can hiv meds lower sexual desire?
Sep 1, 2008
My partners HIV positive partners sex drive is dismal to say the least and I am wondering if his meds could be causing this.
Response from Dr. Henry
HIV infection often is associated with lower sex drive due to a large number of factors including psychologic (worry about transmission, depression, anxiety), side effects of meds (GI side effects common), use of other meds that can reduce libido (such as some anti-depressants), low testosterone levels (appears to be more common in HIV+ than HIV- populations), and many other conditions. I thorough history and physical exam is important to assess which factors may be contributing in any particular patient's case. Often referral to a sex therapist can be useful if no obvious cause is identified. Protease inhibitors have been loosely linked to an increased rate of loss of libido/sexual dysfunction but the data is not convincing but may be a contributing factor in some patients (a switch to an alternative drug can be considered in those situations).KH
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