Mar 22, 2008
I have been sexually inactive for a couple of years and recently I met a compatible woman. We have not gone as far as sex yet; but we have been doing some heavy petting and I have noticed that although I get aroused easily, my erection is not as firm as it used to be. I am afraid I wont be able to make her happy when the time is right, so to speak. I heard that some of the anti-retrovials impact male libido and fertility. And would you recommend ED drugs to an HIVer who is in good health?
| Response from Dr. Henry
Problems with sexual performance are common in the general population and HIV+ men as well. The specific contribution of any one specific HIV medication has not been well delineated. Many HIV+ men with impotence may have low testoterone levels or psychological/stress issues contributing to the problem that may need attention. Drugs like Viagra may be helpful but doses need to be watched carefully when taking a protease inhibitor and drugs related to nitroglycerin need to be avoided. Most HIV providers are comfortable discussing these issues with their patients so I would bring up your concerns with your provider. KH
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