Human immunodeficiency virus infection and fertility care in the United Kingdom: demand and supply

Frodsham, Leila; Boag, Fiona; Barton, Simon; Gilling-Smith, Carole

doi:10.1016/j.fertnstert.2005.07.1326

Cited by 66 publications

(51 citation statements)

References 23 publications

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“…With an increasing number of HIV infections among heterosexual men and women in the UK (Health Protection Agency, 2009), and increasing desire for parenthood, the need for reproductive health services, including assisted reproduction, has already been rising (Frodsham et al, 2006). UK guidelines recommend pre-conceptual counselling for HIV-infected women wishing to become pregnant, in order to minimise the risk of transmission, both to their infants and to HIV-negative partners (Fakoya et al, 2007).…”

Section: Discussionmentioning

confidence: 99%

Fertility intentions of HIV-infected women in the United Kingdom

et al. 2011

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Section: Discussionmentioning

confidence: 99%

Fertility intentions of HIV-infected women in the United Kingdom

et al. 2011

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“…Studies from North America and Europe presented that 20-33% of HIV-infected men and women indicate an intention to procreate [23][24][25][26]. The will of having children is often hindered by HIV infection [17].…”

Section: Discussionmentioning

confidence: 99%

The characteristics of HIV serodiscordant couples consulted at the HIV Out-Patient Clinic in Warsaw

Grzeszczuk¹,

Wróblewska²,

Firląg-Burkacka³

et al. 2017

HIV & AIDS Review

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Introduction: Human immunodeficiency virus (HIV) is predominantly transmitted through unprotected sexual intercourse. Condom use in long-term relations is uncertain, thus antiretroviral treatment can be the most efficient method of preventing HIV transmission. The objective of this study was to analyze epidemiological characteristics of HIV serodiscordant couples coming to consecutive visits. Material and methods:Data on demographics, HIV viral load, hepatitis B virus (HBV) and hepatitis C virus (HCV) co-infections of HIV positive individuals (index patients) and data on sexual behavior, condom use in sexual relations were obtained from medical files.Results: There were 52 couples investigated: 16 (31%) homosexual and 36 (69%) heterosexual ones. In general, 47 (90%) HIV positive patients were on combination antiretroviral therapy (cART) and 42 (89%) had HIV RNA below 50 copies/ml at last measurement. During one year of observation, 18 (35%) patients had detectable HIV RNA. Out of index patients, 18 (35%) were anti-HCV positive, 1 (2%) was HBSAg positive and 4 (7.7%) were VDRL positive. Twenty (38%) persons admitted to have unprotected sexual contacts, 6 (29%) homosexual men and 15 (71%) heterosexual persons. Only 29 (56%) HIV negative partners were tested regularly for HIV. Ten (19%) of HIV positive patients already had children. There were five pregnancies during the time of the study. Four couples declared a desire to have children. Only 3 couples considered assisted reproduction. Conclusions:Unprotected sex occurs often among serodiscordant couples observed. Thus regular cART should be emphasized. Frequent co-infections (HCV and syphilis) among index patients prove that it is necessary to test HIV negative partners for these infections. The observation confirms purposefulness of couple counseling about safe conception.

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“…Several authors have reported a high incidence of tubal abnormalities, generally in the infertile sub-Saharan African women and specifically in the HIV positive women [6,[11][12][13].…”

Section: Discussionmentioning

confidence: 99%

Hysterosalpingographic Tubal Abnormalities in Retroviral (HIV) Positive and Negative Infertile Females

Adegoke

Anthony²,

Olumide³

et al. 2013

JCDR

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Background: HIV and infertility are associated in several ways and the improved treatment options which are available for HIV patients have improved their health, increased their reproductive years and subsequently, their desire to procreate. Objective:The objective was to compare the findings on hysterosalpingography in HIV positive and negative infertile females.Study Design: All the 5250 patients who were referred to the radiodiagnosis unit of the centre in 2011, were counselled about the study, but only the two thousand and two hundred females who gave their consents had their retroviral status determined and were included in this study. Their sociodemographic histories were acquired with the aid of a structured questionnaire and their hysterosalpingography studies were reported by a radiologist. Results:Most of the patients (54.5%) were within the age group

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Human immunodeficiency virus infection and fertility care in the United Kingdom: demand and supply

Cited by 66 publications

References 23 publications

Fertility intentions of HIV-infected women in the United Kingdom

Fertility intentions of HIV-infected women in the United Kingdom

The characteristics of HIV serodiscordant couples consulted at the HIV Out-Patient Clinic in Warsaw

Hysterosalpingographic Tubal Abnormalities in Retroviral (HIV) Positive and Negative Infertile Females

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