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首页> 外文期刊>AIDS care. >Sexual dysfunction in gay and bisexual men with HIV infection: evaluation, treatment and implications.
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Sexual dysfunction in gay and bisexual men with HIV infection: evaluation, treatment and implications.

机译：艾滋病毒感染的男同性恋和双性恋男性的性功能障碍：评估，治疗和意义。

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摘要

Sexual dysfunction problems are common in people with HIV infection, but their relevance has been recently highlighted in response to the increased survival shown by many individuals with HIV, and the publicity surrounding the development of new treatments for male sexual dysfunction. Thirty-four gay/bisexual men with HIV infection presenting with sexual dysfunction were assessed. Antiretroviral combination therapy including protease inhibitors was taken by 44%, other combinations not including protease inhibitors by 24%, while 32% were not taking any antiretrovirals. Primarily psychogenic sexual dysfunction was thought to be present in 44%, primarily organic dysfunction in 22% and a mixed aetiology in 34%. Treatments offered included psychological interventions and physical methods of treatment, alone or in combination. Treatment was effective, with 76% reporting resolution of the problems, 14% reporting improvement and only 10% reporting no change. Practical and ethical issues raised by the findings are discussed.
机译：性功能障碍问题在HIV感染者中很常见，但是由于许多HIV感染者的生存率提高，以及围绕开发针对男性性功能障碍的新疗法的宣传，最近已强调了它们的相关性。评估了34例具有性功能障碍的HIV感染同性恋/双性恋男性。包括蛋白酶抑制剂在内的抗逆转录病毒药物联合疗法占44％，不包括蛋白酶抑制剂的其他联合药物占24％，而32％的患者未服用任何抗逆转录病毒药物。据认为，主要有心理原因的性功能障碍存在于44％，主要是器质性功能障碍在22％，混合病因学在34％。提供的治疗包括单独或组合使用的心理干预和物理治疗方法。治疗是有效的，有76％的人报告了问题的解决方案，有14％的人报告了问题的改善，只有10％的人报告没有变化。结果讨论了实际和道德问题。

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