HIV/AIDS Treatment and Care : Clinical protocols for the European ...
HIV/AIDS Treatment and Care : Clinical protocols for the European ...
HIV/AIDS Treatment and Care : Clinical protocols for the European ...
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5. Contraceptive methods <strong>for</strong> women on both ART <strong>and</strong> TB treatment .................................... 336<br />
6. Considerations <strong>for</strong> <strong>the</strong> most vulnerable populations ............................................................ 337<br />
6.1. Sex workers (male <strong>and</strong> female) ................................................................................... 337<br />
6.2. MSM ............................................................................................................................ 337<br />
6.3. IDUs............................................................................................................................. 337<br />
7. Recommendations <strong>for</strong> contraceptive methods..................................................................... 337<br />
VI. Safe abortion ......................................................................................................................... 338<br />
1. Abortion counselling .......................................................................................................... 338<br />
2. Surgical <strong>and</strong> medical methods of abortion......................................................................... 339<br />
3. Post-abortion care <strong>and</strong> family planning ............................................................................. 340<br />
4. Recommendations .............................................................................................................. 340<br />
VII. Natural or medically assisted reproduction ...................................................................... 341<br />
1. Reproductive counselling <strong>for</strong> couples with <strong>HIV</strong> .............................................................. 341<br />
2. Fertility ............................................................................................................................. 341<br />
3. Pregnancy duration <strong>and</strong> outcome ..................................................................................... 341<br />
4. Counselling be<strong>for</strong>e conception ......................................................................................... 342<br />
5. Reducing <strong>the</strong> risk <strong>for</strong> sexual transmission of <strong>HIV</strong> during conception.............................. 342<br />
5.1. Sperm-washing <strong>and</strong> virological determination of <strong>HIV</strong> in semen.............................. 342<br />
6. Assisted reproductive technology in case of <strong>HIV</strong> infection ............................................. 342<br />
6.1. Fertile couples ........................................................................................................... 343<br />
6.2. Infertile couples......................................................................................................... 343<br />
VIII. Cervical intraepi<strong>the</strong>lial lesions <strong>and</strong> cervical cancer ....................................................... 344<br />
1. Initial <strong>and</strong> follow-up evaluation...................................................................................... 344<br />
2. General management of patients with CIN..................................................................... 344<br />
3. <strong>Treatment</strong> of cervical intraepi<strong>the</strong>lial lesions ................................................................... 344<br />
4. Management of invasive cancer...................................................................................... 345<br />
5. Anal screening................................................................................................................. 345<br />
IX. Suggested minimum data to be collected at <strong>the</strong> clinical level ........................................... 346<br />
Annex 1. Suggested topics <strong>and</strong> questions <strong>for</strong> taking a sexual history .................................... 347<br />
Annex 2. Management of syphilis in PL<strong>HIV</strong> ............................................................................ 350<br />
Annex 3. Management of vulvovaginal c<strong>and</strong>idiasis in women living with <strong>HIV</strong> .................... 351<br />
Annex 4. Management of bacterial vaginosis in women living with <strong>HIV</strong> .............................. 352<br />
Annex 5. Cervical cancer screening methods ........................................................................... 353<br />
Annex 6. PAP smear report, in accordance with <strong>the</strong> 2001 Be<strong>the</strong>sda system ......................... 354<br />
Annex 7. Recommended management <strong>for</strong> abnormal Pap smears .......................................... 355<br />
References .................................................................................................................................... 356
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