scholarly journals Evaluating Safer Conception Options for HIV-Serodiscordant Couples (HIV-Infected Female/HIV-Uninfected Male): A Closer Look at Vaginal Insemination

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Okeoma Mmeje ◽  
Craig R. Cohen ◽  
Deborah Cohan
Keyword(s):  
Condom Use ◽  
Sexual Transmission ◽  
Safer Conception ◽  
Serodiscordant Couples ◽  
Fertile Period ◽  
Infected Female ◽  
Hiv Serodiscordant Couples ◽  
Childbearing Desires ◽  
Sexual Transmission Of Hiv

HIV serodiscordant couples represent at least half of all HIV-affected couples worldwide. Many of these couples have childbearing desires. Safer methods of conception may allow for pregnancy while minimizing the risk of sexual transmission of HIV. In serodiscordant partnerships with an HIV-infected female and HIV-uninfected male, vaginal insemination of a partner's semen during the fertile period coupled with 100% condom use may be the safest method of conception.

Safer conception options for HIV-serodiscordant couples

2012 ◽  
Vol 206 (1) ◽  
pp. e21 ◽  
Author(s):  
Deborah Cohan ◽  
Shannon Weber ◽  
Ronald Goldschmidt
Keyword(s):  
Safer Conception ◽  
Serodiscordant Couples ◽  
Hiv Serodiscordant Couples

scholarly journals “I Always Worry about What Might Happen Ahead”: Implementing Safer Conception Services in the Current Environment of Reproductive Counseling for HIV-Affected Men and Women in Uganda

2016 ◽  
Vol 2016 ◽  
pp. 1-9 ◽  
Author(s):  
Lynn T. Matthews ◽  
Francis Bajunirwe ◽  
Jasmine Kastner ◽  
Naomi Sanyu ◽  
Cecilia Akatukwasa ◽  
...  
Keyword(s):  
Hiv Transmission ◽  
Health Workers ◽  
Child Outcomes ◽  
Safer Conception ◽  
Infected Female ◽  
Male Clients ◽  
Provider Perspectives ◽  
Hiv Serodiscordant Couples ◽  
Reproductive Counseling ◽  
Training And Support

Background.We explored healthcare provider perspectives and practices regarding safer conception counseling for HIV-affected clients.Methods.We conducted semistructured interviews with 38 providers (medical and clinical officers, nurses, peer counselors, and village health workers) delivering care to HIV-infected clients across 5 healthcare centres in Mbarara District, Uganda. Interview transcripts were analyzed using content analysis.Results.Of 38 providers, 76% were women with median age 34 years (range 24–57). First, we discuss providers’ reproductive counseling practices. Emergent themes include that providers (1) assess reproductive goals of HIV-infected female clients frequently, but infrequently for male clients; (2) offer counseling focused on “family planning” and maternal and child health; (3) empathize with the importance of having children for HIV-affected clients; and (4) describe opportunities to counsel HIV-serodiscordant couples. Second, we discuss provider-level challenges that impede safer conception counseling. Emergent themes included the following: (1) providers struggle to translate reproductive rights language into individualized risk reduction given concerns about maternal health and HIV transmission and (2) providers lack safer conception training and support needed to provide counseling.Discussion.Tailored guidelines and training are required for providers to implement safer conception counseling. Such support must respond to provider experiences with adverse HIV-related maternal and child outcomes and a national emphasis on pregnancy prevention.

scholarly journals Strategies to prevent HIV transmission to serodiscordant couples

2015 ◽  
Vol 18 (suppl 1) ◽  
pp. 169-182 ◽  
Author(s):  
Ronaldo Campos Hallal ◽  
Juan Carlos Raxach ◽  
Nêmora Tregnago Barcellos ◽  
Ivia Maksud
Keyword(s):  
Hiv Transmission ◽  
Sexual Transmission ◽  
Sexual Practices ◽  
Transmission Risk ◽  
Prevention Policy ◽  
Serodiscordant Couples ◽  
Prevention Interventions ◽  
Single Strategy ◽  
Sexual Transmission Of Hiv ◽  
Exposure Prophylaxis

ABSTRACTIntroduction:The use antiretroviral reduces the sexual transmission of HIV, expanding interventions for serodiscordant couples.Objective:This article aims to review the use of antiretroviral and other prevention interventions among serodiscordant couples and to analyze its use in Brazil.Methods:A retrospective review was performed through the MEDLINE database and bases included in the Biblioteca Virtual em Saúde.Results:The articles recovered exhibit four main strategies: (1) condom; (2) reduction of risks in sexual practices; (3) use of antiretrovirals, particularly early initiation of antiretroviral therapy (TASP) and pre-exposure prophylaxis (PrEP); (4) risk reduction in reproduction.Discussion:TASP is highly effective in reducing sexual transmission, PrEP was tested in serodiscordant couples and both reduce the sexual transmission risk in different sexual practices, enabling individualized prevention strategies.Conclusions:When used in combination, antiretrovirals and sexual practices with condoms offer greater efficacy than any single strategy. The combined use of new and old strategies allows us to build a prevention policy for all.

scholarly journals A clinic-based tablet application to support safer conception among HIV serodiscordant couples in Kenya: feasibility and acceptability study

mHealth ◽  
2019 ◽  
Vol 5 ◽  
pp. 4-4 ◽  
Author(s):  
Jennifer Velloza ◽  
Kenneth Ngure ◽  
Catherine Kiptinness ◽  
Justice Quame-Amaglo ◽  
Nicholas Thuo ◽  
...  
Keyword(s):  
Safer Conception ◽  
Serodiscordant Couples ◽  
Hiv Serodiscordant Couples

scholarly journals Female Condom Use and Its Acceptability Among HIV-serodiscordant Couples in China

2019 ◽  
Vol 30 (4) ◽  
pp. 428-439
Author(s):  
Lahong Ju ◽  
Cynthia X. Shi ◽  
Fan Lv ◽  
Houlin Tang ◽  
Gang Zeng ◽  
...  
Keyword(s):  
Condom Use ◽  
Female Condom ◽  
Serodiscordant Couples ◽  
Hiv Serodiscordant Couples

Condom Use, Viral Load and the Type of Sexual Activity as Defences to the Sexual Transmission of HIV

2013 ◽  
Vol 77 (2) ◽  
pp. 136-150
Author(s):  
David Hughes
Keyword(s):  
Viral Load ◽  
Condom Use ◽  
Supreme Court ◽  
Sexual Activity ◽  
Sexual Transmission ◽  
Current Position ◽  
Viral Loads ◽  
Canadian Law ◽  
Sexual Transmission Of Hiv

This article considers the position regarding the criminal transmission of HIV in English and Canadian law. It considers the use of condoms, viral loads and types of sexual activity and whether they can be used as defences in such cases. The article will look at the current position in England and also focus on recent decisions that have originated from the Canadian courts. It is argued that the recent Canadian Supreme Court judgment of R v Mabior is not in the public's interest and that the position should be that of the cases that were decided before that decision. It is also argued that the defences regarding the criminalisation of the sexual transmission of HIV are in need of a statutory footing.

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