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Blog Reader Helps Shed Light On HIV Questions Following Adaobi's TPVDSubmission.




Sasha bone asked on Adaobi's TPVD post; "Nice story but wait,how does an infected partner NOT infect his spouse and still get her pregnant? Even if she conceived artificially,its still his sperm right? Are u saying his blood is positive but his sperm is negative? Biko,i need clarification".


Sasha bone and michie girl's question have been on my mind for some time. so i did my research mostly from aidsmap.com.
1) being HIV positive is a touchy subject. no one wants to spill the beans on time because humans in general can't be trusted. they will leave you 99% of times........and 99.9% will talk....divulging your secret to the world. and you know how news spreads esp bad news. you also know how intolerant our society is of HIV positive individuals. though it feels weird to keep the secret for that long but then, consider the feelings of the positive guy. maybe he wanted to know if he can trust you.....and during the process, you fell in love.
2) HIV positive couples can have HIV negative babies. the principle is that the ova and the sperm cells do not harbour the HIV virus. also, your CD4 count has to be very high while your viral load, very low. this must be maintained from conception and through the course of the pregnancy and even during lactation. so it is possible.

****
Thanks Poster for helping out. However it seems Sasha's question wasn't answered and she still needs answers. Help anyone?

Comments

  1. I know a couple who the lady is positive but the man and their kid is negative, and if u see the Bobo en? Me I won't tell anyone he's negative o. Hehehheheheheee

    ReplyDelete
    Replies
    1. En hen T u didn't tell us how u spent ur 14th, Abi I missed the post

      Delete
    2. Are u sure he's still negative? What fertility trick did they use?
      I hear it's easier to give a woman than a man tho. In adaobi's post,the man is the carrier. How come his sperm didn't get her infected?

      Delete
    3. The man's sperm is still infected. The key is to get the presence of the virus (HIV) in the sperm so low as to render the possibility of the uninfected partner being infected almost nil.

      It might sound incredulous but in reality, it is possible.

      Delete
    4. So that means it takes a specially treated sperm to get her pregnant then?

      Delete
    5. Not necessarily, just a sperm from an infected person who has a low viral load (preferably less than 1,000). Although scientifically, there exists a method in which the sperm of an HIV infected man could be 'washed' to make such sperm uninfected and suitable for use for the conception of an healthy offspring. This process though is quite expensive (about $10,000).

      Think of it this way (in response to your earlier question about sperm not being infected). Now let me categorically state that, this is not from a professional point of view and I have no background in the medical field.

      If the viral load (viral load is tested on the blood and not seminal or vaginal fluid, but inferences from results on the blood can indicate the state of seminal or vaginal fluids) of the semen can be reduced so low as to ensure that the contaminating power of the virus is weakened and can be resisted by the body's natural defense of the uninfected person, the risk of the uninfected person becoming infected is effectively lowered.

      Essentially, that is what the ART drugs achieves in an infected person. It disrupts the 'colonizing process' of the HIV virus in the infected person while boosting the natural defense of that infected person.

      As an addendum, during the Ebola outbreak in Nigeria, one of the survivors was placed on Oral Rehydration Therapy (ORT) to weaken the Ebola virus such that after a while, the body's natural defense resisted the weakened virus.

      It a similar thing with this scenario - weaken the HIV virus (with ART) such that its transmission capability is effectively lowered and the body's natural defense of the uninfected partner can *totally* prevent contraction of the HIV virus.

      Let me also state, good health care and necessary health checks are very key to living a healthy life with or without the virus.

      Delete
  2. It means if a person is positive and takes his drugs religiously ur CD4 will be low so u can't infect someone easily. The lady I'm talkin about has had hers 4 over 20yrs and she works in a hospital so she knows she has to take her drugs. Sasha my dear he is negative o

    ReplyDelete
  3. I read once somewhere that HIV positive couples can come together and concieve the natural way without infecting the baby. All they have to do is make sure the child is brought forth thru CS and not the birth canal and the baby will be fine(HIV negative). I'm sure there are other ways to prevent the child from getting it too.

    Back when i was in secondary school, my dad invited this HIV positive couple to church to sensitise the congregation on HIV & AIDS and basically show them that people living with the disease could go on to lead full and meaningful lives.

    I think the wife was the carrier when they got married and the man got infected along the way(not sure tho) what i do know is they had these really cute kids (2 of them) and they were both HIV negative. So its very possible.

    ReplyDelete
  4. It is very possible for couples with multiple status to have children with the uninfected spouse being negative and also the offspring. Multiple status means when one of the spouse is a carrier of the HIV while the other isn't.

    ART (Anti retroviral therapy) is necessary for the carrier to ensure that he/she's viral load is UNDETECTABLE. The key to achieving undetectability is consistent and correct use of ART drugs. This often lowers the viral load so as to ensure that during sexual intercourse, the uninfected partner is at a lower risk of contracting the virus.

    Also, PrEP (Pre exposure Prophylaxis) and PEP (Post exposure Prophylaxis) drugs used prior and post sexual intercourse help to reduce the possibility of the uninfected partner (and also probable baby) being infected.

    ReplyDelete
  5. Thanks Sunshine and Chisyinks but my Q wasn't on their offspring/children getting infected.
    In Michie's own,its the lady who is positive,i get. But my Q is when the man is the carrier. How does she conceive with his sperm w/o getting infected? Is it possible that his blood cld be positive but his sperm isn't? (even if she was conceiving thru other means except intercourse)

    ReplyDelete
  6. Sasha, the sperm will still be infected but ART drugs makes the HIV in the sperm undetectable so as not to infect the next person. So basically there's HIV in the person but not enough to infect another

    ReplyDelete
  7. Thank you all for clearing the air on this. The valentine story was purely fictional, but before I wrote it I did a little online research on the subject. I am not a medical personnel so I am not an authority on the subject.
    Adaobi.

    ReplyDelete
  8. There is still a lot of stigma around HIV and joining a Support Group help dealing with that stigma. Even HIV positive celebrities can be comfortable being themselves in these places. Many of HIV dating services cost little to no money and they are available everywhere.

    ReplyDelete

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