Please Note: Due to volume considerations, not all questions can be answered. Questions most likely to be answered will be those of general interest to a broad group of visitors to this forum. Questions pertaining to a specific case; requests for diagnosis, medical advice, or second opinion; or requests for opinions about untested alternative therapies will generally not be answered.
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Marriage with positive girl
Jul 1, 2008
Hello, I am positive for the last 10 years and on Atripla for the last 18 months. My CD4 is 400 and undetectable VL. I met a girl who is also Positive for 10 Yrs also on Atripla for the last few months. Is there any danger having unprotected sex? Is it posible to have a negative and healthy baby?. I am healthy working full time and she is also health and working full-time. When I say Healthy, it means other than being POS we don't have major health issue. Hopefully, We will get married soon and want to have a baby. What should be our health concern for the baby and for us having unprotected sex THANKS
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Response from Dr. Moyle
It is certainly possible to have an HIV negative child when both partners are HIV+. Your partner is on Atripla, and efavirenz, a component of Atripla is best avoided in pregnancy. Once you are clear you wish to conceive together, talk to your doctor about her modifying treatment to a regimen suitable for conceiving. Once the efavirenz is out of her body (say 1 month) you can start trying.
Transmission between partners of different strains of HIV is a further issue. Some authorities, most notably the Swiss, have suggested that if the viral load is undetectable <50, then tansmission risk is eliminated. Your doctor will be able to further guide you on the safest way to conceive
Best Wishes
Dr Moyle
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