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Reproductive choice for women and men living with HIV: contraception, abortion and fertility

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dc.contributor.author Delvaux, T. en_US
dc.contributor.author Nöstlinger, C. en_US
dc.date.accessioned 2007-12-06T14:46:51Z
dc.date.available 2007-12-06T14:46:51Z
dc.date.issued 2007 en_US
dc.identifier.issn 0968-8080 en_US
dc.identifier.other ITG-M1A en_US
dc.identifier.other ITG-CLA en_US
dc.identifier.other MICRO en_US
dc.identifier.other U-HIVSTD en_US
dc.identifier.other CLINIC en_US
dc.identifier.other U-HIVCLI en_US
dc.identifier.other JIF en_US
dc.identifier.other ABSTRACT en_US
dc.identifier.other MULTI en_US
dc.identifier.uri http://hdl.handle.net/10390/1740
dc.description.abstract From a policy and programmatic point of view, this paper reviews the literature on the fertility-related needs of women and men living with HIV and how the entry points represented by family planning, sexually transmitted infection and HIV-related services can ensure access to contraception, abortion and fertility services for women and men living with HIV. Most contraceptive methods are safe and effective for HIV positive women and men. The existing range of contraceptive options should be available to people living with HIV, along with more information about and access to emergency contraception. Potential drug interaction must be considered between hormonal contraception and treatment for tuberculosis and certain antiretroviral drugs. Couples living with HIV who wish to use a permanent contraceptive method should have access to female sterilisation and vasectomy in an informed manner, free of coercion. How to promote condoms and dual protection and how to make them acceptable in long term-relationships remains a challenge. Both surgical and medical abortion are safe for women living with HIV. To reduce risk of vertical transmission of HIV and in cases of infertility, people with HIV should have access to sperm washing and other assisted conception methods, if these are available. Simple and cost-effective procedures to reduce risk of vertical transmission should be part of counselling for women and men living with HIV who intend to have children. Support for the reproductive rights of people with HIV is a priority. More operations research on best practices is needed. en_US
dc.language English en_US
dc.subject Viral diseases en_US
dc.subject HIV en_US
dc.subject AIDS en_US
dc.subject Reproductive health services en_US
dc.subject Health services, needs and demand en_US
dc.subject Contraception en_US
dc.subject Abortion en_US
dc.subject Fertility en_US
dc.subject Needs assessment en_US
dc.subject Condoms en_US
dc.subject Acceptability en_US
dc.subject Disease transmission, vertical en_US
dc.subject Mother-to-child en_US
dc.subject Counseling en_US
dc.subject Sexually transmitted diseases en_US
dc.subject STD en_US
dc.subject Prevention and control en_US
dc.title Reproductive choice for women and men living with HIV: contraception, abortion and fertility en_US
dc.type Article en_US
dc.citation.issue 29(Suppl.) en_US
dc.citation.jtitle Reproductive Health Matters en_US
dc.citation.volume 15 en_US
dc.citation.pages 46-66 en_US
dc.identifier.pmid http://www.ncbi.nlm.nih.gov/pubmed/17531748
dc.citation.jabbreviation Reprod Health Matt en_US


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