Sociomedical characteristics of HIV-infected patients in IVF programs
Objective. To investigate the sociomedical characteristics of HIV-infected patients and the features of their reproductive history and reproductive behavior.Isakova K.M., Nazarenko T.A., Krasnopolskaya K.V.
Subjects and methods. The bulk of HIV-infected patients who sought advice for IVF treatment programs was HIV-serodiscordant couples with an infected male, there were 64 (65%) and 39 (35%) infected men and women, respectively.
Results. Out of the examinees, 68.7% of the men were infected parenterally due to drug use; 28.2% of the women were infected via drug use, which shows that parenteral infection remains to be of paramount importance in more than half of the men and in one third of the women. The social characteristics of the examinees demonstrated their social adaptability when the vast majority had education, employment, steady income, and place of residence. The HIV-positive women were found to have negative reproductive behavior factors and poor reproductive and gynecological health. Thus, only 9% of the HIV-serodiscordant couples regularly used contraception; every three women had abortions; more than half of the patients had a history of pelvic inflammatory diseases, cervical diseases, ectopic pregnancies, miscarriage, and infertility.
Conclusion. Conclusions are drawn concerning the necessity of broadening the scope of examining HIV-infected patients, as well as a careful analysis of their social characteristics and reproductive history.
Keywords
serodiscordant
seroconcordant couples
HIV infection
viral RNA
CD4+
antiretroviral therapy
IVF programs
References
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Received 06.03.2017
Accepted 28.04.2017
About the Authors
Nazarenko Tatyana Alekseevna, Doctor of Medical Sciences, Professor, Chief Researcher, Moscow Research Institute of Obstetrics and Gynecology.101000, Russia, Moscow, Pokrovka str. 22a. Tel.: +74956222233. E-mail: t.nazarenko@mail.ru
Kraslopolskaya Ksenia Vladislavovna, MD, Head of the Department of Reproductology, Moscow Research Institute of Obstetrics and Gynecology.
101000, Russia, Moscow, Pokrovka str. 22a. Tel.: +74956222233. E-mail: biooptima@gmail.com
Isakova Kamila Muslimovna, Postgraduate Student, Department of Reproduction, Moscow Research Institute of Obstetrics and Gynecology.
101000, Russia, Moscow, Pokrovka str. 22a. Tel.: +74956222233. E-mail: isa-kama@yandex.ru
For citations: Isakova K.M., Nazarenko T.A., Krasnopolskaya K.V. Sociomedical characteristics of HIV-infected patients in IVF programs. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2017; (11): 100-6. (in Russian)
https://dx.doi.org/10.18565/aig.2017.11.100-106
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