 The objective of this study was to determine the prevalence and severity of fibromyalgia among hospital visiting patients in Pakistan. The results revealed that 33.3% of the participants had fibromyalgia, with females being more than twice as likely to have fibromyalgia as compared to males. Additionally, the presence of diabetes, anxiety and rheumatoid arthritis, but not other comorbidities, advancing age and increased BMI were found to be significantly associated with FM. Furthermore, over 70% of those diagnosed with FM had been previously diagnosed as having musculoskeletal pain and 66% were on long-term onset therapy. Multiple regression analysis showed that FM severity was not influenced by comorbidities, marital status, education or economic status. A unique finding was a later age of menarchy and menstrual irregularity being associated with more severe fibromyalgia symptoms. This article was authored by Muhammad Ali Arif, Fibha Syed, Ralph Niazzi and others.