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Article

Experiences of Sexuality in HIV Serodiscordant Gay Couples

by
María Dolores Ruíz-Ramírez
1,
María Dolores Ruíz-Fernández
2,3,
María del Rosario Ayala-Maqueda
4,
Marcos Camacho-Ávila
5,*,
Isabel María Fernández-Medina
2 and
María Isabel Ventura-Miranda
2
1
IEMAKAIE (Non-Governmental Organisation), 14005 Córdoba, Spain
2
Physiotherapy and Medicine, Department of Nursing, University of Almería, 04120 Almeria, Spain
3
Facultad de Ciencias de la Salud, Universidad Autónoma de Chile, Providencia 4780000, Chile
4
Clinical Management Unit of Tabernas, 04200 Almeria, Spain
5
Delivery Room Service, Santa Lucia Hospital, 30202 Cartagena, Spain
*
Author to whom correspondence should be addressed.
Healthcare 2025, 13(15), 1788; https://doi.org/10.3390/healthcare13151788
Submission received: 13 May 2025 / Revised: 26 June 2025 / Accepted: 17 July 2025 / Published: 23 July 2025
(This article belongs to the Special Issue Advances in Sexual and Reproductive Health)

Abstract

Background/Objectives: Human immunodeficiency virus (HIV) has evolved from a fatal disease to a manageable chronic condition. However, stigma persists, affecting the lives and sexuality of HIV-positive people, particularly in the gay population. Research on their sexuality is limited, highlighting the need for studies that address their experiences and needs. The aim of the study is to explore the individuals’ experiences of sexuality in serodiscordant gay couples. Methods: A descriptive study was conducted using thematic content analysis. Data collection was carried out through in-depth interviews. Six gay men who have been and/or are in a serodiscordant relationship for at least one year participated in the research. Results: Five sub-themes were identified grouped into two main themes as follows: sexuality: a complex concept accentuated by HIV and the impact of serodiscordance on partners. Conclusions: It is essential to promote accurate information and health services tailored to the needs of people living with HIV while fostering gender equity and combating stigma related to HIV and the gay community. Experiencing sexuality in this context is not only possible but can be full and satisfying when adequate resources are available.
Keywords: human immunodeficiency virus; serodiscordant couples; sexuality; Spain human immunodeficiency virus; serodiscordant couples; sexuality; Spain

Share and Cite

MDPI and ACS Style

Ruíz-Ramírez, M.D.; Ruíz-Fernández, M.D.; Ayala-Maqueda, M.d.R.; Camacho-Ávila, M.; Fernández-Medina, I.M.; Ventura-Miranda, M.I. Experiences of Sexuality in HIV Serodiscordant Gay Couples. Healthcare 2025, 13, 1788. https://doi.org/10.3390/healthcare13151788

AMA Style

Ruíz-Ramírez MD, Ruíz-Fernández MD, Ayala-Maqueda MdR, Camacho-Ávila M, Fernández-Medina IM, Ventura-Miranda MI. Experiences of Sexuality in HIV Serodiscordant Gay Couples. Healthcare. 2025; 13(15):1788. https://doi.org/10.3390/healthcare13151788

Chicago/Turabian Style

Ruíz-Ramírez, María Dolores, María Dolores Ruíz-Fernández, María del Rosario Ayala-Maqueda, Marcos Camacho-Ávila, Isabel María Fernández-Medina, and María Isabel Ventura-Miranda. 2025. "Experiences of Sexuality in HIV Serodiscordant Gay Couples" Healthcare 13, no. 15: 1788. https://doi.org/10.3390/healthcare13151788

APA Style

Ruíz-Ramírez, M. D., Ruíz-Fernández, M. D., Ayala-Maqueda, M. d. R., Camacho-Ávila, M., Fernández-Medina, I. M., & Ventura-Miranda, M. I. (2025). Experiences of Sexuality in HIV Serodiscordant Gay Couples. Healthcare, 13(15), 1788. https://doi.org/10.3390/healthcare13151788

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