Creating a family when you have HIV

If you: Living with HIV ես Think about having children, you can. With the right care և medicine people living with HIV can have a healthy pregnancy և children without transmission HIV partner or child.

“It simply came to our notice then drugs և medical advances that advocates of the past have fought hard to reach us, ”says Monica Hahn, HIV Specialist, Clinical Associate Professor of Family և Community Medicine, UCSF Medical School.

“Now, if you can take your medication consistently, you can basically have a normal և healthy pregnancy, childbirth և child: “A child free of HIV,” he says. “We can mainly guarantee that.”

If you are planning get pregnant և you և / or your partner have HIV, talk to your HIV doctor to make sure your treatment is right. And if you do get pregnantTell your HIV doctor right away. This is part of making sure you երեխան your baby is healthy.

The undetectable equals the non-transferable

If you have a partner without HIV, getting pregnant without the fear of HIV transmission used to be difficult, often requiring intrauterine fertilization բուժ fertility treatment.

Today, HIV experts refer to the concept of “U = U”, which means “undetectable equals non-transferable”. This means that if you carry an unnoticed viral load, you will not be able to transmit HIV through sex.

Having an unknown viral load means you have very little HIV blood. Taking your antiretroviral medication daily makes your viral load go unnoticed.

“This is a truly groundbreaking discovery, a wonderful, liberating breakthrough in knowing that people living with HIV can և have to have a healthy, enjoyable sex life և the opportunity to build a family that deserves all of them, ‘” Han said.

“We know that people living with HIV can have perfectly healthy pregnancies, children without HIV, without the use of any special technology other than the use of their own HIV drugs,” Han said. “The great news I am telling the patients I now care for is really different from what we said 10 years ago.”

U = U also refers to the transmission of HIV from a pregnant person to them child: “If they have a persistent unobtrusive viral load before pregnancy, during pregnancy, during childbirth,” says Dr. Judy Leeson, a professor of obstetrics and gynecology at Baylor Medical College who specializes in HIV pregnancy. “Under those conditions, ‘there was zero transmission of newborns,'” he said.

Get pregnant with a partner

If you live with HIV և you want to get pregnant, the first step is to take your antiretroviral medication regularly և to achieve an unobtrusive viral load. (You have to do it for your own health, և if you are thinking about getting pregnant, you do it և to protect your baby). Keep the viral load unnoticed for 3-6 months, then you can have sex without a condom: without the risk of transmitting HIV to your partner, says Leeson.

If you have HIV և Do you want your partner to get you pregnant? spermThe advice is the same. Take your medication և reach a persistent undetected viral load, then continue և try to conceive.

If you do not have HIV but your partner does, ask your doctor if it is preventative (PrEP:) is an option. PrEP is a daily pill that reduces the risk of contracting HIV. PrEP is safe to take during pregnancy breastfeeding.

Pregnancy and childbirth planning

Many anti-HIV drugs are safe to take during pregnancy, so you will probably be able to continue taking the same medicine during pregnancy. You should check your viral load frequently, once or twice a month, to make sure it goes unnoticed. Sometimes medications work differently during pregnancy, so your doctor may need to adjust your medication or dosage if your viral load increases.

Work և delivery “It’s about the same for people living with HIV as it is for those who don’t,” says Han. You will be able to have a vaginal birth as long as your viral load is below 1000 when you are ready to give birth. If it exceeds 1,000, you will need a caesarean section to reduce the risk of your baby becoming infected during childbirth.

Your baby should receive AZT for 4 weeks after birth to protect him or her from HIV. They will be tested several times: at birth, 2 weeks, 4 weeks և 4 months, says Han.

Breastfeeding Historically not recommended for people living with HIV, it’s still an official recommendation in the United States, as it has been since 1985.

But many parents want to breastfeed, says Leeson. The panel of experts advised the US Department of Health and Human Services (HHS). The commission confirmed that breastfeeding is not recommended for people living with HIV, as the risk is not zero. But the group advised that if a doctor had an HIV patient who wanted to breastfeed, he or she should talk to him or her about the risks and benefits.

“We can not say that U is equal to U for breastfeeding, but we can say that the risk is very low. [for people who have undetectable viral loads]”, Says Lawson. If you decide to breastfeed, she says you should take your medication, monitor your viral load every 1-2 months, and test your baby regularly.

“We just have to say we can not give you a 100% guarantee that you will not transmit HIV through breastfeeding your baby,” says Leeson. “And then they have to make a decision that is right for them.”

More ways to have a family

People living with HIV can use any type of fertility treatment, for example In vitro fertilization (IVF) և Egg freezing. The semen used in the treatment of fertility is regularly “washed” before use. This process removes HIV from the semen.

Fertility clinics can also help you build your family with methods such as donor fertilization or pregnancy replacement if needed.

Adoption is also an option. Under the Law on Americans with Disabilities, it is illegal for adoption agencies to discriminate against people living with HIV.

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