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, CAsweber@nccc.ucsf.edu

abstract #TUPDC0202

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)

Washington D.C., USA, 22-27 July 2012www.aids2012.org

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)

Results & Conclusions

Non-Asst Repro Strategies

34.2%Assisted Repro

referral63.2%

Legal queries2.6%

Reason for Call

2006 2007 2008 2009 2010 20110tan28a566028

0tan4a56604

0tan9a56609

0tan14a566014

0tan19a566019

0tan24a566024

0tan29a566029

0tan4a56604

0tan9a56609

0tan14a566014

0tan19a566019

0tan8a56608 0tan7a56607 0tan8a566080tan13a566013

0tan17a5660170tan25a566025

0tan29a5660290tan1a56601

0tan17a5660170tan15a566015

0tan13a566013

0tan16a566016

Serodiscordant couple calls by year

Patient ClinicianYear

Num

ber o

f Cal

ls

10 10

2730 32

43

p-value trend <0.001

Providing safer conception options to serodiscordant couples is a critical component of promoting the reproductive rights of HIV-affected couples in the United States.

Perinatal HIV Hotline1-888-448-8765

Couple's HIV StatusMale+/Surrogate

7%

Female+/Male-9%

Male+/Female-84%