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Study Explores Cost-Effectiveness of Conception Strategies for HIV Serodiscordant Couples

A new multi-institutional study has examined the cost-effectiveness of the pre-exposure prophylaxis (PrEP) combination of tenofovir disoproxil fumarate and emtricitabine (TDF/FTC) and assisted reproductive options for serodiscordant couples with an HIV-infected male and HIV-uninfected female looking to conceive. The study focused on examining scenarios in which ‘Undetectable=Untransmittable’ (’U=U’) infection, achieved with combination antiretroviral therapy, (cART) is not sufficient for conception.

Published
09 January 2019
From
Contagion Live
Becoming a parent should not be denied to HIV positive gay and bisexual men

If a man cannot pass HIV onto another man during sex because his viral load is undetectable, then it follows that his sperm would not pass HIV to a surrogate or child should he wish to conceive in this way. Even as a well informed HIV activist, this is an aspect of the U=U debate which I had not come across before in the context of same-sex couples.

Published
17 October 2018
From
Gay Times
Yes, HIV-Positive Men Can Become Fathers. Here's Two Providers Who Help Them

In HIV, we pay a lot of attention to parenthood -- but mostly from the perspective of ending mother-to-child transmission. Even then, the public health message is often mostly about the baby, not the health and well-being of the mother. But almost nowhere do we have deep discussions about reproductive options for HIV-positive men, particularly cisgender straight men.

Published
18 June 2018
From
TheBody.com
Why the Dolutegravir Pregnancy Warning is Important — and What We Should Do Now

Based on the widespread and growing use of DTG-based regimens globally, these data on the potential risks of becoming pregnant while receiving DTG have immediate and broad clinical relevance.

Published
21 May 2018
From
NEJM Journal Watch
New study suggests risk of birth defects in babies born to women on HIV medicine dolutegravir

The European Medicines Agency (EMA) is evaluating preliminary results from a study which found 4 cases of birth defects such as spina bifida (malformed spinal cord) in babies born to mothers who became pregnant while taking dolutegravir. While EMA is assessing the new evidence, dolutegravir should not be used in women seeking to become pregnant.

Published
21 May 2018
From
European Medicines Agency
People Living with HIV Can Safely Choose Parenthood

A family medicine physician argues for reproductive justice for people living with HIV. "I have seen women who travel hundreds of miles for their pregnancy care because no provider in their community is comfortable pregnant women with HIV. I have seen patients go out of their way for their medical care because they fear disclosure in their community if they see a provider for their HIV care closer to home."

Published
01 December 2017
From
Poz
Expert: Long-Awaited CDC HIV Report on Conception Options for Serodiscordant Couples Is Disappointing and Confusing

We're in the middle of a revolution in our efforts to fight HIV. However, you wouldn't know it from a new Centers for Disease Control and Prevention (CDC) report that advises providers about conception when one partner is living with HIV.

Published
02 June 2017
From
The Body Pro
Born Free: dispelling misconceptions about conception and HIV

Lolisa Gibson-Hunte never thought she wanted kids. But now Lolisa, who is HIV positive, and her husband, Daryl Hunte, who is HIV negative, have two children—and both kids are free of HIV.

Published
14 February 2017
From
Poz
HIV-Positive Women in Uganda Are Being Sterilized Against Their Will

A 2013 report by the National Forum of People Living with HIV/AIDS Networks in Uganda (NAFOPHANU) found that at least 11 percent of women living with HIV/AIDS were forcibly sterilized. A 2015 report focusing on such coercion from Uganda-based NGO International Community of Women Living with HIV Eastern Africa (ICWEA) revealed that forced sterilization and coercion — which includes women being given money and misinformation or being intimidated by a health worker — continues in the country.

Published
03 May 2016
From
ThinkProgress
South Africa: Almost 10 percent of HIV-positive women report forced sterilisation

South Africa’s first national HIV stigma index has found that seven percent of HIV-positive women surveyed reported being sterilised against their will and about 40 percent reported contraception was a pre-requisite of accessing antiretrovirals (ARVs).

Published
10 June 2015
From
Health-e
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Community Consensus Statement on Access to HIV Treatment and its Use for Prevention

Together, we can make it happen

We can end HIV soon if people have equal access to HIV drugs as treatment and as PrEP, and have free choice over whether to take them.

Launched today, the Community Consensus Statement is a basic set of principles aimed at making sure that happens.

The Community Consensus Statement is a joint initiative of AVAC, EATG, MSMGF, GNP+, HIV i-Base, the International HIV/AIDS Alliance, ITPC and NAM/aidsmap
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This content was checked for accuracy at the time it was written. It may have been superseded by more recent developments. NAM recommends checking whether this is the most current information when making decisions that may affect your health.

NAM’s information is intended to support, rather than replace, consultation with a healthcare professional. Talk to your doctor or another member of your healthcare team for advice tailored to your situation.