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HIV and Sexual Dysfunction in Men

Sara De Vincentis1,2, Giulia Tartaro1,2, Vincenzo Rochira1,2

  • 1Unit of Endocrinology, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Via Giardini 1355, 41126 Modena, Italy.

Journal of Clinical Medicine
|April 3, 2021
PubMed

Insights

Sexual dysfunction is common in men with human immunodeficiency virus (HIV), affecting libido and erectile function. Addressing these issues requires a multidisciplinary approach to improve quality of life.

Area of Science:

  • Sexual Medicine
  • Infectious Diseases
  • Men's Health

Background:

  • Sexual dysfunction is more prevalent in people with HIV than in the general population.
  • Erectile dysfunction affects 30-50% of men with HIV, even those under 40.
  • Factors include HIV transmission fears, stigma, comorbidities, and psychological distress.

Purpose of the Study:

  • To review current knowledge on sexual dysfunction in men with HIV.
  • To explore contributing factors and provide clinical guidance.
  • To emphasize the importance of sexual health in HIV management.

Main Methods:

  • Narrative review of existing literature.
  • Analysis of factors contributing to sexual dysfunction in HIV.
  • Synthesis of diagnostic and therapeutic strategies.

Main Results:

  • Sexual issues are often overlooked in HIV care.
  • Both HIV-specific and general factors influence sexual health.
  • A multidisciplinary approach is crucial for effective management.

Conclusions:

  • Sexual dysfunction is a significant concern for men with HIV.
  • Comprehensive care addressing sexual health improves patient quality of life.
  • Collaboration between infectious disease and sexual medicine specialists is recommended.

Keywords:
HIV infectionPDE-5 inhibitorserectile dysfunctionlibidomen who have sex with mensexual health

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