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