(O-45) Simplifying female sexual function assessment: the performance of female sexual function Index-6 in women with spinal cord injury

Abstract Introduction Female Sexual Dysfunction (FSD) is highly prevalent yet underdiagnosed, often due to its subjective nature and reliance on self-reporting. Questionnaires play a key role in its assessment. While the Female Sexual Function Index (FSFI) is widely used, its length may hinder routine application. The shorter FSFI-6 may offer a more practical alternative. Although validated in other contexts, its utility has not been studied in women with spinal cord injury (SCI), who face specific barriers such as altered sensation, pain, mobility, and voiding dysfunction. This study aimed to evaluate the accuracy of the FSFI-6 in identifying sexual dysfunction in this population. Methods This cross-sectional study included women aged ≥18 years with traumatic or non-traumatic SCI of ≥1 year, evaluated at a tertiary academic hospital. Demographics, cause and duration of injury, neurological impairment severity, and perceived sexual activity before and after SCI were collected. Sexual function was assessed using the FSFI, and FSFI-6 scores were derived from the same domains. Results Among 98 women (median age 42.5), 42.9% lived with a partner. SCI was non-traumatic in 85.7%. While 38.8% walked unaided, 21.4% used wheelchairs. Mean FSFI was 22 ± 10.1, with 58.3% scoring ≤26.55. FSFI-6 mean score was 18 ± 18.1, with 50% scoring ≤19. FSFI and FSFI-6 showed a very strong correlation (r = 0.9887). Conclusion The FSFI-6 showed strong agreement with the full FSFI in detecting sexual dysfunction among women with SCI. Its simplicity and accuracy support its use in routine clinical and research assessments. Financing No conflict.