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  • Female Sexual Distress Scale - Revised

  • Date
     - -
    2 digit month, 2 digit day, 4 digit year

  • Below is a list of feelings and problems that men and women sometimes have concerning their sexuality.


    Please read each item carefully, and check the box that best describes how often that problem has bothered you or caused distress over the last 4 weeks including today. Please check only one box for each item, and take care not to skip ANY items. 

  • 1. How often did you feel distressed about your sex life?*
  • 2. How often did you feel unhappy about your sexual relationship?*
  • 3. How often did you feel guilty about your sexual difficulties?*
  • 4. How often did you feel frustrated by your sexual problems?*
  • 5. How often did you feel stressed about sex?*
  • 6. How often did you feel inferior because of sexual problems?*
  • 7. How often did you feel worried about sex?*
  • 8. How often did you feel sexually inadequate?*
  • 9. How often did you feel regrets about your sexuality?*
  • 10. How often did you feel embarrassed about sexual problems?*
  • 11. How often did you feel dissatisfied with your sex life?*
  • 12. How often did you feel angry about your sex life?*
  • 13. How often did you feel bothered by low desire?*

  • Thank you for completing this survey.  Your responses are confidential and an important part of your medical record.

  • Thank you for completing this survey.  Your responses are confidential and an important part of your medical record.

    © American Foundation for Urologic Disease, Inc.
    From DeRogatis L, Clayton A, Lewis-D’Agostino D, Wunderlich G, Fu Y. Validation of the female sexual distress scale-revised for assessing distress in women with hypoactive sexual desire disorder. J Sex Med. 2008 Feb;5(2):357-64.

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