Accessibility and availability of assisted reproductive technology for people living with HIV in Europe: a thematic literature review

As antiretroviral therapies have transformed HIV into a manageable chronic disease, many individuals have or will choose to have children, and the use of assisted reproductive technology can serve as an effective risk-reducing strategy. In this thematic literature review, we examine the state of res...

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Bibliographic Details
Published in:AIDS care 2020-08, Vol.32 (8), p.949-953
Main Authors: Bell, Mallory, Edelstein, Megan, Hurwitz, Sadie, Irwin, Rachel
Format: Article
Language:English
Subjects:
Access
Affordability
Antiretroviral agents
Antiretroviral therapy
Availability
Chronic illnesses
Gender
HIV
HIV/AIDS
Human immunodeficiency virus
Infertility
Literature reviews
Medical treatment
Reproduction
Reproductive health
Reproductive technologies
Sex discrimination
Technology
Women
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Summary:As antiretroviral therapies have transformed HIV into a manageable chronic disease, many individuals have or will choose to have children, and the use of assisted reproductive technology can serve as an effective risk-reducing strategy. In this thematic literature review, we examine the state of research on access to and availability of assisted reproductive health technologies for people living with HIV in Europe, with the aim of identifying gaps for further research. We find that the existing literature is focused on serodiscordant couples consisting of an HIV-positive man and an HIV-negative women. This is in part because more treatment options are available for men living with HIV than women, reflecting underlying gender discrimination in treatment. The existing scholarship largely ignores reproductive options for seroconcordant couples or single individuals, or for men and women with underlying infertility. Finally, very little research addresses the question of financial affordability, which is a known barrier to infertility treatment.
ISSN:0954-0121
1360-0451
DOI:10.1080/09540121.2019.1707471