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couple wanting a baby: one partner +tive and other -tive
Jun 14, 2011

I'm happily married woman to a HIV +ve man. I want to have a child with my husband but cannot afford In vitro fertilisation. I've heard on some HIV forum that if I have unprotected sex and take ARV's immedialtely after sexual intercourse I will not be infected and may fall pregnant. This sounds inticing since I do not have money for sophisticated procedures. how true is this?

Response from Dr. Frascino

Hello.

The safest way for a positive male/negative female magnetic couple to conceive would involve sperm washing and artificial insemination. However, this can be costly. The risks associated with natural conception can be decreased (but not totally eliminated) by making sure the male's HIV plasma viral load is depressed to undetectable levels with antiretroviral therapy. You should both be screened for STDs (if present they could increase the risk of HIV transmission), and you should discuss with your obstetrician the proper time to try to conceive during your monthly cycle. (This will decrease the number of exposures and increase the likelihood of conception.) Finally you should discuss with your husband's HIV specialist and an HIV-knowledgable obstetrician he possibility of using PrEP (pre-exposure prophylaxis). It's worth noting that some antiretrovirals (such as efavirenz) should not be used by women attempting to become pregnant. See link below for additional information.

Good luck.

Dr. Bob

I just found out my boyfriend is HIV positive , what do I do? (PREGNANCY: HIV POSITIVE MALE AND HIV NEGATIVE FEMALE 2010) Dec 12, 2010



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