3. Yeast Infections
Another fungal infection that’s common in later stages is thrush, a mouth infection caused by Candida, a type of yeast. “It’s a very common fungus and the one that causes yeast infections in women,” Dr. Malvestutto says. “They tend to appear in the mouth or esophagus, making it difficult to swallow.” Ron woke up one day to find white patches on his tongue. He had thrush. For him, “It was not bothersome other than I didn’t like having it.” The infection was hard to get rid of, but finally cleared up after Ron started taking drugs to combat HIV.
2. Confusion or Difficulty Concentrating
Cognitive problems could be a sign of HIV-related dementia, which usually occurs late in the course of the disease. In addition to confusion and difficulty concentrating, AIDS-related dementia might also involve memory problems and behavioral issues such as anger or irritability. It may even include motor changes: becoming clumsy, lack of coordination, and problems with tasks requiring fine motor skills such as writing by hand.
1. Cold Sores or Genital Herpes
Cold sores (oral herpes) and genital herpes can be a sign of both ARS and late-stage HIV infection. Having herpes can also be a risk factor for contracting HIV. This is because genital herpes can cause ulcers that make it easier for HIV to enter the body during sex. And people who have HIV tend to have more severe herpes outbreaks more often because HIV weakens the immune system.
(Extra) Tingling & Weakness
Late HIV can also cause numbness and tingling in the hands and feet. This is called peripheral neuropathy, which also occurs in people with uncontrolled diabetes. “This is when the nerves are actually damaged,” Dr. Malvestutto says. These symptoms can be treated with over-the-counter pain relievers and antiseizure medicines such as Neurontin (gabapentin).
(Extra) Menstrual Irregularities
Advanced HIV disease appears to increase the risk of having menstrual irregularities, such as fewer and lighter periods. These changes, however, probably have more to do with the weight loss and poor health of women with late-stage infection rather than the infection itself. Infection with HIV also has been associated with earlier age of menopause (47 to 48 years for infected women compared to 49 to 51 years for uninfected women).