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Managing Side Effects of HIV TreatmentManaging Side Effects of HIV Treatment
          
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Strange smelling Ejaculate
Oct 30, 2013

My husband has been positive for a few years now and we've noticed that his cum smells almost medicinal since he's started taking HIV meds - we asked the doctor and they hadn't heard of this being a side effect for Atripla. Can HIV medications change the smell of ejaculate?

Response from Dr. Henry

Many factors can influence odor of semen including diet (for example fish products, broccoli, onions) vitamins and supplements, bowel flora, hydration status, use of some illicit drugs and tobacco. Anecdotally I have heard some other patients on Atripla alos comment about odor of semen but so many other factors impact the odor that not clear if there is a link. Vigorous hydration (some recommend fruit juices like pineapple or cranberry-heresy only) sometimes helps. If any reader knows of a paper linking Atripla with semen odor please post. KH



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