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Sexual performance was worse in those on menopause ( less then 0.0001). A modest correlation of age (rho - 0.09 for SQ-F and - 0.10 for FSFI) and degree of musculoskeletal pain (rho = - 0.21 for SQ-F and - 0.23 for FSFI) with sexual performance indexes were found. Psychiatric illness was also associated with lower SQ-F (p = 0.001). There is a high prevalence of sexual dysfunction in FM that associates with the presence of menopause, psychiatric comorbidities, older age, and high degree of musculoskeletal pain.Trichloroethylene (TCE) is an