If the woman is infected, to avoid the risk of HIV transmission during sexual intercourse, the man can ejaculate into a condom during ovulation and simply deliver the semen into the vagina with a syringe or other device. To avoid infection, couples should always wear a condom during regular intercourse.
If the male partner is infected, he can use sperm washing followed by in vitro artificial insemination, but since this technique has not been carried out in China, natural conception can be chosen. The specific practice is for the male partner to take antiviral drugs (preferably without efavirenz because it may be teratogenic) to reach a level of undetectable viral load for at least 3 months (preferably with undetectable virus in the semen as well), detect the female partner’s menstrual cycle, and perform natural conception during Ovulation for natural conception. Currently, ovulation can be detected by measuring body temperature, but the most commonly used test paper is used to detect hormone levels in the urine. Pre-exposure prophylaxis with antiviral medication at the time of peak luteinizing hormone, with intercourse and a second dose of medication taken the next day for two days. If post-exposure prophylaxis is administered after intercourse, the woman needs to take the medication for 28 days and if she does not conceive, she can continue the above process in the next menstrual cycle. Conception usually occurs in 1-3 cycles.
Even if antiviral treatment controls the virus to undetectable levels, it does not completely exclude the possibility of HIV transmission. The infection rate is in the range of 1 in 10,000, but in more than 60 cases of naturally conceived mono-positive couples reported abroad, none of the couples were infected. The decision of whether to have a child needs to be made by mutual agreement between the couple. Of course, before pregnancy, both spouses should undergo a thorough medical examination to rule out STDs and reproductive problems.
The poor parents of the world, the great love of the soul, do not ask for an inch of grass to reward the spring, but to get to the treasure of heaven. I wish all the parents in the world to have one or more healthy, smart, lively and cute babies!