Can HIV+ Father Have a Healthy Baby?

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Discussion Overview

The discussion centers around the possibility of a couple, where the male partner is HIV positive and the female partner is not, having a healthy baby without transmitting the virus to either the mother or the child. The conversation explores various methods of conception, including artificial insemination and intra cytoplasmic sperm injection (ICSI), as well as the implications of HIV presence in semen.

Discussion Character

  • Exploratory
  • Technical explanation
  • Debate/contested

Main Points Raised

  • One participant questions whether the female partner could become infected through natural conception and whether artificial insemination could prevent this, raising concerns about the presence of HIV in semen.
  • Another participant asserts that ICSI is a viable option for HIV positive males, stating that the baby will not be infected due to the nature of the procedure and the use of sperm washing.
  • There is mention of a debate regarding the presence of HIV in sperm versus semen, with one participant claiming that the sperm nucleus does not contain the virus.
  • Another participant introduces the idea that antiretroviral drugs can lower viral loads to undetectable levels, potentially reducing transmission risks, although this does not guarantee prevention of infection.

Areas of Agreement / Disagreement

Participants express differing views on the effectiveness of various methods to prevent HIV transmission during conception. While some assert that ICSI and sperm washing can ensure a healthy baby, others raise questions about the risks involved and the effectiveness of antiretroviral drugs.

Contextual Notes

There are limitations regarding the assumptions made about the transmission of HIV through different reproductive methods, as well as the effectiveness of antiretroviral treatments in preventing infection.

Suraj M
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Consider this,
A couple, where the male is HIV+ve and the female is perfectly alright, not infected.
Can they have a baby without getting neither the mother nor the baby infected?
Naturally, probably not because, the female will get infected, so by AI(artificial insemination) there is no sexual contact between the two, so the female wouldn't get infected, unless the semen contains the virus( will it? this is my first question)
If we do consider that the mother(female) might get infected, let's try ICSI(intra cytoplasmic sperm injection) where the sperm nucleus is directly injected into the cytoplasm of the ovum(2°oocyte), now will the baby be infected?(I have seen cases where the baby was fine)want to confirm, because my teacher believes that the baby will get infected, and also will the mother get infected?If yes, when?
Thank you in advance
 
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ICSI is practiced in cases where the male is HIV positive and the female isn't. So, no, baby won't get infected.
My brother is HIV positive and his baby and wife aren't (thanks to ICSI and something called sperm washing)
The semen contains HIV but the sperm doesn't (there's a debate going on abt this. Google it). But in ICSI, u use the nucleus. And, sure as hell, nucleus doesn't contain HIV.
So, there you go :)
 
It's also worth noting that in many cases, antiretroviral drugs can lower one's viral load to undetectable levels, which reduces the chances of transmission during sex. The female can also take antiretroviral drugs which further reduces her risk of becoming infected. Such methods do not guarantee that the virus will not be transmitted but are an option in case the couple does not want to use sperm washing and IVF. See http://www.hiv.va.gov/HIV/mobile/in...faqs/conceiving-with-mixed-HIV-status-couple&
 
Last edited:
Thanks both of you.. appreciate it :)
 
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Thanks both
 

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