research, clinical trials, or in clinical settings.

MAIN OUTCOME MEASURE: Measures were grouped in four levels based on their purposes and degree of development, and were reviewed for their psychometric properties and utility in clinical or research settings. A Sexual Complaints Screener for Women (SCS-W) was then proposed based on epidemiological methods.

RESULTS: Although many questionnaires are adequate for their own purposes, our review revealed a serious lack of standardized, internationally (culturally) acceptable questionnaires that are truly epidemiologically validated in general populations and that can be used to assess FSD in women with or without a partner and independent of the partner's gender. The SCS-W is proposed as a 10-item screener to aid clinicians in making a preliminary assessment of FSD.

CONCLUSIONS: The definition of FSD continues to change and basic screening tools are essential to help advance clinical diagnosis and treatment, or to slate patients adequately into the right diagnostic categories for basic and epidemiological research or clinical trials.
J Sex Med
1743-6109 (Electronic)
Publication year:
Symptom status:
Physical state
Functional status:
Cognitive/mental functioning
Physical functioning
General health perceptions / HRQoL:
Health-related quality of life
Adults (18-65)
Children (0-18)
Seniors (65+)
Diseases of and symptoms related to the genitourinary system
Mental and behavioural disorders and related symptoms
PRO / non-PRO:
Patient Reported Outcome
Type of measurement instrument:
1 - Questionnaires
2 - Interviews
ASEX - Arizona Sexual Experiences Scale
BISF - Brief Index of Sexual Functioning (versions: BISF-W - BISF-for Women
CSDS - Cues for Sexual Desire Scale
CSFQ - Changes in Sexual Functioning Questionnaire (Also: CSFQ-14 - 14 item version)
DISF(-SR) - Derogatis Interview for Sexual Functioning(-Self Report)
DSFI - Derogatis Sexual Functioning Inventory
FSDS - Female Sexual Distress Scale AND FSDS-Revised
FSFI - Female Sexual Function Index (and FSFI-BC - Breast Cancer; FSFI-VAS; FSFI-6)
GRISS - Golombok Rust Inventory of Sexual Satisfaction
HSDD-screener - Hypoactive Sexual Desire Disorder screener
LiSat-11 - Life Satisfaction 11-item Checklist (Also LiSat-9 - Life Satisfaction 9-item Checklist)
MFSQ - McCoy Female Sexuality Questionnaire
MSIQ - Menopausal Sexual Interest Questionnaire
PFSF - Profile of Female Sexual Function (Also B-PFSF - brief version of PFSF)
QSF - Quality of Sexual Function
SADI - Sexual Arousal and Desire Inventory
SAQ - Sexual Activity Questionnaire
SFQ - Sexual Function Questionnaire (versions: BSFQ - Brief SFQ; SFQ-28; Female SFQ)
SIDI F - Sexual Interest and Desire Inventory-Female
SLQQ - Sexual Life Quality Questionnaire
SSS-W - Sexual Satisfaction Scale for Women
TSS - Treatment Satisfaction Scale