Semprini Augusto Enrico, Hollander Lital Hannah, Vucetich Alessandra, Gilling-Smith Carole
ESMAN Medical Consulting, Via Carlo Crivelli, 2020122 Milano, Italy.
Womens Health (Lond). 2008 Jul;4(4):369-82. doi: 10.2217/17455057.4.4.369.
Thanks to antiretroviral combination therapy, HIV-infected individuals live longer, healthier lives and may wish to have children. Women with HIV can attempt to conceive naturally or through simple self-insemination to minimize the risk of horizontal HIV transmission. Assisted reproduction technology is necessary in couples with infertility, which can either be independent of HIV infection and its treatment or be associated with it. This article summarizes the latest evidence regarding the desire for a child in HIV-positive women and how HIV infection and its treatment may impact female fertility. Current data regarding access to and outcomes of assisted conception programs in HIV-positive women wishing to conceive in both high- and low-income countries is also reviewed.
多亏了抗逆转录病毒联合疗法，感染艾滋病毒的个体能够活得更长久、更健康，并且可能希望生育子女。感染艾滋病毒的女性可以尝试自然受孕或通过简单的自我授精来尽量降低艾滋病毒水平传播的风险。对于患有不孕症的夫妇而言，辅助生殖技术是必要的，不孕症可能与艾滋病毒感染及其治疗无关，也可能与之相关。本文总结了有关艾滋病毒呈阳性的女性生育意愿的最新证据，以及艾滋病毒感染及其治疗可能如何影响女性生育能力。同时还综述了关于高收入和低收入国家中希望受孕的艾滋病毒呈阳性女性获得辅助受孕项目的机会及其结果的现有数据。
