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Prevalence and factors associated with sexual dysfunction among HIV-positive women in Europe
  AIDS Care, Volume 16, Number 5 / July 2004
Little is known on female sexual dysfunction (FSD) among HIV-positive women. A cross-sectional survey in seven European HIV centres was performed and data on medical history, antiretroviral treatment and laboratory results were collected.
Sexual function was evaluated by the Female Sexual Function Index (FSFI). The data from 166 women were available (response rate=77%). The non-respondents had a lower CD4 cell count, were older and more frequently of sub-Saharan African origin.
The overall median FSFI was 25.2 (interquartile range=19.3). Thirty-six women (25%) had a FSFI score‚ <=10. Depression, irritability and anxiety were associated with a low FSFI score. The participants reported a significant decrease in sex functioning since HIV diagnosis but not since the start of antiretroviral treatment.
Sexual dysfunction in women with HIV infection is frequent and is mainly driven by psychological factors and by the HIV diagnosis.
Florence A1, W. Schrooten A1, C. Dreezen A1, V. Gordillo A2, L. Nilsson Schonnesson A3, D. Asboe A4, G. Koitz A5, R. Colebunders A6, the Eurosupport Study Group
A1 Department of Clinical Sciences Institute of Tropical Medicine AntwerpA2 Department of Research Methodology in Education University Complutense Hospital Carlos III Madrid A3 Sooder Hospital Stockholm A4 St Stephen's Centre Chelsea & Westminster Healthcare London A5 Otto Wagner Spital WienA6 Department of Tropical Disease University Hospital Antwerp
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