{"id":936,"date":"2009-11-09T03:38:22","date_gmt":"2009-11-09T03:38:22","guid":{"rendered":"http:\/\/www.i-base.info\/qa\/?p=936"},"modified":"2024-10-14T09:18:08","modified_gmt":"2024-10-14T09:18:08","slug":"is-sperm-washing-needed-if-both-partners-are-hiv-positive","status":"publish","type":"post","link":"https:\/\/i-base.info\/qa\/936","title":{"rendered":"Is sperm-washing needed if both partners are HIV-positive?"},"content":{"rendered":"<p>Hi<\/p>\n<p>Thanks for your feedback and it&#8217;s great to hear that things are getting easier and that you have found a partner.<\/p>\n<p>Taking your questions in order, if you decide to have children, then you would not need to worry about sperm-washing as this is really only needed when the woman is HIV-negative.<\/p>\n<p>Although the risks of reinfection are important, it would be fine to stop using condoms if you want to try for a baby, even if one of you had resistance in the past, as you both are on treatment and have undetectable viral loads now.<\/p>\n<p>The risks of infection from one exposure from vaginal sex has been estimated as being as low as 1 in 20,000-40,000 and is likely to be even lower for reinfection (when both partners are already HIV-positive).<\/p>\n<p>The main worry about reinfection comes from transmitting drug resistance. There are no tests that can compare the type of HIV you each have. However, you should each have enough information in your medical notes as most people have a resistance test before starting treatment.<\/p>\n<p>If you don&#8217;t have resistance test results, then your treatment history may also be enough. Because you both have undetectable viral load on your current combination, you will not have resistance to these current drugs.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Hi, first of all I would like to say thanks to every one involved on this site as the information is very good and has helped me through these dark times.<\/p>\n<p>My question is that I am HIV+ and i have met a girl who is also HIV+.<\/p>\n<p>We are both on meds and are both undetectable we have talked about one day having children. Can we have children through normal methods or do I still have to have my sperm washed?<\/p>\n<p>What are the chances that I or she could catch a different strain of the virus? Also, is there a test that can compare our virus and if the strain is different will our medication be able to deal with it?<\/p>\n<p>We have no other STI&#8217;s. I am on Atripla and she is taking a combination with Kaletra. Would we have to use condoms or would we be playing with fire if we did not?<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5,7,21,23,19,35],"tags":[],"class_list":["post-936","post","type-post","status-publish","format-standard","hentry","category-adherence","category-all-topics","category-reinfection-with-hiv","category-hiv-transmission","category-pregnancy","category-resistance"],"_links":{"self":[{"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/posts\/936","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/comments?post=936"}],"version-history":[{"count":1,"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/posts\/936\/revisions"}],"predecessor-version":[{"id":24732,"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/posts\/936\/revisions\/24732"}],"wp:attachment":[{"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/media?parent=936"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/categories?post=936"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/tags?post=936"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}