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medication, the physical health complaints they suffered reduced considerably afterstarting treatment. It is noteworthy that women infected by their husbands voiced a widerrange of complaints than those in other groups, including, ovarian cancer, stroke,diabetes, thyroid dysfunction, severe headaches and depression.By far, the most common health complaint was fatigue, tiring easily or having muchlower energy levels than before. Sleep disturbances – either needing a lot more sleep or,in contrast, difficulty sleeping - were also relatively common and may be associated withthe problem of fatigue. This physical effect was voiced by several men and women:“The energy is not there. I don’t know how…. I don’t know how to put myenergy forward [raise energy levels] already. But when I was not infectedthat time… in games… the exercise anyhow also, I don’t feel tired.”(Male, 49yrs, University education, DU)“Macam saya dulu, sebelum dapat ini sakit macam… ok je. Macamkuat…tidak cepat lelah, naik bukit pun tidak lenguh, mahu angkat barangpun….. tidak rasa sangat. Tapi sekarang, naik bukit sikit - rumah saya naikbukit - naik sikit pun macam putus saya punya nafas.”(“Previously, before I got this illness… I was OK. Like strong…. Noteasily breathless, don’t get sore muscles from walking uphill, lifting anything….don’t feel it much but now, going uphill - my house is up a hill -even a little way, like I get breathless.”)(Female, 46yrs, Upper secondary education, Infected Partner)“I also got the same experience like how ….difficult to ….to tell the doctorwhat is the problem. Something is going wrong….but cannot tell in aword….you know. Feel very weak….very weak. Sometimes sleep somany hours……but sometimes cannot sleep. By the time we go to work,then the performance is not good…..but not the emotion make the troublebut, physically….cannot handle it.”(Male, 31yrs, Upper secondary education, MSM)A few specifically mentioned problems concentrating or focussing their thoughts ordrifting off:“Sebelum tu memang I… kalau I baca satu cerita tu, besoknya 90% I bolehcerita dengan orang… but now 50/50.”(“Previously, it’s true if I read a story, tomorrow I can relate 90% of it topeople ….but now 50/50”)(Transgender, 27yrs, Primary education, Infected Partner)“I’m sitting right in front of the computer and typing. My mind is shut offbut my hand still typing…and by the time I…I…realise what I’m doing,right? On the computer screen is all garbage…..and I’m just typinggarbage.”(Male, University education, MSM)32