Abstract Introduction There is a complex relationship between women’s sexual functioning and positive outcomes such as satisfaction or pleasure. Some studies indicate that lower physical pleasure mediates the association between sexual function and distress (Stephenson & Metson, 2015), suggesting these constructs are related but distinct. Moreover, different aspects of sexual dysfunction are differentially associated with distress: for example, women more commonly report low desire as distressing than orgasm dysfunction (Shifren, et al., 2008). Additionally, researchers have noted that sexual pain disorders differ from other sexual dysfunctions in both etiologic mechanisms and psychosocial outcomes (Binik et al., 2002). Given that the ultimate goal of sexual medicine treatments is to improve women’s sexual satisfaction and pleasure, what are the actual associations between different aspects of sexual function and women's wellbeing? Objectives To explore associations between sexual function, satisfaction and pleasure in healthy young women. In particular, we were interested in associations between pain and sexual pleasure. Methods Women at a large Midwest university completed an online survey about sexual wellness (N= 92; Mean age = 20.5, SD = 2.7), including well- validated indices of sexual pleasure (using the Female Sexual Subjectivity Inventory, FSSI) and sexual functioning (using the Female Sexual Function Index, FSFI). Analyses were conducted examining the relationships between sexual functioning, sexual satisfaction, sexual pleasure, and sexual pain. Results Although there was a significant relationship between higher sexual functioning and higher sexual pleasure, less than 20% of the total variance in sexual pleasure was explained by sexual functioning (R2 = 0.176). Similarly, while there was a positive relationship between sexual pleasure and sexual satisfaction, sexual satisfaction accounted for less than 30% of the total variance in pleasure (R2 = 0.266). Sexual pain was not significantly associated with sexual pleasure and accounted for only 2% of the variance in pleasure. Conclusions While sexual functioning, satisfaction and pleasure all had statistically significant associations, the overlap between these constructs was considerably smaller than typically assumed. Notably, there was no association between pain and pleasure, which further supports the conceptualization of sexual pain as distinct from other types of sexual dysfunction. When conceptualizing interventions that address women’s sexual pleasure, relying solely on self- reported sexual functioning or pain may miss important sources of pleasure such as intimacy, relationship satisfaction, or positive mood. Disclosure No.