Tiecco Giorgio, Salvi Martina, Delbarba Andrea, Di Gregorio Marco, Colangelo Cosimo, Castelli Francesco, Quiros-Roldan Eugenia
Unit of Infectious and Tropical Diseases, Department of Clinical and Experimental Sciences, University of Brescia and ASST Spedali Civili di Brescia, 25123 Brescia, Italy.
Unit of Endocrinology and Metabolism, Department of Medicine, ASST Spedali Civili di Brescia, 25123 Brescia, Italy.
Sex Med Rev. 2024 Sep 25;12(4):581-586. doi: 10.1093/sxmrev/qeae061.
Female sexual dysfunction is a significant concern for many women worldwide, with chronic health conditions such as HIV infection contributing to its prevalence. However, there is a paucity of studies focusing this subject in the available literature.
This narrative review aimed to provide a comprehensive and updated overview of the current state of knowledge regarding sexual dysfunction in women living with HIV (WLWH).
References for this review were identified from MEDLINE, Embase, and Cochrane databases using the search terms "sexual dysfunction" AND "HIV" AND "female" OR "woman." The final reference list was generated based on the timeline, originality, and relevance to the scope of this narrative review.
In the general population, female sexual function is influenced by various factors, including biological, psychological, physiological, sociocultural, and relational ones. In WLWH, the role of antiretroviral therapy in female sexual dysfunction is controversial. Although current international guidelines recommend collecting a thorough sexual life anamnesis during routine outpatient visits, sexual difficulties are often inadequately addressed.
A tailored clinical approach that focuses on the multidimensional domains of sexual dysfunction may improve the sexual health and quality of life in WLWH.
女性性功能障碍是全球众多女性所面临的重大问题，诸如艾滋病毒感染等慢性健康状况导致了其普遍存在。然而，现有文献中针对该主题的研究匮乏。
本叙述性综述旨在全面且更新地概述关于感染艾滋病毒女性（WLWH）性功能障碍的当前知识状况。
本综述的参考文献通过使用搜索词“性功能障碍”、“艾滋病毒”和“女性”或“妇女”从MEDLINE、Embase和Cochrane数据库中确定。最终的参考文献列表是根据时间线、原创性以及与本叙述性综述范围的相关性生成的。
在一般人群中，女性性功能受多种因素影响，包括生物学、心理学、生理学、社会文化和人际关系等因素。在感染艾滋病毒的女性中，抗逆转录病毒疗法在女性性功能障碍中的作用存在争议。尽管当前国际指南建议在常规门诊就诊期间收集详尽的性生活病史，但性方面的困难往往未得到充分解决。
一种针对性功能障碍多维度领域的量身定制的临床方法可能会改善感染艾滋病毒女性的性健康和生活质量。
