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HIV1-discordant couples

Procedure: - use sperm from an HIV-negative donor (safest option) - use highly active antiretroviral therapy (HAART) to suppress HIV in the man & have condomless intercourse only near ovulation while the woman is using daily preexposure prophylaxis - collect man's sperm & "wash" to remove HIV-infected sperm; test sperm to confirm the absence of HIV, then use during intrauterine insemination or in vitro fertilization; use in conjunction with HAART & preexposure prophylaxis [1]

Related

HIV1 infection; human immunodeficiency virus-1 infection

References

  1. Orciari Herman A, Sofair A. CDC Outlines Options for HIV-Discordant Couples Who Want to Conceive. Physician's First Watch, June, 2017 David G. Fairchild, MD, MPH, Editor-in-Chief Massachusetts Medical Society http://www.jwatch.org - Kawwass JF, Smith DK, Kissin DM, et al. Strategies for Preventing HIV Infection Among HIV-Uninfected Women Attempting Conception with HIV-Infected Men - United States. MMWR Morb Mortal Wkly Rep 2017;66:554-557 https://www.cdc.gov/mmwr/volumes/66/wr/mm6621a2.htm