HIV and Erectile Dysfunction - UKCAB

HIV and Erectile Dysfunction

Daniel Richardson

Brighton & Sussex Universities NHS Trust Brighton & Sussex Medical School

Photo of clinic scenario

The characters and events depicted in this photoplay are fictitious. Any similarity to actual persons, living or dead, is purely coincidental.

Photo of clinic Your CD4 count is scenario much better and your viral load is undetectable.

The characters and events depicted in this photoplay are fictitious. Any similarity to actual persons, living or dead, is purely coincidental.

I really want to tell my doctor about the problem I am

experiencing with erections. I think its my ARVs

The characters and events depicted in this photoplay are fictitious. Any similarity to actual persons, living or dead, is purely coincidental.

I'll See you in 4 months.

The characters and events depicted in this photoplay are fictitious. Any similarity to actual persons, living or dead, is purely coincidental.

I'm having some problems with erections, can you

help?

The characters and events depicted in this photoplay are fictitious. Any similarity to actual persons, living or dead, is purely coincidental.

I Know that Sexual Dysfunction in men with HIV is

associated with...

.

?Poor Adherence to HAART

?Unprotected sex and STI &HIV transmission

?What shall I do now?

Trotta et al. Self reported sexual dysfunction is frequent among HIV infected persons and is associated with suboptimal adherence to antivirals. AIDS care. 2008;22(4):291-299 Nettles CD et al. Sexual risk behaviors among men who have sex with men using erectile dysfunction medications AIDS Patient Care STDS. 2009 ;23(12):1017-23

HIV & Erectile Dysfunction (Sexual Dysfunction)

Poorly understood Small studies/Predominantly Caucasian MSM Pre/post HAART era Discrepancies between findings No consensus on diagnosis Validated tools for measuring ED in MSM (2010)

Colson AE, Sax PE, Sexual Dysfunction and HIV Infection. AIDS clinical Care 2000:12(5)39-46 Asboe D et al. Sexual Dysfunction in HIV positive men is multifactorial: A study of prevalence and associated factors. AIDS Care 2007;19:955-965 Coyne K et al The international index of erectile function: Development of an adapted tool for use in HIV positive MSM. J Sex Med. 2010;7:769-774

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