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Having a baby
Dec 2, 2010

Can a HIV positive man have a health child with a HIV negative woman? What can he take or do to avoid transmission but also have a child?

Response from Dr. Henry

HIV + men can safely father children. The first step is to discuss with HIV specialist and begin antiretroviral therapy. Once HIV levels are undetectable on treatment the risk for HIV transmission has been significantly decreased. There are a range of approaches to achieve a safe pregnancy often the approach taken depends on insurance and resource issues. Some patients have used in vitro fertilization, others have used sperm washing, while patients with more limited resources have used timed intercourse (only during ovulation as monitored by basal body temperature or urine testing). Pre and/or post exposure prophylaxis for short periods of time is another technique used in some settings. I recommend having the HIV+ male and his female partner discuss the situation with an HIV specialist who can determine what is feasible for a given situation. KH

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