While sexual dysfunction can be a problem for anyone, people living with HIV may be particularly affected. Loss of sexual desire or desire (libido) or the inability to obtain and maintain an erection can have a significant impact on the quality of life and feelings of self-esteem, and can even contribute to emotional problems, including anxiety and depression
Sexual problems are common during periods of stress, such as when diagnosed HIV-positive or living with problems at work or relationship difficulties. Excessive alcohol intake Or recreational drugs can also decrease desire and ability to have sex.
Some medicines against HIV /AIDS and many of the medicines commonly used to treat depression, eg citalopram and fluoxetine (Prozac) or can also affect sexual functioning. In addition, megestrol acetate (Megace), an appetite stimulant, has been shown to cause loss of libido.
Questions for men
[ecwid_product store_id = ”51587092 ″ product_id =” 51587092 ″ display = ”picture” link = ”http://soropositivo.org/#!/Kit Gigabyte Ga-945gcmx-s2 + Cpu E 2gb Ddr 2 / p / 5002 / ”] Sexual dysfunction among men can often be a result of the drop in testosterone (Hypogonadism), which can also lead to fatigue. Lower testosterone levels than are normally found in people with advanced HIV infection, and can be caused by either the direct effects of HIV or chronic health problems. Many men receive testosterone replacement to relieve these problems. Men who use testosterone-replacement therapy usually gain muscle mass, the emotional experience of "uplift", and an increase in their libido. (Translator's note: “I AM the CARA syndrome”)
HIV can also cause nerve damage. Erectile nerve damage can result in erection problems.
On the other hand, erectile problems can be one of the many side effects of some anti-HIV drugs. For example ddI (Videx) and d4T (stavudine, Zerit) can cause numbness in the genital area, some, but not all research has associated protease inhibitors with erectile problems.
The risk of developing erectile problems increases with age, these can sometimes be indications of more serious problems, such as heart disease.
So it makes sense to talk about erectile dysfunction or other sexual problems with your doctor so that the cause can be investigated and the most appropriate treatment is put into practice.
Things to Do
Viagra (conscientized), Cialis responding to (tadalafil) and vardenafil (Levitra) are tablets used to treat erectile dysfunction (or impotence) that work by increasing blood flow to the penis, making it more sensitive to touch.
These drugs should be taken with caution by people with protease inhibitors, NNRTIs, ketoconazole, itraconazole and erythromycin. The standard of Viagra doses should be reduced to 25 mg, Cialis responding to of 10mg and Levitra for 2,5 mg. However, for people taking ritonavir, it is recommended that Viagra should not be used because of all the potential health risks and that the dose of Levitra should be reduced to no more than 2,5 mg in 72 hours. Similarly, recreational drugs Poppers should not be used with Viagra, Levitra or Cialis responding to as this can result in a potentially dangerous drop in blood pressure.
More treatments for impotence include the injection of alprostadil, a hormone produced by the prostate gland that alters the flow of blood in the penis. This can be done by using Caverject, a small needle to inject the penis with the hormone. This works very quickly, and the effects can last for hours, although some men may find the process unpleasant. The long-term effects are unknown and there is a limit of three injections per week, otherwise you run the risk of priapism, or painful persistent erection of the penis . Alternatively, alprostadil comes as a sediment that can enter into the urethra through an applicator. This is known as Muse.
A variety of different implants are also available, but these need to be replaced as time goes by. A semi-solid silicone implant can make the penis firmer, but not hard. Alternatively, a pouch can be created inside the penis, in which a silicone of the stem is inserted so as to erection. Vacuum pumps, including the pump Rapport, are also available at the NHS.
Issues for women
It is not uncommon for HIV-positive women to experience early menopause as a result of the abnormal production of the female hormones progesterone and estrogen. Sexual dysfunction among women can also be caused by physical symptoms such as vaginal dryness or Sabia, pain or severe premenstrual syndrome (PMS). Women may be offered hormone replacement therapy, however this should be carefully monitored for signs of masculinization. The effects of no drug for treatment of sexual dysfunction in women have been fully studied.
If you have questions about any aspect of sexual dysfunction, consider having it discussed with your doctor at your next hospital visit. He or she may be able to refer you to a specialist within the hospital, such as a psychologist or psychotherapist. If the underlying causes of the problem are emotional then you will eventually discover that the medications only provide a partial benefit. A quick course on sexuality, or sessions with a psychologist or sexologist can offer additional help.
Posted in: 08 April 2011
Reviewed by Mara Macedo.
A note from the Editor. More than two-thirds of the text is devoted to male sexual dysfunctions. And the women? Do not deserve attention ??? !!!!!