Integration of sexual medicine field in the care of patients with HIV
Bolmont, M1; Calmy, A1; Bianchi-Demicheli, F1
1: University hospital of Geneva, Switzerland
The HIV infection affects the sexual function (reduction of sexual desire, erectile dysfunction, dyspareunia, sexual aversion..), the sexual health, the relation of couple, as well as the mental health and the quality of life. Even sexuality remains taboo for numerous persons, speaking openly about sexuality during HIV consultation can offer the best chances to face any sexual change engendered by the HIV and the consequences of the treatment, such as the lipodystrophy. The objectives of our study are to develop the sexual medicine field within the HIV department, with the creation of an internal training for caregivers in contact with patients suffering from HIV. Today, there is no doctor or nurse within the HIV department in the University Hospital of Geneva who has a recognized medical training in sexuality. We would like also to provide HIV patients with specific information about their sexuality (via brochure, internet link, smartphone application), and to organize a place for discussion and exchange, with the aim of helping them to live better their sexuality with HIV (workshops, consultations with sexologist).
To achieve our objectives, we created and administrated online questionnaires to 25 caregivers and to 75 patients suffering from HIV. These questionnaires permitted to identify needs and expectations of patients and caregivers concerning the question of sexuality within the HIV department.
Preliminary results confirmed the need to develop the sexual medicine field within the HIV department, with the creation of an internal training for caregivers. The results also confirmed the need to provide patients with specific information about their sexuality and to organize a place for discussion and exchange, with the aim of helping them to live better sexuality with HIV.
Because, as healthcare professionals, we want to improve the quality of the care of our patients, these results open a new avenue in understanding the urgent need to integrate sexual medicine field within the HIV department. We are convinced that all the hospitals of the world should integrate the sexual medicine field in their HIV department. Otherwise, it will be relevant to replicate this study in other departments, because we are confident that the sexual medicine field has its place in all hospital departments.
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