Gynaecological Disorders and Human Immunodeficiency Virus Infection

Abstract

It is increasingly apparent that the differences in the prevalence and severity of various gynaecological conditions are a function of immunosuppression and differences in behavioural factors, rather than a direct effect of HIV itself. Women infected with HIV will present with their gynaecological disorders initially to their carers in both primary care and genitourinary medicine clinic settings. It is therefore essential that all those involved in the management of these women are aware of the interactions between HIV infection, immunosuppression and various gynaecological conditions so that they may be appropriately managed.

Medical management of sexual difficulties in HIV-positive individuals

“…The combination of increased bust and abdominal girth with prominent veins in the arms and legs can produce a negative effect on sexual function, loss of libido or, on occasions, depression. Regarding physical causes the ovulation and therefore oestrogenization of the vagina has been shown to persist until very advanced disease 13 . However there are causes that are more common in HIV disease.…”