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Wiley InterScience

BJOG: An International Journal of Obstetrics & Gynaecology

BJOG: An International Journal of Obstetrics & Gynaecology

Volume 113 Issue 8, Pages 869 - 878

Published Online: 2 Jun 2006

Journal compilation © 2009 RCOG



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HIV and reproductive care—a review of current practice
C Gilling-Smith, a JDM Nicopoullos, a AE Semprini, b LCG Frodsham a
  a Assisted Conception Unit, Chelsea & Westminster Hospital, London, UK   b Department of Clinical Sciences 'L. Sacco', University of Milan, Ospedale Luigi Sacco, Milan, Italy
Correspondence to  Dr C Gilling-Smith, Assisted Conception Unit, Chelsea & Westminster Hospital, London SW10 9NH, UK. Email cgs@chelwest.nhs.uk
Copyright RCOG 2006 BJOG An International Journal of Obstetrics and Gynaecology
KEYWORDS
Assisted reproduction • HIV • sperm washing • subfertility

ABSTRACT

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.


Accepted 21 March 2006. Published OnlineEarly 2 June 2006.

DIGITAL OBJECT IDENTIFIER (DOI)
10.1111/j.1471-0528.2006.00960.x About DOI

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