The effect of musculoskeletal pain on sexual function in middle-aged and elderly European men: Results from the European male ageing study

Abdelouahid Tajar, Terence W. O'Neill, David M. Lee, Daryl B. O'Connor, Giovanni Corona, Joseph D. Finn, Gyorgy Bartfai, Steven Boonen, Felipe F. Casanueva, Gianni Forti, Aleksander Giwercman, Thang S. Han, Ilpo T. Huhtaniemi, Krzysztof Kula, Michael E.J. Lean, Neil Pendleton, Margus Punab, Nitin Purandare, Alan J. Silman, Dirk VanderschuerenFrederick C.W. Wu, John McBeth, Luisa Petrone, Herman Borghs, Jolanta Slowikowska-Hilczer, Renata Walczak-Jedrzejowska, Philip Steer, Stephen Pye, Mary Lage, Imre Földesi, Imre Fejes, Paul Korrovitz, Min Jiang

Research output: Contribution to journalArticle

14 Citations (Scopus)


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 nonsignificant 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. The Journal of Rheumatology

Original languageEnglish
Pages (from-to)370-377
Number of pages8
JournalJournal of Rheumatology
Issue number2
Publication statusPublished - Feb 1 2011



  • Chronic widespread pain
  • Epidemiology
  • Health-related quality of life
  • Male sexual health
  • Population-based

ASJC Scopus subject areas

  • Rheumatology
  • Immunology and Allergy
  • Immunology

Cite this

Tajar, A., O'Neill, T. W., Lee, D. M., O'Connor, D. B., Corona, G., Finn, J. D., Bartfai, G., Boonen, S., Casanueva, F. F., Forti, G., Giwercman, A., Han, T. S., Huhtaniemi, I. T., Kula, K., Lean, M. E. J., Pendleton, N., Punab, M., Purandare, N., Silman, A. J., ... Jiang, M. (2011). The effect of musculoskeletal pain on sexual function in middle-aged and elderly European men: Results from the European male ageing study. Journal of Rheumatology, 38(2), 370-377.