Abstract: Objective: To systematically evaluate the methodological quality and measurement properties of sexual health assessment tools for patients with gynecologic cancer, providing a basis for selecting appropriate tools for healthcare professionals. Methods: A comprehensive search was conducted in multiple databases up to March 16, 2025. Tools were evaluated using the COSMIN criteria to form recommendations. Results: Twenty studies were included, covering 11 sexual health assessment tools. The Quality of Life Questionnaire Cervical Cancer Module, Quality of Life Questionnaire Endometrial Cancer Module, and Sexual Well-being after Cervical or Endometrial cancer met the criteria for content validity and internal consistency, receiving grade A recommendations. Two tools were rated as grade C due to insufficient internal consistency or hypothesis testing. The remaining six tools were rated as grade B due to limited evidence for content validity or internal consistency. Conclusion: The Quality of Life Questionnaire Cervical Cancer Module and the Quality of Life Questionnaire Endometrial Cancer Module focus on assessing quality of life, while the Sexual Well-being after Cervical or Endometrial cancer comprehensively evaluates sexual health. However, its applicability in China requires further validation.

Key words: gynecologic cancer; sexual health; assessment tools; measurement properties; COSMIN Guidelines; systematic review