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Conception and Contraception for HIV-affected Couples
Slide Presentation
April 20, 2011
Deborah Cohan, MD, Associate Professor, UCSF, Medical Director, BAPAC, Associate Director, National Perinatal HIV Consultation and Referral Service

Click on slide thumbnails to view full-size image.

Slide 1.
Slide 1.
Slide 2.
Outline
Slide 3.
What Are Reproductive Rights?
Slide 4.
Results from Amfar Email Survey, 2008
Slide 5.
Amfar Survey, Continued
Slide 6.
HIV+ Women Internalize Stigma around Conception
Slide 7.
Fertility Desires among HIV+
Slide 8.
Chen et al. Family Planning Perspectives, 2001
Slide 9.
Unintended Pregnancy
Slide 10.
Are HIV Providers Discussing Reproductive Desires?
Slide 11.
HIV Providers Should Establish Reproductive Desires
Slide 12.
I Want to Get Pregnant!
Slide 13.
Preconception Care
Slide 14.
Preconception Care: HIV-Specific Counseling
Slide 15.
Preconception Care: Other Counseling Points
Slide 16.
Preconception Interventions
Slide 17.
How to Manage Serodiscordant Couples?
Slide 18.
Many HIV+ Heterosexual Adults in Serodiscordant Couples
Slide 19.
Case 1: She's Positive, He's Not
Slide 20.
Safe Conception: HIV+ and HIV-Man
Slide 21.
Case 2: He's Positive, She's Not
Slide 22.
Options without HIV Transmission Risk
Slide 23.
Options for Safe Conception?
Slide 24.
Options for Safe Conception, Continued
Slide 25.
Timed Coitus
Slide 26.
Options for Safe Conception, Continued
Slide 27.
Semen and HIV
Slide 28.
Assisted Reproduction: Sperm Washing
Slide 29.
What Is Done with Washed Sperm?
Slide 30.
Results of Assisted Reproduction
Slide 31.
Options for Safe Conception, Continued
Slide 32.
Pre-Exposure Prophylaxis
Slide 33.
PrEP for Conception
Slide 34.
FEM-PrEP
Slide 36.
FEM-PrEP: Preliminary Results
Slide 37.
Options for Safe Conception, Continued
Slide 38.
Are ARVs Enough?
Slide 39.
Swiss Federal Commission for HIV/AIDS Statement
Slide 40.
The Future Is Now
Slide 41.
U.S. Map
Slide 42.
Case 3: I Don't Want to Get Pregnant
Slide 43.
Contraception Failure (1st Year)
Slide 44.
What Method of Contraception Would You Recommend?
Slide 45.
ARVs and Oral Contraception Pills
Slide 46.
DMPA and ARVs
Slide 47.
Hormonal Contraception and HIV Progression
Slide 48.
IUDs Are Safe for HIV+ Women
Slide 49.
IUDs Are Safe for HIV+ Women, Continued
Slide 50.
IUDs Are Safe for HIV+ Women, Continued
Slide 51.
Caring for HIV+ Woman of Reproductive Age
Slide 51.
Informational Numbers
Slide 51.
Thank You!
Slide 54.

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