Most recently, the HIV diagnosis sounded like a sentence. But today, with the advent of sufficiently effective antiretroviral therapy, in most cases it is possible to convert HIV into the category of chronic diseases that can be controlled. Now people with HIV can live a fairly full life, make plans for the future and even plan the birth of their own child. There are still obstacles on the way to the realization of the dream of procreation, but they can be overcome. If you follow certain rules, the HIV diagnosis does not prevent from giving birth to a healthy child.
Taking a decision to conceive a child is always a very important step, but it becomes even more responsible when it refers to a couple, in which one of the partners is HIV-positive.
Of course, HIV diagnosis creates additional risks for infecting a child, and if nothing is done, they are very high. So, if an HIV-infected woman becomes pregnant without taking special precautions, the risk that the virus is passed to the child is 30-50%. But proper preparation for pregnancy and a set of preventive measures reduces the risk of HIV transmission from mother to child by up to 1-2%.
For couples in which one of the partners is HIV-infected (discordant couples), it is necessary to plan pregnancy in advance. It is important to undergo a preliminary examination and consult with physicians: infectious diseases specialist, gynecologist, reproductive specialist. It is necessary to determine the immune status and, of course, to start taking antiretroviral drugs in advance.
The probability of infecting a child with HIV is increased if a woman has other sexually transmitted diseases. Therefore, it is very important to undergo a full examination and, if necessary, treat the identified diseases.
The couple must choose a conception method. If the disease is under control, then it is possible to conceive a child through unprotected sexual intercourse. But in this case there is a risk of infecting the partner. And although this risk is not too considerable, in case of health control, for discordant couples, the physicians still recommend using assisted reproductive conception techniques.
If a man is HIV-positive, then special sperm purification technologies are used. After the purification procedure and subsequent testing of sperm for HIV- are performed, the sperm can be used to fertilize a woman.
After examination of the couple, the most suitable option of artificial insemination is selected. This may be intrauterine insemination or IVF. In the HIV-positive men, sperm quality is often quite low, and this is why IVF or IVF + ICSI are most often used. During IVF, the fertilization of a woman’s egg by the partner’s sperm is performed “in vitro”, after which the embryo is transferred to the uterine cavity.
Statistics show that the women infected with HIV often have reproductive disorders. Therefore, first of all, you need to check the status of the reproductive system using a special examination. If the functions are preserved, the couple can introduce the man’s sperm into the female’s genital tract itself, for example, using a syringe, on the day when the woman has ovulation. But most often, in order to achieve the result, it is necessary to apply the IVF procedure, which, as a rule, allows achieving pregnancy.
The Feskov Human Reproduction Group has developed programs that will help, for sure, to get pregnant and give birth to a child, even for married couples who have reproductive problems and “burdening factors”, such as HIV. The clinic will offer you a full range of reproductive services necessary for the beginning of pregnancy. During carriage of a child, a woman will be under the examination of physicians, which will ensure the safe course of pregnancy and the birth of a healthy and non-infected child. Plan your pregnancy in advance, use modern reproductive assistive methods, use the necessary medical support, and your dream of having a healthy baby will come true even if you have HIV! The company Feskov Human Reproduction Group is always ready to help you in this!