HIV and the Danger of Different Well being Issues
December 1, 2025, is World AIDS Day.
Due to a therapy referred to as antiretroviral therapy (ART), individuals assigned feminine at start (AFAB) and ladies with HIV are actually dwelling (and thriving!) into previous age. Greater than half of all individuals with HIV in the USA are 50 and over. However HIV is linked to sure well being issues that may have an effect on girls dwelling with the illness. Listed below are among the commonest ones.
Gynecological well being points and HIV
Gynecological well being points are those who have an effect on the feminine reproductive system. For ladies and other people AFAB dwelling with HIV, these could embody:
Individuals with HIV are extra susceptible to those points as a result of HIV weakens the immune system, making it more durable for the physique to combat off an infection.
HIV can even have an effect on the menstrual cycle and might trigger:
- Irregular intervals
- Missed intervals
- Recognizing (mild bleeding between intervals)
- Dangerous premenstrual syndrome (PMS)
Greater threat of cervical most cancers
Cervical most cancers is most cancers that begins within the cervix, the decrease a part of the uterus that connects with the vagina. It’s normally caused by an infection with sure varieties of human papillomavirus (HPV).
HPV an infection is so widespread that most individuals who aren’t vaccinated towards will probably be contaminated sooner or later with out ever realizing they’ve it. However the immune programs of ladies with HIV could have a more durable time eliminating HPV, which places them at higher risk of growing cervical most cancers.
Read: Fast Facts: Here’s What You Need to Know About Cervical Cancer and HPV >>
Greater threat of coronary heart issues
Heart disease is the number one killer of ladies in the USA, and HIV-related coronary heart illness is a number one explanation for loss of life for girls with HIV. The danger of getting a coronary heart assault is especially excessive for girls with HIV, who’re three times more likely to have a coronary heart assault than girls with out HIV.
Scientists suppose a number of components could contribute, together with continual irritation and immune activation from HIV, the consequences of some HIV medicines on ldl cholesterol and blood sugar, basic threat components (like high blood pressure and smoking), and, for some girls, hormonal modifications round menopause.
Unwanted effects and interactions of HIV medicines
Whereas ART works properly to maintain HIV beneath management, it additionally comes with unwanted side effects, which range relying on the drugs. Comparatively minor side effects can embody:
- Upset abdomen
- Complications
- Dry mouth
- Sleep issues
- Temper modifications
- Tiredness
- Dizziness
- Fatigue
Medicines used to deal with HIV are additionally linked to extra critical unwanted side effects, together with depression, excessive ldl cholesterol, lengthy QT syndrome (a life-threatening sort of irregular coronary heart rhythm), an elevated threat of pancreatitis (sudden irritation of the pancreas) and osteoporosis.
One other concern for girls on ART is drug interactions, that means the way in which these therapies have an effect on some other medicines they might be taking and vice versa.
ART can maintain different medicines you are taking from working as properly, or trigger your physique to soak up an excessive amount of of the drugs. And a few medicines (like proton pump inhibitors, or PPIs, generally taken for heartburn) can forestall your physique from absorbing sufficient ART.
It’s essential for girls with HIV to speak to a healthcare supplier (HCP) or pharmacist earlier than beginning any new medication — even when it’s a complement or bought over-the-counter — to allow them to verify for attainable drug interactions.
Menopause and different age-related points
As individuals AFAB and ladies with HIV strategy menopause, they may have a more durable time with the transition than these with out the illness. They might go through menopause earlier, and their signs (like hot flashes and evening sweats) could also be worse.
Menopause isn’t the one well being change linked with growing old that may occur earlier than common for girls with HIV. One study discovered that widespread age-related situations like kidney illness and diabetes occurred 16 years earlier in individuals with HIV than these with out it.
Consultants don’t know precisely why individuals with HIV are hit more durable by these situations, however they suppose irritation attributable to the virus could also be a big factor.
Residing your greatest life with HIV
Due to trendy medication, individuals with HIV reside longer, fuller lives. And whereas the illness does current individuals AFAB and ladies with some distinctive challenges, there are sources accessible that may assist you to deal with them.
Organizations like Older Women Embracing Life (OWEL) supply assist for girls dwelling with HIV, in addition to their households and caregivers. You too can discuss to your HCP about what you are able to do to remain as wholesome as attainable into your golden years.
This instructional useful resource was created with assist from Merck.
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