Infertility treatment for HIV-positive women.
Thanks to antiretroviral combination therapy, HIV-infected individuals live longer, healthier lives and may wish to have children. Women with HIV can attempt to conceive naturally or through simple self-insemination to minimize the risk of horizontal HIV transmission. Assisted reproduction technology is necessary in couples with infertility, which can either be independent of HIV infection and its treatment or be associated with it. This article summarizes the latest evidence regarding the desire for a child in HIV-positive women and how HIV infection and its treatment may impact female fertility. Current data regarding access to and outcomes of assisted conception programs in HIV-positive women wishing to conceive in both high- and low-income countries is also reviewed.
Semprini
Augusto Enrico
AE
ESMAN Medical Consulting, Via Carlo Crivelli, 2020122 Milano, Italy. semprini@esman.it
Hollander
Lital Hannah
LH
Vucetich
Alessandra
A
Gilling-Smith
Carole
C
D000328:Adult; D003376:Counseling / Q000458:organization & administration; D005193:Family Planning Services / Q000458:organization & administration*; D005260:Female; D005307:Fertilization in Vitro; D015658:HIV Infections / Q000453:epidemiology / Q000628:therapy*; D006801:Humans; D018445:Infectious Disease Transmission, Vertical / Q000517:prevention & control*; D007315:Insemination, Artificial; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000517:prevention & control / Q000628:therapy*; D027724:Reproductive Techniques, Assisted / Q000706:statistics & numerical data*; D016387:Women's Health