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The need for fertility management in Sero-discordant HIV couples
• 37 million people living with HIV worldwide.
• 80% of childbearing age.
• Improved care of HIV infected adults has converted HIV into a chronic disease with reduced mortality.
• Increasing lifespan in infected couples promotes the desire to have children.
• Successful HIV prevention programs including condom use, have reduced HIV transmission rates.
Ref. Joint United Programs on HIV/AIDS Fact sheet 2014 statistics
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• Improved outcomes with the use of PrEP, washed semen and IUI, IVF/ICSI, reduction of plasma viral load, have ↓ transmission rates, to almost 0%.
• Fertility Services unavailable in public & private sector for couples with HIV status.
• Hence couples risk sexual HIV transmission in order to achieve pregnancy.
Ref. 3.Chen JL et. al. Family planning perspectives 2001; 33:144- 152.65 3.Brubaker SG. et.al. HIV medicine 2011; 12:316-321
3.Awiti Ujiji. O. et.al. BMC women’s health 2010;10:13
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