The association of musculoskeletal disorders and genitourinary symptom
s is reviewed. Reactive arthritis, Sjogren's syndrome and rheumatoid a
rthritis can present with a variety of genitourinary symptoms. Similar
ly sexually transmitted diseases including gonorrhoea, syphilis, HIV a
nd other viral infections can affect the musculoskeletal system. Reite
r's syndrome may be a consequence of a sexually transmitted infection
although its presentation can suggest that also in post-dysenteric cas
es. The fact that conditions may present to various medical specialtie
s requires doctors outside departments of GUM to allow their patients
an opportunity and the time to discuss sexual matters.