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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
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
High levels of unmet need for family planning in people with HIV - couples unaware of conception and contraception options

In Kenya, Tanzania and Namibia, just 46% of HIV-positive women and 28% of HIV-positive men have discussed family planning with a healthcare provider, delegates were told at the

Published
26 July 2011
By
Roger Pebody
First UK use of PrEP for couples hoping to have a child

Pre-exposure prophylaxis is starting to be used in the UK, to help HIV-positive men and their HIV-negative female partners have children together, Yvonne Gilleece told

Published
15 April 2011
By
Roger Pebody
Fertility treatment can use semen from men with HIV

Fertility treatments can be done safely and effectively in couples where the man is infected with the AIDS virus and the women isn't, according to a new review of past studies.

Published
27 March 2011
From
Reuters
Fertility treatment can use semen from men with HIV

Fertility treatments can be done safely and effectively in couples where the man is infected with the AIDS virus and the women isn't, according to a new review of past studies.

Published
25 March 2011
From
Reuters
New sperm-freezing technique may allow safe use of sperm from HIV+ men

A new technique for freezing sperm can dramatically increase the viability of frozen sperm. In addition, as the technique does not involve the freezing of seminal plasma, it holds out the possibility of allowing sperm from HIV+ men to be used without the danger of transmitting the virus.

Published
17 September 2010
From
International Federation of Fertility Societies
IAS: PrEP and timed intercourse reduces HIV transmission risk associated with natural conception

Assisted reproduction techniques have been helping mixed-status heterosexual couples conceive safely since 1992. When the male is HIV-positive, this usually involves ‘sperm washing’ and artificial

Published
23 July 2007
By
Edwin J. Bernard
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