This study is one of few to examine reproductive health problems affecting men in the Pacific region. Four hundred men in Honiara suburbs were interviewed about their reproductive and sexual problems and their general health. Disorders of sexual function were reported by many men in the Solomon islands, and were associated with common chronic diseases and poor mental health. However, levels of help-seeking, medical screening and treatment were low. The study recommends development of culturally sensitive reproductive health care for men in Pacific Island nations and territories.