A more controversial option, is for an HIV positive man to use HIV treatment to reduce his viral load to undetectable both in blood and semen, and then to use limited conception attempts at the most fertile days in the woman’s cycle.
Conception can either be naturally (having gentle sex) or using self insemination.
Can you reduce your risk of getting HIV from sex--or from a needlestick--by taking medications afterward? To work best, these ARVs should be taken as soon as possible after the exposure, and ideally not later than 72 hours after the exposure.
To be evaluated for postexposure prophylaxis, the exposed individual should contact his/her clinician or an emergency room promptly after the exposure.
Many emergency rooms and insurance plans will provide the ARVs for PEP.
Exposed persons do not have to know the HIV status of the person with whom they had contact in order to be offered PEP--providers will evaluate the risk level of the exposure and, if possible, offer testing to the source individual.
The exposed person should be tested for preexisting HIV and other sexually transmitted diseases such as hepatitis B, gonorrhea, chlamydia, and syphilis, but the first dose of PEP should not be delayed in order to complete that testing.
I was living in New York City with a boyfriend I'll call Matt when I was diagnosed with HIV. It was my first steady, long-term relationship, and we did what I used to think of as "grown-up" things.
Like having Sunday football parties or fighting in Home Depot about what color to paint an accent wall in our living room.
I thought it was a formality I should finally take care of.