Measurement of Sexual Functioning After Spinal Cord Injury: Preferred Instruments

This study aimed to determine which tools are best for measuring sexuality and fertility in people with spinal cord injuries (SCI). An expert panel reviewed existing measurement tools to see how well they work for this population. The panel looked at tools for both male and female sexual function, as well as male and female reproductive function. They identified the most frequently used tools over the past 5 years and assessed them critically. The panel concluded that the Female Sexual Function Index (FSFI) and the International Index of Erectile Function (IIEF) are good choices for clinical trials. They also recommended vaginal pulse amplitude (VPA) for lab studies and assessment of ejaculatory capacity and semen quality for male fertility potential.

• 1
  The Female Sexual Function Index (FSFI) is considered an appropriate measure to assess female sexual responses after SCI.
• 2
  The International Index of Erectile Function (IIEF) is considered an appropriate measure to assess male sexual responses after SCI.
• 3
  Measurement of ejaculatory function and semen quality were considered appropriate measures to assess male reproductive function after SCI.