HIV and reproductive care—a review of current practice

Gilling-Smith, Carole; Nicopoullos, J. D. M.; Semprini, E.; Frodsham, Leila

doi:10.1111/j.1471-0528.2006.00960.x

Cited by 82 publications

(60 citation statements)

References 72 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…One study (Bova and Durante 2003) found that the majority of women with HIV continued to be sexually active and that sexual activity was not related to HIV illness stage or functional status. Others studies have found psychosexual dysfunction among women with HIV (Gilling-Smith et al 2006;Bova and Durante 2003;Keegan et al 2005;Lambert et al 2005), although these symptoms were mostly among a small portion of the women interviewed and were unrelated to antiretroviral therapies (ART). For instance, Siegel, Schrimshaw and Lekas (2006) found that 30% of the women in their study experienced diminished pleasure on sex, diminished participation in sex, or diminished sense of sexual attractiveness.…”

Section: Introductionmentioning

confidence: 96%

Family Planning Among HIV Positive and Negative Prevention of Mother to Child Transmission (PMTCT) Clients in a Resource Poor Setting in South Africa

2008

View full text Add to dashboard Cite

The purpose of this study was to investigate family planning needs, knowledge of HIV transmission and HIV disclosure in a cohort sample that had undergone PMTCT in a resource poor setting. Five public clinics implementing PMTCT from Qaukeni Local Service Area, O.R. Tambo District in the Eastern Cape. The sample at postnatal care consisted of 758 women with known HIV status. From 116 HIV positive women 76.3% and from 642 HIV negative women 85.2% got counseling on safe sex during pregnancy but only 65.8% and 62.3% of the women respectively practiced safe sex during pregnancy, which did not differ by HIV status. Postnatally, almost all women received counseling on family planning, yet use of contraceptives and condoms were low. Among HIV positive women PMTCT knowledge and younger age of the mother were associated with pregnancy desire, and among HIV negative women HIV disclosure to the partner, younger age of the mother and having a lower number of children were associated with pregnancy desire. High pregnancy desires (yet lower than for HIV negative women); low contraceptive and condom use were found among HIV positive women. HIV prevention and family planning must acknowledge the reproductive desires of HIV positive women and men.

show abstract

Section: Introductionmentioning

confidence: 96%

Family Planning Among HIV Positive and Negative Prevention of Mother to Child Transmission (PMTCT) Clients in a Resource Poor Setting in South Africa

2008

View full text Add to dashboard Cite

show abstract

“…These techniques, also known as ''sperm washing'' have been studied extensively and have shown to be highly successful in ensuring that mothers and children remain uninfected, as demonstrated by research spanning over two decades [6][7][8]. Further, providing an alternative to unprotected sexual intercourse for HIV serodiscordant couples who wish to conceive potentially reduces the spread of HIV [4]. Given that sexual transmission of HIV to women remains the leading cause of infection in the female population [2], assisted reproduction is particularly important for these couples.…”

Section: Introductionmentioning

confidence: 97%

“…Given that HIV positive men and women have consistently indicated that their own fertility desires were influenced by their partner's wishes [9,14,17,26], it is important to consider fertility desires in the context of a couple's relationship. HIV serodiscordant couples have a number of important issues to consider if they intend to have children, including the means by which to conceive, the potential risks involved in attempts to conceive, and the option of using donor sperm in the case of an HIV positive male partner [4]. Additionally, there are contingencies to consider in the event of the HIV positive partner's death [33], such as precautionary cryopreservation of gametes and third-party parenting arrangements.…”

Section: Introductionmentioning

confidence: 98%

“…Accordingly, couples in which one or both partners are infected with HIV are planning their futures together, which may include having a family. HIV serodiscordant couples (in which one partner is HIV seropositive and the other is HIV seronegative) face the unique challenge of minimizing risk of transmission of HIV to both the uninfected partner and their future child [4]. For opposite-sex couples in which only the male partner is HIV positive, advances in reproductive medicine allow the couple to have their own biological child through sperm preparation techniques that effectively remove HIV material from the semen and permit successful fertilization with a sperm fraction that is HIV negative [5].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Life After HIV: Examination of HIV Serodiscordant Couples’ Desire to Conceive Through Assisted Reproduction

Gosselin

Sauer

2010

AIDS Behav

View full text Add to dashboard Cite

The current study addresses fertility desires and considerations among 143 HIV serodiscordant, opposite-sex couples (in which only the male partner is HIV positive) in the Northeastern U.S. Couples responded to questionnaires during their initial consultation for assisted reproduction, and data were collected over 7 years and analyzed retrospectively. Results indicated that a majority of the male participants had HIV when they met their partner, and a majority also disclosed their HIV status upon meeting. Most couples reported that they had previously discussed or considered a host of fertility-related issues, including the potential risk of HIV infection to the mother and the fetus during the process of fertility treatment. The majority of couples had also discussed the possibility that the male partner could die prematurely due to HIV/AIDS and had considered making arrangements for third-party parenting in the event of the male partner's death. If their fertility treatment were to be successful in the future, most couples desired additional children, and most believed that their future child should be told of the male partner's HIV status. Predictors of the desire for additional children after successful fertility treatment included: younger age, shorter relationship duration, being childless currently, and beginning their relationship after the male partner had already been diagnosed as HIV positive. Future research on fertility desires should include perspectives of HIV positive men on fatherhood, as well as concerns and issues specific to HIV serodiscordant couples.

show abstract

“…I read with great interest the review article by Gilling-Smith et al 1 on current practice in the reproductive care of HIVpositive individuals. As chairman of the centre with the single largest unit in Italy focused on the treatment of HIVserodiscordant (or concordant) couples, I was happy to agree with the views of Gilling-Smith et al…”

Section: Sirmentioning

confidence: 99%