Objectives
80% of HIV-positive (HIV+) women are of childbearing age, therefore access to effective, safe contraception is essential. Generally, IUDs provide safe, effective contraception but historically, IUDs were contraindicated in HIV+ women due to concerns regarding infection. Data in HIV+ women is scarce. The goal was to assess rate of complications in HIV+ women.
Methods
IUDs insertions in HIV+ women were offered at our provincial referral center for HIV+ women and children since 2009, following strict clinical evaluations for eligibility. Criteria used for insertion were: not planning a pregnancy for at least one year; requesting a reversible contraceptive, and wanted/needed to avoid estrogen-based methods and CD4 > 150. STD screening was done in all cases. Demographic information collected included: age, CD4, ARV at insertion, and purpose of IUD (contraception vs cycle control).
Methods
IUDs insertions in HIV+ women were offered at our provincial referral center for HIV+ women and children since 2009, following strict clinical evaluations for eligibility. Criteria used for insertion were: not planning a pregnancy for at least one year; requesting a reversible contraceptive, and wanted/needed to avoid estrogen-based methods and CD4 > 150. STD screening was done in all cases. Demographic information collected included: age, CD4, ARV at insertion, and purpose of IUD (contraception vs cycle control).
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