Safer conception options for HIV
serodiscordant couples in the US:
Experience of The National Perinatal HIV
Hotline and Clinicians’ Network
Weber, S1; Waldura, JF1; Cohan, D2
1National
HIV/AIDS Clinicians’ Consultation Center, University of California, San Francisco, CA
2Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, CA
sweber@nccc.ucsf.edu
Supported by a grant from the HIV/AIDS Program of the Health
Resources and Services Administration (HRSA) as part of the AIDS
Education and Training Centers (AETCs)
abstract #TUPDC0202
Background & Methods
• 140,000 heterosexual HIV serodiscordant
couples in the United States
• 50+% desire children
• Serodiscordant couples and providers may not
know the range of safer conception options
• Many couples lack access to sperm washing or
assisted reproduction technologies
• National Perinatal HIV Hotline and
Clinicians’ Network
• Types of calls from patients/clinicians analyzed
from 2006 to 2011 (N=152)
www.aids2012.org
Washington D.C., USA, 22-27 July 2012
Results & Conclusions
Reason for Call
Couple's HIV Status
Legal
queries
2.6%
Male+/Surrogate
7%
Female+/Male9%
Assisted
Repro
referral
63.2%
Male+/Female84%
Serodiscordant couple calls by year
50
43
Number of Calls
45
40
35
30
30
27
25
10
5
17
14
16
20
15
32
18
10
1
2
9
8
9
2006
2007
2008
14
18
0
Clinician
Providing safer conception
options to serodiscordant
couples is a critical component
of promoting the reproductive
rights of HIV-affected couples
in the United States.
26
10
Patient
Non-Asst
Repro
Strategies
34.2%
2009
Year
2010
2011
p-valuetrend <0.001
Perinatal HIV Hotline
1-888-448-8765