Testing viral load in sperm
Nov 21, 2014
I want to make a baby (i'm positive my wife is negative) and I want to test my sperm viral load if its undetectable can we have unprotected sexual intercourse , or does she needs to take prep meds? Best Regards
Response from Dr. Young
Hello and thanks for posting your interesting question.
If you're viral load in blood is undetectable, then it's very highly likely that it's also undetectable in semen.
There is a lot of discussion in recent times about conception and safe sex in the era of undetectable viral loads, and whether additional means, like sperm washing, or pre- or post-exposure prophylaxis is needed.
In my opinion, having a recent undetectable viral load, or pre-exposure prophylaxis for the negative partner, or both are probably all that's needed to reduce the risk of HIV infection to very acceptable levels.
I'd suggest speaking to your care provider about the options that make the most sense for your and your wife.
Be well and good luck with the new family, BY
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