Purpose of review: Today, 50% of people living with HIV are women and most have been sexualy inected. Highly active antiretroviral therapy (HAAR) reduces the rates of both sexual and vertical infection, but maximum protection is achieved with sperm washing and elective Caesarean section. In HIV-positive men taking HAART, seminal viral load is decreased but not eliminated and fertilization should be achieved through sperm washing to offer maximum protection for the uninfected female. Pregnant HIV-positive women on antiretroviral medication have a reduced risk of transmitting the virus, but should still be counselled about the possibility to further limit the chances of infecting their infant through elective Caesarean section.
Sperm washing, use of HAART and role of elective Caesarean section / A.E. Semprini, A. Vucetich, L. Hollander. - In: CURRENT OPINION IN OBSTETRICS & GYNECOLOGY. - ISSN 1040-872X. - 16:6(2004), pp. 465-470.
Sperm washing, use of HAART and role of elective Caesarean section
A.E. SempriniPrimo
;
2004
Abstract
Purpose of review: Today, 50% of people living with HIV are women and most have been sexualy inected. Highly active antiretroviral therapy (HAAR) reduces the rates of both sexual and vertical infection, but maximum protection is achieved with sperm washing and elective Caesarean section. In HIV-positive men taking HAART, seminal viral load is decreased but not eliminated and fertilization should be achieved through sperm washing to offer maximum protection for the uninfected female. Pregnant HIV-positive women on antiretroviral medication have a reduced risk of transmitting the virus, but should still be counselled about the possibility to further limit the chances of infecting their infant through elective Caesarean section.
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