Apr 13, 1998
Thanks and I look forward to you comments.
Response from Dr. Cohen
There are many several side effects that are most common with the meds you list, but increasingly many clinicians are hearing more concerns about side effects involving sexual performance. I am not sure what you mean by sexual problems. But in my experience there are many who note decreased desire/libido, or decreased ability to maintain an erection. Now, it is important to realize that there may be several reasons for these types of symptoms to happen. It may be related to medications. But it is also worth checking a testosterone level - probably including a 'free testosterone' level - to see if that is contributing to the problem. In addition to testosterone supplements, there are several other approaches, more for men, that can help improve the ability to maintain an erection. And finally there are many psychological issues that can effect performance.
The key is to find someone who can help you sort out these factors - most good HIV docs can help with this.
I think this is an issue that we are only beginning to learn about in terms of these medications, so stay tuned. Hopefully, if the meds are working to suppress HIV, then working on different approaches to help improve the problem can be found, while still maintaining the benefit from the meds.
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