Sexual function after voluntary medical male circumcision for human immunodeficiency virus prevention: Results from a programmatic delivery setting in Botswana
Southern African Journal of HIV Medicine
| Field | Value | |
| Title | Sexual function after voluntary medical male circumcision for human immunodeficiency virus prevention: Results from a programmatic delivery setting in Botswana | |
| Creator | Pintye, Jillian C. Wirth, Kathleen Ntsuape, Conrad Kleinman, Nora J. Spees, Lisa Semo, Bazghina-werq Mawandia, Shreshth Ledikwe, Jenny | |
| Description | Background: Uptake of voluntary medical male circumcision (VMMC) remains modest in Botswana in spite of the government’s commitment and service provision availability. Data on sexual function post-VMMC in programmatic settings could help guide messaging tailored to Botswana.Objectives: At 3-month post-VMMC, we evaluated changes in sexual function and satisfaction with the VMMC procedure amongst a cohort of HIV-negative, sexually active men aged 18–49 years who underwent VMMC in a public-sector clinic in Botswana.Methods: We assessed whether each of the following domains of sexual function had improved, stayed the same or worsened since VMMC: sexual desire, ability to use condoms, ease of vaginal penetration, ease of ejaculation, ability to achieve and maintain an erection and hygiene or cleanliness.Results: Data on sexual function were available for 378 men at 3-month post-VMMC. Median age was 27 years – 54% had a higher than secondary education, 72% were employed and 27% were married. Nearly all (96%) the men reported improvement in at least one domain of sexual function, while 19% reported improvement in all six domains. One-fourth (91/378, 24%) of the men reported that at least one domain of sexual function worsened post-VMMC. The most frequently reported domain that worsened was sexual desire (11%); in all other domains, 10% of the men reported worsening. Men who reported any worsening sexual function were 2.3-fold as likely to be less than ‘very satisfied’ with the VMMC procedure (risk ratio 2.36, 95% confidence interval [CI] 1.66–3.34, p 0.001).Conclusion: Emphasising improved sexual function experienced after VMMC in demand-creation efforts could potentially increase VMMC uptake in Botswana. | |
| Publisher | AOSIS | |
| Date | 2020-04-20 | |
| Identifier | 10.4102/sajhivmed.v21i1.1042 | |
| Source | Southern African Journal of HIV Medicine; Vol 21, No 1 (2020); 8 pages 2078-6751 1608-9693 | |
| Language | eng | |
| Relation |
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
https://sajhivmed.org.za/index.php/hivmed/article/view/1042/1808
https://sajhivmed.org.za/index.php/hivmed/article/view/1042/1806
https://sajhivmed.org.za/index.php/hivmed/article/view/1042/1807
https://sajhivmed.org.za/index.php/hivmed/article/view/1042/1805
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