Apr 24, 2003
A gal at Houston Buyers Club suggested I send this question to you. My prostate doesn't funtion up to speed. At first there was discomfort with urinating and minimal to no fluid production during sexual relations. My PCP prescribed Flomax to help with the urinating discomfort, but no advice concerning my other malfunction. The Flomax did help with urinating. I also was on an antidepressant at the time. About 3 weeks ago I stopped the antidepressant but the fluid producing function of the prostate hasn't returned. Would my HIV meds cause this problem? I am taking Viramune and Trizivir; (abacavir, lamivudine, and zidovudine). If so, where do I start to remedy my problem/frustration? Thanks in advance for your suggestions.
Response from Dr. Henry
The HIV meds you are on would rarely cause the prostate problems you describe. I assume you have had a good prostate examination (possibly by an HIV friendly urologist?). Also I would make sure your testosterone levels are at least mid-range normal (can impact prostate/semen production). Many antidepressant interfere with sexual function and it can takes many weeks to improve when stopped. Some recommend saw palmette for general prostate health though data is mixed. KH
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