Monday , January 24 2022

HIV and the reproductive desire: How do you plan a safe pregnancy?


Advances in prevention, diagnosis and treatment of & # 39; HIV improved the quality and life expectancy of & # 39; infected patients and, since most patients are diagnosed in reproductive age and have the desire to be parents, There are different strategies to prevent infection to your partner and offspring.

F & # 39; this sense, Carolina Tomatis, coordinator of the program & # 39; HIV and infertility & # 39; Halitus Medical Institute and Florencia Medica Infectóloga Cahn, Deputy Director of the Medical Center Ċiviljat, explained that "in 2014 the CDC (Center of Disease Control) approved the use of & # 39; prophylaxis & # 39; pre-exposure b & # 39; drug called Truvada (Tenofovir / emtricitabine) to prevent infection & # 39; 90%. "

"The – treatment consists of – making & # 39; & # 39 daily; this medication and practice & # 39; unprotected sex (Preservative) in the fertile time of the female cycle. F & # 39; December 2017, the CDC and HHS approved search for pregnancy unprotected or prophylaxis with & # 39; Truvada since current therapies with & # 39; & # 39 antiretrovirals; high efficiency make it possible to achieve a viral load that can not be measured with & # 39; effective and stable way ", stated Tomatis. and Cahn.

According to specialists, "it derives from the concept person b & # 39; viral load can be measured for more than 6 months, with the virus tittrażmettix"For this, adherence to treatment and strict control by & # 39; frequent viral loads and testing for other sexually transmitted diseases that can & # 39; increase the susceptibility to infection are very important", remarked.

The experts on HIV commented that although these recommendations are applied by the scientific community & # 39; many European countries as well as infettoloġisti in Argentina, "there are still patients who do not accept to take risks and continue to use to & # 39; fertility centers may have access to special processing of the semen sample to make it safe to not-transferring infection ".

"When the couple member b & # 39; positive serology is male, but had undetectable viral load in the blood, it is estimated that 3-8% can have a positive viral load of HIV in semen, for this the reason, and to avoid minimal risk & # 39; infection, in our center is suggested to perform intrauterine insemination or high complexity by in vitro used with & # 39; special processing & # 39; semen involving washing and viral subsequent load negative for the HIV virus, and eliminate any possibility of & # 39; transmission ", said.

Tomatis and Cahn stated that "if the woman is infected, you & # 39; perform self-insemination with the semen of her partner or, if necessary, in vitro. In the event that two members were infected, f & # 39; Halitus is also suggested that washes semen to avoid the superinfection by other serotypes of HIV ".

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