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Review
. 2023 Nov-Dec;68(6):719-727.
doi: 10.1111/jmwh.13575. Epub 2023 Oct 30.

Contraception and Abortion Care for People Living With HIV: A Clinical Guide for Reproductive Health Practitioners

Lanbo Yang  1 , Rebecca H Allen  2 , Mary Catherine Cambou  3 , Karin Nielsen-Saines  4 , Benjamin P Brown  2
Affiliations
Review

Contraception and Abortion Care for People Living With HIV: A Clinical Guide for Reproductive Health Practitioners

Lanbo Yang et al. J Midwifery Womens Health. 2023 Nov-Dec.

Abstract

People capable of pregnancy are disproportionately affected by HIV. Family planning needs and services are often unmet in this population, and clinical care guidelines regarding contraceptive options and abortion care are not well elucidated. Individuals living with HIV often face unique barriers in accessing contraception and abortion services due to internalized stigma, medically complex care (eg, drug-drug interactions, adverse effects of antiretroviral therapy), and distrust of health care providers. There is also a lack of clarity among reproductive health, primary, and infectious disease care providers on best-practice contraceptive counseling and contraceptive care for individuals living with HIV, given limited opportunities to enhance expertise in reproductive infectious disease. In this review, we summarize existing and updated evidence and clinical considerations regarding contraceptive counseling and abortion care in this population.

Keywords: HIV; abortion; birth control; contraception; drug interactions.

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Conflict of interest statement

CONFLICT OF INTEREST

R.H.A. has previously received research support from Bayer A.G. and is a consultant to Merck & Co. The other authors have no conflicts of interest to disclose.

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