Objectives: The purpose of this study was to evaluate the female sexual dysfunction of North Korean defector women and to identifyrelated factors. Methods: A total of 110 North Korean defector women who married and lived in South Korean community more than1 year participated in this study. A self-report questionnaire was used to obtain data. The dependent variable is the Female Sexual FunctionIndex (FSFI). Independent variables were demographic factors (age, education, residential environment, sexual experience(rape), sexknowledge and sex attitude). Data were analyzed using the SPSS for descriptive statistics, t-test, two-way ANOVA, and MultipleHierarchical Regression. Results: The mean score of sexual function for North Korean defectors was 18.94(SD:5.88). Sexual functioningfor North Korean defector women was relatively low, 18.94 in comparison to Rosen’s cutoff scores of 26.6. In multiple regression analysis,the sexual function level was significantly higher in elderly, high educational level, stable residential situation, non rape, and conservativesexual attitudes. Conclusions: The results show the status and description of sexual dysfunction in North Korean Women defectors inSouth Korean community and can be a basic reference for study about sexual dysfunction. However, more study about North KoreaDefector Women with sexual dysfunction should be interviewed and evaluated.