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HIV and reproductive care—a review of current practice
Article first published online: 2 JUN 2006
DOI: 10.1111/j.1471-0528.2006.00960.x
Issue
BJOG: An International Journal of Obstetrics & Gynaecology
Volume 113, Issue 8, pages 869–878, August 2006
Additional Information
How to Cite
Gilling-Smith, C., Nicopoullos, J., Semprini, A. and Frodsham, L. (2006), HIV and reproductive care—a review of current practice. BJOG: An International Journal of Obstetrics & Gynaecology, 113: 869–878. doi: 10.1111/j.1471-0528.2006.00960.x
Publication History
- Issue published online: 18 JUL 2006
- Article first published online: 2 JUN 2006
- Accepted 21 March 2006. Published OnlineEarly 2 June 2006.
- Abstract
- Article
- References
- Cited By
Keywords:
- Assisted reproduction;
- HIV;
- sperm washing;
- subfertility
In developed countries, antiretroviral treatment has increased life quality and expectancy of HIV-infected individuals and led to a drop in mother-to-child transmission (MCT) risk to below 1%. Fertility has been shown to be reduced in both men and women with HIV. As a result of these factors, the demand for reproductive care in this population is rising. In discordant couples where the man is positive, sperm washing significantly reduces viral transmission risk to the uninfected female partner over unprotected intercourse. Positive women do not necessarily need specialised fertility treatment but should be monitored closely during pregnancy to minimise MCT risk.