Study finds, Association between Chronic primary or secondar
Researchers aimed to systematically review evidence surrounding the association between chronic primary and secondary musculoskeletal pain with intimate relationships and sexual function.

4 electronic databases were searched for cross-sectional or prospective epidemiologic and qualitative studies among cohorts with chronic primary or secondary non-inflammatory musculoskeletal pain, defined by ICD-11 classification criteria.

--51 eligible studies were included. Sample sizes ranged from 13 to 12,377 and mean age from 32.6 to 69.2 years.

--Cross-sectional controlled cohort studies consistently reported poorer sexual function outcomes among cohorts with pain relative to comparison groups.

--Of 15 studies reporting outcomes for the Female Sexual Function Index, 14 demonstrated mean scores less than 26.55 for the pain group, indicating sexual dysfunction.

--In 4 studies reporting the International Index of Erectile Function, the pain cohorts demonstrated consistently lower mean subscale scores and the erectile function subscale scores were less than 25.0, indicating erectile dysfunction.

--Three key themes emerged from a meta-synthesis of qualitative studies: impaired sexual function; compromised intimate relationships; and impacts of pain on sexual identity, body image and self-worth.

In conclusion, sexual dysfunction and negative consequences of chronic non-inflammatory musculoskeletal pain are particularly widespread among persons with intimate ties. Testing of such correlations for the provision of holistic musculoskeletal pain therapy centered around the person is relevant.