Also known as a serodiscordant couple or a serodifferent couple. Mixed-status couples are able to have safe sexual relationships by following these key bits of advice:
A systematic review of publications reporting on rates of HIV transmission between heterosexual couples, where the HIV positive confederate has an undetectable viral load on ART, revealed lowest risk of conveyance. The investigators searched electronic databases also in behalf of all relevant observational studies and randomised controlled trials RCTs from to January To hike sensitivity, they reviewed the reference lists of identified studies and review ezines, and conducted a hand search of selected journals to identify recently published articles that may have been missed by the circulars search.
Only three studies met all the eligibility criteria with confirmed packed virologic suppression in the HIV unqualified partner. The three studies with confirmed undetectable virus reported on heterosexual couples with 2, person-years of follow up available.
The other three studies with unconfirmed viral prohibition gave 8, years of support from the two observational studies reporting on 3, couples and the RCT reporting on 1, couples. The combined transmission rate when viral load was confirmed and unconfirmed was 0. Four transmissions occurred within 6 months of starting ART when viral suppression was unconfirmed. Dr Letchumanan noted that the study limitations included lack of dossier on: But the implications for heterosexual couples are that there is a dramatically reduced minutest risk when the HIV positive helpmeet has full viral suppression on Wiliness, with caveats with regards to advice on sexual coitus type, STIs, and condom use.
That study has old-time accepted for semi-weekly PLOS One and it gives spear-carrier reassurance to couples opting for that approach and healthiness workers providing their care. Letchumanan M et al.
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HIV is Not Sexually Transmitted
- The transmission and acquisition of HIV from vaginal intercourse are high in cases of condom-less sex, both in women and...
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- Why HIV Spreads Less Easily In Heterosexual Couples : Goats and Soda : NPR