Fertility
treatment for HIV couples
IUI /IVF/ICSI to have own bundle of joy
If
you are one among the serodiscordant couple and want to have a child of your
own , then fertility treatments are there which can assist you to have your own
bundle of joy. The serodiscordant couple in which one partner is HIV positive
and other is HIV negative, there is a possibility that they can benefit from IVF (invitro fertilisation), IUI
(intra-uterine insemination) and ICSI (intracytoplasmic sperm injection). With help
of these fertility treatment the risk of the
woman being infected with HIV is greatly reduced, thereby reducing the risk of vertical
transmission(transmission from mother to child) as well.
There are two ways to take fertility treatment
forward. One being the DONOR SPERM option wherein to conceive the HIV negative
women will be using the screened donor’s sperm which is somewhat similar to the
process which she might have undergone if her husband was infertile.
SPERM
WASHING the other method is now successfully being used by many couples who
were looking forwad for the male partner to be the
genetic father. The theory behind this procedure says that the HIV infected
material is carried mainly in the seminal fluid ejaculated , rather than in the
sperm. The man ejaculate is collected and washed in the laboratory in order to
remove the infectious seminal fluid. After that it is stored till the time when
women starts ovulating and it can transferred to her womb by intra-uterine
insemination (or if either partner has fertility problems, perhaps IVF or ICSI)
One
2005 study from Italy showed encouraging results. Of the 567 serodiscordant
couples treated with sperm washing, 298 pregnancies resulted (26.2% with
artificial insemination and 37.2% with conventional in vitro fertilization or
with intracytoplasmic sperm injection) and 224 children were born. The study
showed that semen washing in HIV-positive men in the study has not produced any
horizontal (in woman) or vertical (to the child) HIV seroconversion. However,
there is no 100% guarantee that the virus is eliminated in motile sperm.
Dr
Manoj Chellani, IVF Expert, Aayush ICSI Test Tube Baby Center, Raipur,
Chhattisgarh says ‘The serodiscordant couple can easily take
fertility treatment and have their own bundle of joy without any fear. They can
also enjoy the parenthood happiness as technology today has reached to that
height to help them to bear their own
child with reduced risk of transmission of HIV infected virus to the baby’
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