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Hum. Reprod. Advance Access published online on August 3, 2006
Human Reproduction, doi:10.1093/humrep/del277
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© The Author 2006. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org
Received March 29, 2006
Revised June 12, 2006
Accepted June 16, 2006

Article

ART outcome in HIV-infected patients

Y. Manigart 1, S. Rozenberg 1, P. Barlow 1, M. Gerard 2, E. Bertrand 1, and A. Delvigne 1 *

1 Department of Obstetrics and Gynaecology, Université Libre de Buxelles, Belgium
2 Department of Internal Medicine, Division of Infectious Diseases, CHU Saint-Pierre, Université Libre de Buxelles, Brussels, Belgium

* To whom correspondence should be addressed.
A. Delvigne, E-mail: annick_delvigne{at}stpierre-bru.be


  Abstract

BACKGROUND: To assess assisted reproductive technique (ART) outcome in couples affected by human immuno-deficiency virus (HIV). METHODS: Intrauterine insemination (IUI), IVF and ICSI were performed in 85 couples affected by HIV between January 2000 and June 2005. RESULTS: In 33 of the 85 couples, women were HIV positive--the clinical pregnancy rate (CPR) and cancellation rate (CR) after 34 IUI cycles were, respectively, 25 and 18%. The CPR after 26 IVF and 30 ICSI cycles were, respectively, 37.5 and 18.8% with CRs of 38.5 and 46.7%, respectively. In 38 couples, men were infected--the CPR and CR after 85 IUI cycles were, respectively, 14.7 and 20%; 62 ICSI cycles were performed leading to CPR of 23.4% with a CR of 25%. In 14 couples, the two partners were infected: none of the four IUI cycles carried out was successful (CR, 20%); the CPR and CR after 35 ICSI cycles were, respectively, 12.5% with 31%. All children born had a negative HIV test. CONCLUSION: In couples affected by HIV, an acceptable pregnancy rate was obtained. The worst results were obtained when both partners were infected. The CR was elevated among HIV-infected couples.

Keywords: ART/HIV/ICSI/IUI/IVF.
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