Access to infertility services in Canada for HIV-positive individuals and couples: a cross-sectional studyReport as inadecuate

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Reproductive Health

, 7:7

First Online: 12 May 2010Received: 22 December 2009Accepted: 12 May 2010DOI: 10.1186-1742-4755-7-7

Cite this article as: Yudin, M.H., Shapiro, H.M. & Loutfy, M.R. Reprod Health 2010 7: 7. doi:10.1186-1742-4755-7-7


BackgroundFamily and pregnancy planning issues are important among human immunodeficiency virus HIV-positive individuals and couples. However, access to fertility services may be limited for this population. The objective of this study was to estimate the types of services available in fertility clinics in Canada for these individuals.

MethodsA survey was sent to all registered fertility clinics in Canada to assess the availability of services investigations and treatment for infertility and-or viral transmission risk reduction in achieving pregnancy. The proportion and location of clinics willing to carry out investigations and treatments were determined. Logistic regression analysis was performed to assess differences in response rates, investigations, and treatments by province and by couple scenario.

ResultsCompleted surveys were received from 23-28 82% of clinics across eight Canadian provinces. Seventy-eight per cent 18-23 were willing to accept HIV-positive individuals in consultation, and 52% had actually seen at least one HIV-positive man or woman in the previous year. Clinics in every province were willing to offer infertility investigations, but only clinics located in five provinces were willing to offer fertility treatments. The most commonly available treatment was intrauterine insemination for couples in which the female partner was HIV-positive 52%. Other techniques, such as sperm washing 26% or in vitro fertilization 17%, were less commonly offered. A smaller number of clinics were willing to offer risk reduction techniques in achieving pregnancy.

ConclusionsAccess to infertility investigations and treatments in Canada is limited and regionally dependent.

Trial RegistrationRegistered with at, registration number NCT00782132.

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Author: Mark H Yudin - Heather M Shapiro - Mona R Loutfy


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