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Hiv:how A Person Can Conceive A Child Without Infecting The Uninfected Partner by philpwresh(m): 1:54pm On Mar 05, 2017 |
Many couples in which one person
is HIV positive and the other person
isn't want to have children and,
fortunately, with some careful
planning, it usually is possible to
have a safe and successful
pregnancy while preventing HIV
from passing to the HIV-negative
partner (or to the baby). It is very
important to discuss your desires
and intentions for childbearing with
your health care provider before
the woman becomes pregnant.
Your provider can help with
decisions about how to conceive
safely (if your provider is not
familiar with reproductive issues for
HIV-positive persons, ask to see an
HIV specialist). That will help to
ensure the woman (if she is HIV
infected) is on HIV medications
(ARVs) that are effective and
appropriate for pregnancy. Also, her
provider can advise her on other
important ways to protect her
health before pregnancy.
If you are an HIV-positive woman
and your male partner is HIV
negative
There are "low-tech" and "high-
tech" approaches. A safe and "low-
tech" method is to do home
insemination using your partner's
semen and a needleless syringe,
timed with your ovulation. By this
method, your partner has no
possible exposure to HIV. A more
"high-tech" version of this
approach is to use either
intracervical or intrauterine
insemination. For this, you would
need the assistance of a fertility
clinic.
Fancier approaches are not really
needed in this situation (unless you
and your partner have fertility
problems), but you could seek
advice and assistance at a fertility
clinic or an HIV clinic with
experience in preventing perinatal
(mother-to-child) transmission of
HIV. They may offer insemination
services (these services are legal in
some states for couples with one
HIV-positive partner, but not in all
states).
Approaches that involve
unprotected sex between the
partners are riskier as far as HIV
transmission is concerned. Some
strategies significantly reduce the
likelihood of infection but are not
100% reliable; transmission
sometimes (though rarely) may
occur. The following approach can
be considered, though it has not
been studied thoroughly in the
context of trying to conceive a
baby, and currently it is not
recommended by VA guidelines.
The HIV-positive woman takes
anti-HIV drugs and has an
undetectable viral load; this
greatly reduces the risk of
infecting her partner. The HIV-
negative male partner takes HIV
medications as prophylaxis to
reduce his risk of infection with
HIV, beginning before attempts
at conception and continuing
afterward (this is called pre-
exposure prophylaxis or PrEP).
The couple then has
unprotected sex limited to the
time the woman is ovulating (this
reduces the number of times
they have unprotected sex and
thus lowers the risk of HIV
transmission).
HIV-positive women who become
pregnant, regardless of the
method, should seek prenatal care,
as early in the pregnancy as
possible, in a program with experts
in preventing HIV transmission
during pregnancy or at birth. If you are an HIV-positive man and your female partner is HIV negative There are "low-tech" and "high- tech" approaches, but unlike the reverse scenario, in which the woman is HIV positive, in this situation, there is no "low-tech" method of conceiving that is 100% safe for the uninfected partner, and many couples prefer "high- tech" approaches. Options include: The HIV-positive man takes anti- HIV drugs and has an undetectable viral load; this greatly reduces the risk of infecting his partner. The HIV- negative female partner takes HIV medications as prophylaxis to reduce her risk of infection with HIV, beginning in advance of attempts at conception and continuing afterward (this is called pre-exposure prophylaxis or PrEP). The couple then has unprotected sex limited to the time the woman is ovulating (this reduces the number of times they have unprotected sex and thus lowers the risk of HIV transmission). Sperm washing, which is intended to isolate individual sperm from the HIV virus in the semen, in combination with in- vitro fertilization or intrauterine insemination. These methods would involve the assistance of a reproductive specialist or fertility clinic. For HIV-discordant couples, these services are legal in some states, but not in all 1 Like |
Re: Hiv:how A Person Can Conceive A Child Without Infecting The Uninfected Partner by mofy1(f): 4:36pm On Mar 05, 2017 |
Very Educative |
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