Mailloux G, Bournique B
Fondation de recherche en Hormonologie, Banque de sperme et laboratoire de biologie moléculaire, Paris.
Contracept Fertil Sex. 1993 Jul-Aug;21(7-8):581-6.
Screening and prevention are two major weapons in the fight against AIDS. Procreation of couples where the spouse is seropositive poses a serious ethical social and epidemiological problem. We have consequently established a list of the current biological data concerning HIV in the sperm at the level of non germinal cells, seminal plasma and spermatozoa and of the clinical data on the transmission of the virus during sexual intercourse and insemination. Finally, we have presented the results of the research on predictable factors of the infectiousness of sperm. After this analysis, we consider the possibilities open to the medical corps: dissuasion, ovulation monitoring, insemination with the husband sperm, IVF and insemination with hope to be able to participate in the debate which must lead to a clear concerted and coherent position on the part of the medical corps, at least on a national level.
筛查和预防是抗击艾滋病的两大主要手段。配偶血清反应呈阳性的夫妇生育会引发严重的伦理、社会和流行病学问题。因此，我们整理了一系列有关非生殖细胞、精浆和精子中艾滋病毒的现有生物学数据，以及有关性交和授精过程中病毒传播的临床数据。最后，我们展示了关于精子传染性可预测因素的研究结果。经过此番分析，我们探讨了医疗团队可采取的措施：劝阻、监测排卵、使用丈夫的精子进行授精、体外受精以及怀着能够参与这场辩论的希望进行授精，这场辩论必须促使医疗团队至少在国家层面达成明确、协调一致且连贯的立场。
