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Trying to conceive
Feb 9, 2005

Hello. I have been diagnosed with Hiv now for almost 3yrs and right now I am single and practicing abstinence since i have been diagnosed. My tcell count is at 384 and my viral load is undetectable. My wonder is that when i do decide to marry and have children how does one go about conceiving without the partner getting infected. I am aware now as an HIv positive woman I am able to have children without infecting them but what about my husband. How can I get pregnant without infecting my husband and what are the chances of conceiving through normal sexual intercorse without transmitting HIV.

Response from Dr. Pierone

The safest way to conceive without infecting your partner is through artificial insemination with sperm donated by your future husband. A strategy utilizing artificial insemination would allow you to become pregnant, and also protect your husband. The risk of transmitting HIV to a male partner during unprotected intercourse varies depending on the individual circumstances having an undetectable viral load on antiretroviral therapy translates into a very low risk of transmission. However, even with controlled viral replication in blood, there is still a risk of transmission during sexual intercourse. Hope that this helps and I wish you the best.

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