Neglect of Attention to Reproductive Health in Women With HIV Infection

Contraceptive Use and Unintended Pregnancies in the Swiss HIV Cohort Study

K Aebi-Popp; V Mercanti; C Voide; J Nemeth; A Cusini; B Jakopp; D Nicca; M Rasi; A Bruno; A Calmy; B Martinez de Tejada


HIV Medicine. 2018;19(5):339-346. 

In This Article


The use of effective contraception is challenging in HIV–positive women of reproductive age. HIV care physicians should be attentive both to women's choices and to their needs for contraception. In Switzerland, condoms remained the predominant reported contraceptive method, with a high rate of unintended pregnancies, despite clear contraindications/restrictions on hormonal contraception and IUDs for HIV–positive women. Health care providers should discuss all available possibilities, with a particular emphasis on prescribing oral and long–acting reversible contraceptives with low interactions with cART. Prospective studies are needed to further assess the frequency of unplanned pregnancies as a consequence of potential drug–drug interactions between the newer antiretrovirals and contraceptives in order to improve guidelines and counselling strategies. In a new era, where condoms are no longer used to prevent the onward transmission of HIV, it will be essential to provide safe and effective contraception for women living with HIV.