Implications for HIV-positive people

The Commission states that an HIV-positive person in a stable relationship with an HIV-negative partner, who follows their antiretroviral treatment consistently and as prescribed and who does not have an STI, is "not putting their partner at risk of transmission by sexual contact".

"Couples must understand," they write, "that adherence will become omnipresent in their relationship when they decide not to use protection, and due to the importance of STIs, rules must be defined for sexual contacts outside of relationship."

"The same goes for people who are not in a stable relationship," they add. However due to the importance of STIs, use of condoms is still recommended.

They add that heterosexual women will have to consider eventual interactions between contraceptives and antiretrovirals before considering stopping using condoms.

They also say that insemination via sperm washing is no longer indicated when "antiretroviral treatment is efficient."

Further, detailed counselling information for individuals was produced at the same time as the Swiss statement.1

References

  1. Swiss AIDS Federation Advice Manual - Doing without condoms during potent ART. http://www.aidsactioneurope.org/fileadmin/files/About_us/projects/WirksameART__Manual_def_eng.pdf. Date accessed: 11 May 2009, 2008