Aim: The purpose of this study was to analyze female sexual dysfunction and potential risk factors influencing the sexual life in Kosovo’s women population. Study Design: Cross-sectional analysis Place and Duration of Study: This study was conducted through an online survey in Kosovo, between May-September 2015. Methods: A self‑administered structured questionnaire, A Brief Sexual Symptom Checklist for Women, (BSSC) was administered to assess overall satisfaction (prevalence), desire, genital sensation, lubrication, orgasm and pain. The respondent rate was 87.5% (350/400). Results: The level of sexual dissatisfaction was 36.9%. Little or no interest in sex was reported in 32% of women, an orgasmic problem in 20%, genital sensation problem in 16.7%, a lubrication problem in 12.7% and pain during sex in 16.0%. 76.8% of women would like to talk about these problems with their doctor. Age and smoking history are the potential risk factors. Conclusion: The level of sexually dissatisfied women in Kosovo is quite high but similar to other studies within the field. The willing to discuss with a doctor was reported by 2/3 of respondents. The level of satisfaction is in correlation with age. The second most important risk factor is smoking.