Factors associated with sexual dysfunction in men with HIV infection

Where men have had access to successful treatment for HIV (highly active antiretroviral therapy), expectations of both patients and physicians alike have changed significantly over the past decade. Such men, living with HIV, expect to lead fully functional lives including a normal sex life. Sexual d...

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Bibliographic Details
Published in:International journal of STD & AIDS 2006-11, Vol.17 (11), p.764-767
Main Authors: RICHARDSON, Daniel, LAMBA, Harpal, GOLDMEIER, David, NALABANDA, Ananth, HARRIS, J. R. W
Format: Article
Language:English
Subjects:
Adult
AIDS/HIV
Antiretroviral Therapy, Highly Active
Biological and medical sciences
Epidemiology. Vaccinations
General aspects
HIV
HIV Infections - complications
HIV Infections - drug therapy
HIV Infections - psychology
Human immunodeficiency virus
Human viral diseases
Humans
Immunodeficiencies
Immunodeficiencies. Immunoglobulinopathies
Immunopathology
Infectious diseases
Male
Medical sciences
Middle Aged
Retrospective Studies
Sexual Dysfunction, Physiological - virology
Sexual Dysfunctions, Psychological - virology
Viral diseases
Viral diseases of the lymphoid tissue and the blood. Aids
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Summary:Where men have had access to successful treatment for HIV (highly active antiretroviral therapy), expectations of both patients and physicians alike have changed significantly over the past decade. Such men, living with HIV, expect to lead fully functional lives including a normal sex life. Sexual dysfunction is well described among men with HIV. We retrospectively analysed details of 190 consecutive men attending a dedicated sexual dysfunction service in our HIV unit over an 18-month period. We took note of the specifics of their HIV disease, illnesses other than HIV, as well as other risk factors associated with sexual dysfunction. Men with sexual dysfunction all commonly reported recreational drug use, hepatitis B and C co-infection, anxiety and depressive illnesses, peripheral neuropathy and lipodystrophy. There was a significant relationship between men complaining of retarded ejaculation and peripheral neuropathy. Sexual dysfunction in non-HIV settings is known to lead to poor adherence to prescribed medications, e.g. antihypertensive agents. Iatrogenic sexual dysfunction in patients may similarly have a potential to lead to poor antiretroviral compliance if not addressed.
ISSN:0956-4624
1758-1052
DOI:10.1258/095646206778691095