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FAMILY PLANNING AND CONTRACEPTION FOR WOMEN LIVING WITH HIVBack to top
Methods of contraception include:1e
- BARRIER METHODS block sperm from reaching an egg3a
Condoms (male and female)
- SHORT-ACTING HORMONAL METHODS interfere with ovulation, fertilisation or implantation of a fertilised egg3b
- LONG-ACTING REVERSIBLE HORMONAL METHODS stop ovulation, fertilisation or implantation of a fertilised egg3c
Intrauterine Contraceptive Devices (IUCDs)
- EMERGENCY CONTRACEPTION can be used after unprotected sex or when another form of contraception fails3d
Emergency pill or IUD
- STERILISATION suitable for a woman with no desire for a child now or in the future.2b
Sterilisation (male or female)
PREVENTION OF PREGNANCY – A PARTNERSHIPBack to top
The health and co-operation of both partners is important for safe contraception.1e The contraceptive choice depends on if or when the woman may want to fall pregnant in the future.1f If a woman does fall pregnant, she and her partner should continue using condoms consistently during pregnancy and the breastfeeding period.1g
THE ‘DUAL METHOD’Back to top
A dual method of contraception is strongly recommended that all women living with HIV who wish to avoid pregnancy should consider a dual method of effective contraception – a contraceptive method of their choice plus consistent use of male or female condoms.1d,i
Dual methods are recommended and consist of:
- a hormonal method or IUCD to prevent pregnancy, and
- a barrier method (male/female condoms) to prevent STIs and HIV transmission1d
This will ensure prevention of pregnancy, prevent STIs and HIV transmission between partners.1i
ADDITIONAL PROTECTIONBack to top
ARE THERE ANY INTERACTIONS BETWEEN CONTRACEPTION AND HIV MEDICINES?Back to top
There are some concerns that hormonal contraceptives may have reduced efficacy when combined with certain HIV medicines, e.g. if you are taking a regimen containing efavirenz, then an implant is not recommended.1h Always consult a health care professional to determine which contraceptive options is best for you and continue to use condoms correctly and consistently.1h
- National Consolidated Guidelines for the management of HIV in adults, adolescents, children and infants and prevention of mother-to-child transmission. South African National Department of Health, February 2020.
- National Contraception Clinical Guidelines, South African Department of Health, 2012.
- AIDSinfo Infographics. HIV and Birth Control [Last reviewed February 27, 2020]. Available from: https://aidsinfo.nih.gov/understanding-hiv-aids/infographics/4/hiv-and-birth-control Last accessed August 2020.
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