Gynecologic care of women infected with HIV

被引:10
作者
Korn, AP
机构
[1] San Francisco Gen Hosp, Dept Obstet & Gynecol, San Francisco, CA 94110 USA
[2] Univ Calif San Francisco, San Francisco, CA 94143 USA
关键词
D O I
10.1097/00003081-200106000-00011
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Unfortunately, no single agent provides ideal contraceptive efficacy and good protection against STD acquisition for women with HIV. There are limited and conflicting data available to guide selection of contraceptive method. There are few data on the impact of contraceptives on the clinical course of HIV. Condoms provide the best available method of protection against HIV transmission. There is good evidence that Nonoxynol-9 increases the risk of HIV acquisition. Hormonal contraceptive methods may increase HIV transmission, but the data supporting this are not conclusive. The intrauterine device seems to be safe, as is tubal ligation. Until further data are available and until effective and safe microbicides are developed, condom use must be recommended to women for prevention of HIV infection. Hormonal contraceptive methods or tubal ligation may be recommended to augment the contraceptive efficacy of condoms.
引用
收藏
页码:226 / 242
页数:17
相关论文
共 125 条
[1]  
[Anonymous], 1998, MMWR Recomm Rep, V47, P1
[2]   INCREASED GENITAL SHEDDING OF HERPES-SIMPLEX VIRUS TYPE-2 IN HIV-SEROPOSITIVE WOMEN [J].
AUGENBRAUN, M ;
FELDMAN, J ;
CHIRGWIN, K ;
ZENILMAN, J ;
CLARKE, L ;
DEHOVITZ, J ;
LANDESMAN, S ;
MINKOFF, H .
ANNALS OF INTERNAL MEDICINE, 1995, 123 (11) :845-847
[3]   Treatment of syphilis, 1998: Nonpregnant adults [J].
Augenbraun, MH ;
Rolfs, R .
CLINICAL INFECTIOUS DISEASES, 1999, 28 :S21-S28
[4]   BIOLOGICAL FALSE-POSITIVE SYPHILIS TEST-RESULTS FOR WOMEN INFECTED WITH HUMAN-IMMUNODEFICIENCY-VIRUS [J].
AUGENBRAUN, MH ;
DEHOVITZ, JA ;
FELDMAN, J ;
CLARKE, L ;
LANDESMAN, S ;
MINKOFF, HM .
CLINICAL INFECTIOUS DISEASES, 1994, 19 (06) :1040-1044
[5]  
BALFOUR HH, 1994, J ACQ IMMUN DEF SYND, V7, P254
[6]   Pelvic inflammatory disease and human immunodeficiency virus infection [J].
Barbosa, C ;
Macasaet, M ;
Brockmann, S ;
Sierra, MF ;
Xia, ZS ;
Duerr, A .
OBSTETRICS AND GYNECOLOGY, 1997, 89 (01) :65-70
[7]   CANDIDA-ALBICANS GENOTYPING IN STUDIES WITH PATIENTS WITH AIDS DEVELOPING RESISTANCE TO FLUCONAZOLE [J].
BARTDELABESSE, E ;
BOIRON, P ;
CARLOTTI, A ;
DUPONT, B .
JOURNAL OF CLINICAL MICROBIOLOGY, 1993, 31 (11) :2933-2937
[8]   HIV prevalence in patients with syphilis, United States [J].
Blocker, ME ;
Levine, WC ;
St Louis, ME .
SEXUALLY TRANSMITTED DISEASES, 2000, 27 (01) :53-59
[9]  
BONIQUATTARA F, 2000, 13 INT AIDS C DURB S
[10]   Clinical management and prevention of sexually transmitted diseases: a review focusing on women [J].
Brabin, L .
ACTA TROPICA, 2000, 75 (01) :53-70