IVF for HIV patients
As it is dealing with infertility can be a challenging with lots of emotional and financial amount in stake. On top of that, if Intended Parents (single or both) are seropositive for HIV virus, journey of parenthood can be more difficult with additional financial load. When any couple, one or both partners are HIV Positive, it is worth to mention that they need additional care in having baby and they need specialized help and attention to make sure that their health and baby health is not at risk. There are couples of factors they need to plan and adhere too:
- Underline illness stability and control by a specialist with more regular follow-ups.
- Fertility related advice in order to program the pregnancy under the best possible conditions or to rule it out in some cases at all.
- Artificial Insemination with washed sperm for HIV cases
- Assisted Reproduction Techniques in cases where a fertility problem may exist in either of partner.
The bottom line is that IVF in HIV Positive couples is possible, but undoubtedly they should expect more rigorous medical and financial drain IVF for HIV patients. Thanks to current medical advances and the medicine available for HIV (Human Immunodeficiency Virus), seropositive couples can have better quality of life, and that is why it is common for many couples in this situation to consider the possibility of having a family.
For Intended Parents, in which male partner has HIV virus, it is possible to undergo artificial insemination as it reduces the chance of female partner getting infection. There is a technique called Sperm Washing is used to separate mobile sperms from the seminal fluid, which carries the HIV virus. This technique was first used in 1992 and since then many HIV positive couples have fulfilled their dream of parenthood over the years. Although theoretically there are little chances of female partner getting infection, but so far no positive infection case seen in female partners (horizontal transmission) or fetuses (vertical transmission), encouraging other HIV positive couples seeking fertility treatments to peruse their dream of parenthood. The chances of a resulting pregnancy after two or three attempts range between 50% and 60%.
In case female partner is carrier of HIV virus, it is important to note that when she gets pregnant and does not receive the appropriate treatment, the risk of the infection transmission to the child ranges between 15% and 20%. Since last couples of years, this risk has been reduced and now even less than 1%. This is due to introduction of new effective medicine for AIDS and later on the use of combined antiretroviral medications as well as strict pregnancy and birth protocols. However, these drugs are potentially can cause malformations in the newborn and have to be administered under specialized control.
As fertility treatment with HIV positive parents requires specialized technique with expert medical and technical staff to overview all process, not all fertility clinics or countries offer this facility. There are around 25 different fertility clinics throughout the world which offer HIV sperm washing for its patients.
There are fertility clinics in Thailand, Spain, Greece, Turkey, Germany, as well as Russia which offer IVF for HIV positive couples. In India, IVF centre at Deenanath Mangeshkar Hospital in Pune, India has been using this technique for many years.