npj Women's Health (Jan 2025)
Female sexual response among Flo app users in the United States
Abstract
Abstract Female sexual response has historically been understudied. Using the female sexual function index (FSFI-6), this study estimated female sexual response and its associations with sociodemographic characteristics, self-reported health conditions, and logging of sex events. Participants included a large and demographically diverse sample of 2392 users of the Flo Health mobile application (app) in the United States. Participants scored higher on FSFI-6, suggesting higher sexual function, if they were actively trying to conceive, met the criteria for obesity (body mass index (BMI) ≥ 30 kg/m2), or engaged in higher-than-average in-app sex event logging. Conversely, being underweight (BMI < 18.5 kg/m2), or reporting at least one of the queried health conditions, was associated with lower FSFI-6 scores. This study demonstrates that many individual factors are relevant to female sexual response and is the first to report a positive association between trying to conceive, obesity, and sexual event logging with female sexual function.