title: Update: Interim Guidance for Preconception Counseling and Prevention of Sexual Transmission of Zika Virus for Persons with Possible Zika Virus Exposure - United States, September 2016.
abstract: CDC has updated its interim guidance for persons with possible Zika virus exposure who are planning to conceive (1) and interim guidance to prevent transmission of Zika virus through sexual contact (2), now combined into a single document. Guidance for care for pregnant women with possible Zika virus exposure was previously published (3). Possible Zika virus exposure is defined as travel to or residence in an area of active Zika virus transmission (http://www.cdc.gov/zika/geo/index.html), or sex* without a condom†with a partner who traveled to or lived in an area of active transmission. Based on new though limited data, CDC now recommends that all men with possible Zika virus exposure who are considering attempting conception with their partner, regardless of symptom status,§wait to conceive until at least 6 months after symptom onset (if symptomatic) or last possible Zika virus exposure (if asymptomatic). Recommendations for women planning to conceive remain unchanged: women with possible Zika virus exposure are recommended to wait to conceive until at least 8 weeks after symptom onset (if symptomatic) or last possible Zika virus exposure (if asymptomatic). Couples with possible Zika virus exposure, who are not pregnant and do not plan to become pregnant, who want to minimize their risk for sexual transmission of Zika virus should use a condom or abstain from sex for the same periods for men and women described above. Women of reproductive age who have had or anticipate future Zika virus exposure who do not want to become pregnant should use the most effective contraceptive method that can be used correctly and consistently. These recommendations will be further updated when additional data become available.
authors.affiliation: Zika Response, CDC.
authors.forename: Emily E
authors.initials: EE
authors.lastname: Petersen
authors.affiliation: Zika Response, CDC.
authors.forename: Dana
authors.initials: D
authors.lastname: Meaney-Delman
authors.affiliation: Zika Response, CDC.
authors.forename: Robyn
authors.initials: R
authors.lastname: Neblett-Fanfair
authors.affiliation: Zika Response, CDC.
authors.forename: Fiona
authors.initials: F
authors.lastname: Havers
authors.affiliation: Zika Response, CDC.
authors.forename: Titilope
authors.initials: T
authors.lastname: Oduyebo
authors.affiliation: Zika Response, CDC.
authors.forename: Susan L
authors.initials: SL
authors.lastname: Hills
authors.affiliation: Zika Response, CDC.
authors.forename: Ingrid B
authors.initials: IB
authors.lastname: Rabe
authors.affiliation: Zika Response, CDC.
authors.forename: Amy
authors.initials: A
authors.lastname: Lambert
authors.affiliation: Zika Response, CDC.
authors.forename: Julia
authors.initials: J
authors.lastname: Abercrombie
authors.affiliation: Zika Response, CDC.
authors.forename: Stacey W
authors.initials: SW
authors.lastname: Martin
authors.affiliation: Zika Response, CDC.
authors.forename: Carolyn V
authors.initials: CV
authors.lastname: Gould
authors.affiliation: Zika Response, CDC.
authors.forename: Nadia
authors.initials: N
authors.lastname: Oussayef
authors.affiliation: Zika Response, CDC.
authors.forename: Kara N D
authors.initials: KN
authors.lastname: Polen
authors.affiliation: Zika Response, CDC.
authors.forename: Matthew J
authors.initials: MJ
authors.lastname: Kuehnert
authors.affiliation: Zika Response, CDC.
authors.forename: Satish K
authors.initials: SK
authors.lastname: Pillai
authors.affiliation: Zika Response, CDC.
authors.forename: Lyle R
authors.initials: LR
authors.lastname: Petersen
authors.affiliation: Zika Response, CDC.
authors.forename: Margaret A
authors.initials: MA
authors.lastname: Honein
authors.affiliation: Zika Response, CDC.
authors.forename: Denise J
authors.initials: DJ
authors.lastname: Jamieson
authors.affiliation: Zika Response, CDC.
authors.forename: John T
authors.initials: JT
authors.lastname: Brooks
mesh_terms: D002487:Centers for Disease Control and Prevention, U.S.; D017280:Condoms / Q000706:statistics & numerical data; D003376:Counseling; D005260:Female; D017408:Guidelines as Topic; D006801:Humans; D008297:Male; D008403:Mass Screening; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000517:prevention & control*; D012111:Residence Characteristics / Q000706:statistics & numerical data; D012746:Sexual Abstinence; D015229:Sexually Transmitted Diseases, Viral / Q000517:prevention & control*; D014195:Travel / Q000706:statistics & numerical data; D014481:United States; D000071243:Zika Virus Infection / Q000517:prevention & control* / Q000635:transmission