Sexuality Of Plh As

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Problems for positive living of people living with HIV/AIDS

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Sexuality Of Plh As

  1. 1. Sexual Stress and its Impact on sexuality due to HIV positivity Dr.S.MURUGAN Consultant HIV and Sexual Medicine Medical Superintendent SHIFA HOSPITALS TIRUNELVELI TAMILNADU
  2. 2. INTRODUCTION <ul><li>HIV Disease is chronic and life long </li></ul><ul><li>Remain healthy and sexually active till late stage (5-10 or more years) </li></ul><ul><li>Infective to their sex partners </li></ul><ul><li>Continuous counseling needed </li></ul><ul><li>Sexual stress at different stages </li></ul>
  3. 3. UNMARRIED <ul><li>Marriage discouraged </li></ul><ul><li>Difficult to follow </li></ul><ul><li>Individual body needs </li></ul><ul><li>Social pressure </li></ul><ul><li>Not able to reveal HIV status </li></ul><ul><li>Previous love affair before acquiring the disease </li></ul>
  4. 4. Continues <ul><li>After love affair </li></ul><ul><li>Positive marriages may be suggested </li></ul><ul><li>Arranged or according to their own choice </li></ul><ul><li>Parental influence- caste and status </li></ul><ul><li>Other expectations- Good looking, modern or house-wife like, Neatness </li></ul>
  5. 5. MARRIED <ul><li>Safe sex </li></ul><ul><li>Concordant couple </li></ul><ul><li>Discordant couple </li></ul><ul><li>Got bored with condoms or wants to experience a bare coitus </li></ul><ul><li>Difficulty in getting continuous supply of condoms or in purchasing the same or non-availability noted at the eleventh hour </li></ul>
  6. 6. PARENTHOOD <ul><li>Wants to have children-for their own sake or due to social pressure </li></ul><ul><li>Concordant couples-PPTCT Programme and their outcome </li></ul><ul><li>1.ART </li></ul><ul><li> 2.Single dose Nevirapine </li></ul><ul><li> 3.Caessarian section </li></ul><ul><li> 4. Role of Breast feeding </li></ul><ul><li> 5. Infant feeding techniques </li></ul><ul><li> 6. Outcome </li></ul>
  7. 7. PARENTHOOD <ul><li>Discordant couples </li></ul><ul><li>Social pressure </li></ul><ul><li>Not able to reveal their status </li></ul><ul><li>Wants parenthood </li></ul><ul><li>Transmission of infection </li></ul><ul><li>Sperm wash and artificial insemination may be tried- Trials prove worthy </li></ul>
  8. 8. Young widows <ul><li>Lot of young widows in prevalent areas ( between 21-35 years) </li></ul><ul><ul><li>Deserted from their family </li></ul></ul><ul><ul><li>No financial or moral support </li></ul></ul><ul><ul><li>With or without children </li></ul></ul><ul><ul><li>Seeking marriage </li></ul></ul><ul><ul><li>Not able reveal due to family and social influences </li></ul></ul><ul><ul><li>Not like to reveal their HIV status </li></ul></ul>
  9. 9. Young widows <ul><li>Marrying non reactive individuals </li></ul><ul><li>Forbidden widow marriages in certain communities </li></ul><ul><li>Widows with children face more difficulty in choosing their partners </li></ul><ul><li>Good looking girls are always successful </li></ul><ul><li>Choosing sex work for the sake of bread or for their own needs </li></ul>
  10. 10. Widowers <ul><li>Marrying non-reactive individuals </li></ul><ul><li>Promiscuity </li></ul><ul><li>Absence of life partner is felt more when they fell sick </li></ul>
  11. 11. AIDS PATIENTS <ul><li>Regaining their health and immunity thru’ HAART </li></ul><ul><li>Body needs sex </li></ul><ul><li>Failed to follow safe sex </li></ul><ul><li>Transmission of Drug resistant strains </li></ul><ul><li>Cross resistance </li></ul>
  12. 12. Expectant positive mothers <ul><li>PPTCT PROGRAMME </li></ul><ul><li>ANC care – Difficult to get </li></ul><ul><li>Delivery care - Difficult to get </li></ul><ul><li>Advice regarding breast feeding </li></ul><ul><li>Infant feeding </li></ul><ul><li>Immunization </li></ul>
  13. 13. Erectile impotence <ul><li>Knowing infectivity - Depression </li></ul><ul><li>Thought of passing the infection to their beloved </li></ul><ul><li>Wasting </li></ul><ul><li>Active disease </li></ul>
  14. 14. HIV Phobia <ul><li>Excessive awareness </li></ul><ul><li>False apprehension </li></ul><ul><li>Not want to get married </li></ul><ul><li>Erectile problems </li></ul><ul><li>Marital disharmony </li></ul>

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