Human immunodeficiency virus and assisted reproduction: reconsidering evidence, reframing ethics

Fertility and Sterility
A D Lyerly, J Anderson

Abstract

To review the advances in the treatment of human immunodeficiency virus (HIV) infection and revisit the medical, ethical, and legal issues surrounding infertility management in HIV-infected couples. Analytic review. HIV infection continues to be a serious public health and reproductive issue. However, present policies which allow for the categorical exclusion of HIV-infected individuals from infertility services should be reconsidered in light of improvements in the prognosis of infected individuals and a dramatic decrease in the risk of vertical transmission. An analysis of the ethical cogency of the arguments against the provision of services does not substantiate the exclusion of HIV-infected individuals; rather, the principle of justice requires that HIV-infected women be treated the same way as a woman who might have an increased risk of conceiving a child with a disability or a may have a decreased life expectancy due to a chronic illness such as diabetes. Ethical disagreement notwithstanding, with the precedents recently established by the Americans with Disabilities Act (ADA), discrimination based on HIV status would also likely be unlawful under most circumstances. With advances in the treatment of HIV infection, conte...Continue Reading

References

Jun 15, 1991·BMJ : British Medical Journal·J R SmithD B Paintin
May 1, 1990·Epidemiology·B A MuellerD E Moore
Oct 1, 1990·American Journal of Obstetrics and Gynecology·B HoegsbergH Minkoff
Feb 1, 1987·American Journal of Obstetrics and Gynecology·G E Palomaki, J E Haddow
Jan 1, 1987·The Pediatric Infectious Disease Journal·M Grossman
Sep 21, 1995·The New England Journal of Medicine·R E ChaissonR D Moore
Dec 1, 1994·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·M J Alter
Apr 1, 1996·Annals of Internal Medicine·A S FauciD Weissman
May 1, 1996·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·B Steinbock
Jan 1, 1997·Obstetrics and Gynecology·C BarbosaA Duerr
Apr 1, 1997·The Journal of Infectious Diseases·J S EvansM Vahey
Mar 1, 1997·Human Reproduction·B Rizk, S R Dill
May 3, 1997·Lancet·R S HoggJ S Montaner
May 10, 1997·Lancet·A E SempriniG Pardi
Jul 2, 1998·The New England Journal of Medicine·J O Kahn, B D Walker
Jul 22, 1998·Proceedings of the National Academy of Sciences of the United States of America·T W ChunA S Fauci
Sep 24, 1998·British Journal of Obstetrics and Gynaecology·R French, P Brocklehurst
Sep 24, 1998·British Journal of Obstetrics and Gynaecology·P Brocklehurst, R French
Oct 1, 1998·Journal of General Internal Medicine·K A BradleyB Anawalt
Oct 21, 1998·The Journal of Infectious Diseases·C R CohenJ Kreiss
Nov 20, 1998·Lancet·H FarzadeganD Vlahov
Feb 16, 1999·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·M J LeeG Del Priore
Apr 1, 1999·The New England Journal of Medicine·UNKNOWN International Perinatal HIV GroupR Tuomala
Apr 3, 1999·The New England Journal of Medicine·S A FiscusC Wilfert
May 4, 1999·Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology : Official Publication of the International Retrovirology Association·I C HansonD E Shapiro

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Citations

Jan 11, 2003·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Anthony Al-KhanArlene Bardeguez
Sep 30, 2008·Human Reproduction Update·Willem OmbeletPaul Devroey
Oct 29, 2002·Current Opinion in Obstetrics & Gynecology·Kristin Anne BendiksonMark D Hornstein
Dec 10, 2003·Journal of Medical Ethics·Guido Pennings
Dec 10, 2003·Journal of Medical Ethics·M Spriggs, T Charles
Jun 8, 2011·ISRN Obstetrics and Gynecology·Robert A AndersonRichard G Rawlins
Jun 5, 2007·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Louis BujanMyriam Daudin
Jan 11, 2005·Contraception·Andréa da Silveira RossiLuis Bahamondes
Oct 2, 2003·American Journal of Obstetrics and Gynecology·Christopher D WilliamsJoAnn V Pinkerton
Jan 19, 2015·Reproductive Biomedicine Online·Jozef Markus FourieCarin Huyser
Mar 29, 2002·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Leslie R SchoverSima Jeha
Aug 28, 2007·Gynécologie, obstétrique & fertilité·M Daudin, L Bujan
Mar 21, 2009·Qualitative Health Research·Donna B Barnes, Sheigla Murphy
Mar 17, 2007·The American Journal of Bioethics : AJOB·Timothy Caulfield, Tania Bubela
Dec 19, 2002·Cadernos de saúde pública·Vera PaivaUNKNOWN Enhancing Care Initiative - Brazil
Aug 10, 2004·Human Reproduction·L C G FrodshamC Gilling-Smith

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