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From 2001 to 2012, a total of 53\u00a0678 male patients newly diagnosed with fibromyalgia were recruited as the fibromyalgia cohort, and the same number of the non\u2010fibromyalgia cohort was enrolled and matched with propensity score with age, income, comorbidities, and prescribed medications. All records were followed up until the end of 2013. The Cox proportional hazards model was carried out to assess the risk of erectile dysfunction among fibromyalgia patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The incidence rates of erectile dysfunction were 36.86 and 21.15 (per 10\u00a0000 person\u2010years) in the fibromyalgia and non\u2010fibromyalgia cohorts, respectively, and a significantly increased risk of erectile dysfunction in fibromyalgia patients was noted (adjusted hazard ratio 1.69, 95% confidence interval 1.55\u20131.85, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001). 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