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Re: HIV and pregnancy planning From: Raymond Stephen (stephen.raymond@dhhs.tas.gov.au) Thu Jan 26 21:54:39 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr Eberhard Lisse: "Re: Breech Trail and Grace's baby burrito's" Previous message: Dr Eberhard Lisse: "Re: OB U/S training?" It is possible, - if he is on Antiretroviral therapy and the viral count is zero, along with sperm washing (Matts gives a 1% risk of transmission), but is it worth having a second child to bring up, with the continuing cost of keeping her husband alive and healthy, and running the risk that she might get HIV herself and that he might die young, leaving her a widow with young children, and that she might have a fatal pulmonary embolus in another pregnancy, and the baby might have congenital HIV infection and so on and so on. It's not really a medical question in the end, is it? Steve -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E. Siegel, M.D. Sent: Thursday, 26 January 2006 3:03 PM To: Multiple recipients of list OB-GYN-L Subject: Gyn: HIV and pregnancy planning 28 YO P1011 came in for an annual today. 1st preg--molar, D and C and chemo 2nd preg--term, now 14 months old Has a history of a PTE on OCPs pre-pregnancies. Now using condoms for contraception, and when asked about alternatives (didn't like Depo), told me her husband was just diagnosed as HIV+ a few months ago--the patient is negative. So. . . She asked if she could have kids. I am now going to show my ignorance on the world wide web. I said, "I don't think so" but then wondered if something like IUI-husband would be a good thing, or ICSI or whatever can be done with his sperm. Obviously, donor sperm is an option. Quick ACOG and Medline search went nowhere. Garry -- Garry E. Siegel, M.D. Private Practice Roswell, GA Next message: Dr Eberhard Lisse: "Re: Breech Trail and Grace's baby burrito's" Previous message: Dr Eberhard Lisse: "Re: OB U/S training?"

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