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Contraceptive method considerations for clients with HIV including those on ART: provider reference tool.
[Washington, D.C.], FHI 360, 2017 Nov. 2 p.This is an at-a-glance resource for clinical providers to determine whether clients with HIV, including those on antiretroviral therapy (ART), may initiate or continue using common contraceptive methods. This chart is based on the World Health Organization's Medical Eligibility Criteria for Contraceptive Use (2016). The tool provides foundational information for clinical providers on how the effectiveness of different types of hormonal contraceptive methods is affected by interaction with antiretroviral drugs. It also provides guidance on how to promote informed decision-making and help women with HIV who are taking antiretroviral drugs use their chosen hormonal contraceptive method successfully.
Mera. 2006 Sep; (26):iii-iv.Women with HIV have a right to decide whether they want to become pregnant and bear children. But if an HIV-infected woman chooses not to have children, or wants to space her family, she should be able to make informed, voluntary decisions about contraception and then receive her method of choice. Such use of contraception by HIV-infected women is an important way to reduce HIV-positive births. In addition, HIV-infected women using antiretroviral (ARV) therapy may want to use family planning until the effects of these drugs on maternal and child health are better understood. Numerous studies suggest that contraceptive use by HIV-infected women can be surprisingly low. One reason is that some infected women may very much want to have children. The increasing availability of ARV drugs - which can restore fertility in infected women - may also make pregnancy more appealing, since treatment offers hope for better health, better quality of life, and survival. However, many women on ARV drugs are experiencing unintended pregnancies, with disastrous consequences for some. One factor that deters some HIV-infected women from using contraception is fear of its possible health effects. However, HIV-infected women can use most contraceptive methods safely. (excerpt)