Studies have clearly shown that pregnant women are at an increased risk for HIV infection. Now, a new study shows that men are at a higher risk of HIV infection from a woman if she is pregnant. A study out of the University of Washighton in Seattle and presented at the International Microbicides Conference reveals that because of biological changes of the female body during pregnancy, pregnant women are more infectious than if they were not pregnant. Over a thousand couples in which the male was HIV positive and over 2200 couples in which the female was positive were studied over a two year period. The results showed that both male to female and female to male transmission were increased during pregnancy. This fact is important because in many couples condom use during pregnancy is not seen as necessary because the female is already pregnant. This type of thinking could lead to an increase in new infections over the course of time.
When both partners are HIV positive, it might still be sensible for them not to engage in frequent unprotected sex, because there might be a small risk of one re-infecting the other with a different strain of HIV.
If a couple do decide to try conceiving a child by unprotected sex then they should seek advice on how to limit the risk to each other and to their baby. It is worth noting that someone is less likely to transmit HIV if they are receiving effective antiretroviral treatment, and also if neither they nor their partner has any other sexually transmitted infections. In addition, by limiting unprotected sex to the time of ovulation, a couple can reduce the number of opportunities for HIV to be transmitted between them.
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