Sexual Health in HIV

Aka: Sexual Health in HIV

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II. History

  1. See Sexual History

III. Associated Conditions

  1. HIV Transmission concerns
    1. See HIV Preexposure Prophylaxis
    2. Highly active, modern Antiretroviral therapy (ART) reduces transmission significantly
      1. Undectable viral loads are associated with virtually no transmission risk
      2. Broyles (2023) Lancet 402(10400):464-71 +PMID: 37490935 [PubMed]
  2. Erectile Dysfunction
    1. See Erectile Dysfunction Management
    2. Earlier onset in men with HIV than in the general population
  3. Sexually Transmitted Disease coinfection
    1. See Sexually Transmitted Disease in HIV
    2. Screen regularly (coinfection is common)
      1. Syphilis (clinical and serologic surveillance for up to 24 months after treatment)
      2. Gonorrhea
      3. Chlamydia Trachomatis
    3. HPV Vaccine
      1. Cervical Cancer and anal Cancer Prevention
    4. Doxycycline Post-Exposure Prophylaxis indications (Doxy PEP)
      1. Bacterial STI in the last year (Syphilis, Gonorrhea, Chlamydia) AND
      2. Specific high risk patients
        1. Men who have Sex with Men (MSM)
        2. Transgender women (TGW)

IV. References

  1. Jaqua (2026) Am Fam Physician 113(1): 71-9 [PubMed]

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