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Author Topic: Sperm Washing Fertility Treatment Not Necessary: U.K. HIV Draft Guidelines  (Read 1006 times)

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Offline red_Dragon888

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http://www.poz.com/articles/hiv_sperm_pregnancy_761_22441.shtml

Sperm washing—and effective but costly fertility treatment for HIV-serodiscordant couples—may no longer be necessary, at least in the United Kingdom, under certain circumstances, according to draft guidelines from the National Institute for Health and Clinical Excellence (NICE) summarized by aidsmap.

According to NICE, provided that the male partner living with HIV is strictly adherent to antiretroviral therapy, has an undetectable viral load, doesn’t have other sexually transmitted infections and limits unprotected sexual intercourse to days when his female partner is ovulating, the additional step of sperm washing may do little to further reduce the risk of transmitting the virus.

Should the male partner have problems adhering to antiretroviral therapy or his viral load is detectable, the draft guidelines recommend testing viral load levels in seminal samples. “If HIV is undetectable in semen,” aidsmap reports, “doctors should inform the couple that the risk of HIV transmission during timed unprotected intercourse is ‘negligible.’”

In situations other than these, sperm washing should still be recommended.

Interestingly, the draft writers do not recommend pre-exposure prophylaxis (PrEP) for the HIV-negative female partner. “They found only two studies in peer-reviewed journals that shed light on the question and that this evidence did not support the use of PrEP,” aidsmap reports.

Whether or not similar guidelines will be proposed in the United States isn’t clear.
Search: sperm washing, fertility, reproduction, serodiscordant, united kingdom, nice, aidsmap
http://www.youtube.com/watch?feature=player_embedded&v=I3ba3lnFHik

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Offline Solo_LTSurvivor

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Whether or not similar guidelines will be proposed in the United States isn’t clear.

I'm just curious to know your take on these guidelines, Dragon?
don't equate intelligence with lack of masculinity
Jim Phelps, Mission Impossible
____________________________

Seroconverted: Early 80s
Tested & confirmed what I already knew: early 90s

Current regimen: Atripla. 
Last regimen:  Epzicom, Sustiva (since its inception with NO adverse side effects: no vivid dreams and NONE of the problems people who can't tolerate this drug may experience: color me lucky ::))
Past regimens
Fun stuff (in the past):  HAV/HBV, crypto, shingles, AIDS, PCP

Jan 2012: 818/21%
Apr 2012: 964/22%
Jul. 2012: 890/21%
Oct. 2012: 920/23%

Still UD after all these years

Offline red_Dragon888

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I'm just curious to know your take on these guidelines, Dragon?
Well, I was just passing on the information for those who are interested in the topic.  As far as the guidelines, it is difficult to say.  I don't sleep with women, nor see in the future of having children but if I was to want children I would take that chance that HIV would not be transmitted to my off-springs.  Actually I have heard of one mixed couple that had a child that was HIV negative. 
http://www.youtube.com/watch?feature=player_embedded&v=I3ba3lnFHik

“Neither look forward where there is doubt nor backward where there is regret. Look inward and ask not if there is anything o

Offline red_Dragon888

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I hope someone in the government will look into this.
http://www.youtube.com/watch?feature=player_embedded&v=I3ba3lnFHik

“Neither look forward where there is doubt nor backward where there is regret. Look inward and ask not if there is anything o

Offline newt

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The nub of the draft guidance here is that the risk of transmission from sperm washing (not quite zero) is more or less the same as the risk of transmssion between sero-different couples opting for natural conception (ie sex) when the HIV positive person is is on effective therapy with no STIs and a viral load under 50 for 6+ months (which is not quite zero). So why do a complicated, lower chance of conception procedure (spermwashing)?

- matt
"The object is to be a well patient, not a good patient"

Offline Ann

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So why do a complicated, lower chance of conception procedure (spermwashing)?



Not to mention extremely expensive.

I wondered how long it would take them to come out with this recommendation. It makes sense in light of the Swiss study.
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"...health will finally be seen not as a blessing to be wished for, but as a human right to be fought for." Kofi Annan

Nymphomaniac: a woman as obsessed with sex as an average man. Mignon McLaughlin

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Offline jkinatl2

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Not to mention extremely expensive.

I wondered how long it would take them to come out with this recommendation. It makes sense in light of the Swiss study.

And I daresay that it's about half a decade late, considering that this has been common practice for at least that long. Wonder when/if the US will follow suit here?

Haha I keed. We won't likely.

"Many people, especially in the gay community, turn to oral sex as a safer alternative in the age of AIDS. And with HIV rates rising, people need to remember that oral sex is safer sex. It's a reasonable alternative."

-Kimberly Page-Shafer, PhD, MPH

Welcome Thread

Offline Solo_LTSurvivor

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Well, I was just passing on the information for those who are interested in the topic.  As far as the guidelines, it is difficult to say.  I don't sleep with women, nor see in the future of having children but if I was to want children I would take that chance that HIV would not be transmitted to my off-springs.  Actually I have heard of one mixed couple that had a child that was HIV negative.

Thanks for responding, Dragon.  I always thought I'd like to have a kid, but since I've been poz for over half my life, it basically was always a fleeting fantasy.
don't equate intelligence with lack of masculinity
Jim Phelps, Mission Impossible
____________________________

Seroconverted: Early 80s
Tested & confirmed what I already knew: early 90s

Current regimen: Atripla. 
Last regimen:  Epzicom, Sustiva (since its inception with NO adverse side effects: no vivid dreams and NONE of the problems people who can't tolerate this drug may experience: color me lucky ::))
Past regimens
Fun stuff (in the past):  HAV/HBV, crypto, shingles, AIDS, PCP

Jan 2012: 818/21%
Apr 2012: 964/22%
Jul. 2012: 890/21%
Oct. 2012: 920/23%

Still UD after all these years

 


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