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Updated NICE guidelines revise treatment recommendations for people with fertility problems

The guidelines include recommendations for couples with HIV. They are essentially unchanged from the consultation version, stating that sperm washing may no longer be necessary for couples where the man has HIV and the woman does not. As long as the man is on effective antiretroviral treatment and unprotected sex is limited to days when his partner is ovulating, “sperm washing may not further reduce the risk of infection.” However the guidance does not support the use of pre-exposure prophylaxis (PrEP) by the HIV-negative partner.

Published
20 February 2013
From
NICE press release
San Francisco: How men with HIV can safely become dads

Deon and his girlfriend, Caroline, are both being treated at San Francisco General Hospital's Ward 86 HIV/AIDS clinic, through a new program thought to be the first of its kind in the country that caters to straight men who are HIV positive and want to have a family. The program, called Positive Reproductive Outcomes for Men, offers reproductive counseling and care to heterosexual couples, and includes support groups for straight men who are HIV positive.

Published
07 February 2013
From
San Francisco Chronicle
"How are we going to have a baby? I’m positive and you’re not"

Joanna Moss of the African Health Policy Network (AHPN) looks at conception and fertility guidelines and services for people living with HIV in the UK.

Published
22 October 2012
From
HIV treatment update
Revised DHHS Guidelines for Perinatal Antiretroviral Use

The new guidelines offer more treatment options for pregnant HIV-infected women and explore the range of options available for safe conception in HIV-serodiscordant couples.

Published
03 September 2012
From
Journal Watch HIV/AIDS Clinical Care
Namibia court rules HIV-positive women sterilised without consent

In a landmark judgment for patients' and women's rights, the high court in Namibia on Monday ruled in favour of three women who claimed they had been sterilised without their informed consent. But the judge in the capital, Windhoek, rejected a claim that they had been targeted for sterilisation because they are HIV-positive.

Published
31 July 2012
From
The Guardian
New SOGC guidelines focus on how to help HIV-positive Canadians plan a safe pregnancy

A new clinical practice guideline helps doctors, nurses and midwives assist HIV-positive individuals or couples with their fertility and pregnancy planning decisions.

Published
21 June 2012
From
Society of Obstetricians and Gynaecologists of Canada
NICE says sperm washing is no safer than effective treatment and timed intercourse

Draft UK guidance on fertility treatment says that sperm washing may no longer be necessary for couples where the man has HIV and the woman does not.

Published
22 May 2012
By
Roger Pebody
Kenya: Doctors who played God

More than 35 HIV positive women are considering taking action against hospitals and their husbands or family members who participated in their sterilisation. They insist that they were sterilised through coercion, and sometimes without their knowledge, because they were HIV positive.

Published
21 May 2012
From
Daily Nation
Contraceptive requirement may have compromised FEM-PrEP study

A requirement that all participants take hormonal contraceptives may have been what led to the disappointing failure of a study of pre-exposure prophylaxis (PrEP) targeted at single women,

Published
16 April 2012
By
Gus Cairns
Contraception in HIV prevention trials: injectable hormonal methods more effective?

Women using injectable (hormonal) contraceptives had a significantly lower rate of pregnancy compared to those using oral contraception in a major HIV prevention study, researchers report in

Published
02 February 2012
By
Carole Leach-Lemens
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