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The modification of the width of rho mesons due to in-medium decays and collisions is evaluated. The decay width is calculated from the imaginary part of the one-loop selfenergy at finite temperature. The collision width is related to the cross sections of the rho + pion and the rho + nucleon reactions. A calculation based on an e ective Lagrangian shows the importance of including the direct pho pi - > pho pi scattering which is dominated by the a1 exchange. A large broadening of the spectral function is found, accompanied by a strength suppression at the pole. http://www.arxiv.org/abs/nucl-th/9812059