I am 49yo, hiv+, numbers good, tes is normal, 2 yrs sober from meth use. heart is grateful, mind is happy but no libido. any treatment? am i damaged?

Let's find out: Congratulations on your having addressed the health issues and dodging not one but two bullets. If you aren't getting good erections from your favorite people / favorite adult images, ask your physician for a proper workup. Beyond a serum testosterone, two common illnesses (prolactinoma ; hemochromatosis) need to be ruled out in a guy like you. Your past ; HIV meds shouldn't do this.

See a uro doc. PDR:: Coadministration with stribild may result in an increase in pde-5 inhibitor associated adverse reactions, including hypotension, syncope, visual disturbances, and priapism.Use of pde-5 inhibitors for erectile dysfunction: sildenafil at a single dose not exceeding 25 mg in 48 hours, vardenafil at a single dose not exceeding 2.5 mg in 72 hours, or tadalafil at a single dose not exceeding 10 mg in 72.