HIV cannot be transmitted through sperm; it can only do so through the seminal fluid in which sperm are located. Because of this, “sperm washing” is frequently used to help HIV-positive males have healthy, HIV-negative kids. Up until now, thousands of cases of surrogacy for HIV patients in Georgia have effectively and securely used washed sperm.
The prospective parents’ multiple semen samples must be submitted for testing if they are HIV positive. Based on the results of the tests, the same program utilizes a method to “wash” the semen, which removes the seminal fluid and maintains the healthiest sperm. As a result, using sperm in IVF is risk-free.
In addition, the surrogate can get HIV preventive therapy, which is designed to be administered without risking either the surrogate or the child.
Recommendations from experts on surrogacy for HIV in Georgia.
In case both the intended parents are HIV positive:
• Individuals with HIV should achieve continuous viral suppression to enhance their health, prevent HIV sexual transmission (AI), and—for pregnant people with HIV—minimize the risk of HIV transmission to the unborn child (e.g., two recorded measurements of plasma viral loads that are below the limits of detection at least 3 months apart).
• Both parties’ genital tracts should be examined for infections and treated as necessary before attempting conception (AII) while the process of surrogacy for HIV in Cyprus at our centre.
• Sexual activity without the use of a condom permits conception with almost no risk of sexual HIV transmission to a person without HIV if the person with HIV is receiving antiretroviral medication (ART) and has maintained viral suppression (BII).
Additional guidance may be required in the following circumstances:
• The viral suppression status of the HIV-positive person is unknown or they have not yet attained sustained viral suppression.
• There are worries that an individual who is HIV-positive may utilize ART erratically during the periconceptional period or
• The surrogacy agency would like to offer more information on how to prevent sexual HIV transmission during the preconception stage
In these circumstances, service providers may decide to provide counseling regarding the following options:
• Pre-Exposure Prophylaxis (PrEP) to Prevent HIV During Preconception, Antepartum, and Postpartum Periods explains how providing PrEP to a partner who doesn’t have HIV reduces the risk of contracting HIV through sexual contact (AI). The spouse without HIV can decide to use PrEP while the couple seeks to get pregnant, even if the person with HIV has achieved viral suppression (CIII).
• Consider proposing condomless sex be timed to occur during the peak of fertility, or ovulation, to reduce the risk of HIV transmission and enhance the likelihood of conception.
• Maximizing efforts to prevent HIV transmission to intimate partners and unborn children while providing guidance for safer conception and pregnancy is the aim. The section concentrates on HIV prevention in the context of penile-vaginal intercourse in order to achieve pregnancy.