RT Journal Article SR Electronic T1 The Effect of Musculoskeletal Pain on Sexual Function in Middle-aged and Elderly European Men: Results from the European Male Ageing Study JF The Journal of Rheumatology JO J Rheumatol FD The Journal of Rheumatology SP jrheum.100604 DO 10.3899/jrheum.100604 A1 Abdelouahid Tajar A1 Terence W. O'Neill A1 David M. Lee A1 Daryl B. O'Connor A1 Giovanni Corona A1 Joseph D. Finn A1 Gyorgy Bartfai A1 Steven Boonen A1 Felipe F. Casanueva A1 Gianni Forti A1 Aleksander Giwercman A1 Thang S. Han A1 Ilpo T. Huhtaniemi A1 Krzysztof Kula A1 Michael E.J. Lean A1 Neil Pendleton A1 Margus Punab A1 Nitin Purandare A1 Alan J. Silman A1 Dirk Vanderschueren A1 Frederick C.W. Wu A1 John McBeth YR 2010 UL http://www.jrheum.org/content/early/2010/12/12/jrheum.100604.abstract AB Objective To determine whether musculoskeletal pain was associated with impaired sexual function in a population sample of middle-aged and older men. Methods The European Male Ageing Study (EMAS), a multicenter population-based study of men aged 40–79 years, was used to investigate this hypothesis. A questionnaire asked about the presence and duration of musculoskeletal pain, allowing subjects to be classified into 1 of 3 groups: those reporting chronic widespread pain (CWP), those reporting pain but not CWP (“some pain”), and those with no pain. Subjects completed a sexual function questionnaire from which 3 domains were considered: overall sexual functioning (OSF), sexual functioning-related distress (SFD), and change in sexual functioning compared to 1 year ago (CSF). Results A total of 3206 men [mean age 60 (SD 11) yrs] had complete data on pain status. Of these, 8.7% had CWP and 50.34% had “some pain.” Pain was associated with lower OSF, and higher SFD and CSF scores. After adjustment for putative confounding factors, the associations became non-significant with OSF and CSF but persisted for SFD. Associations between pain status and some items within the sexual functioning domains, including frequency of sexual intercourse, frequency of morning erections, sexual desire, and orgasm were also significant, although these associations varied by pain status. Conclusion Musculoskeletal pain is associated with several aspects of sexual functioning. These relationships differ depending on the extent of the pain (chronic or not) and are also largely confounded by other health-related factors, primarily depression.