Special Considerations in the Management of Women With HIV, Including Management of Conception and Pregnancy
Summary
- Several studies—but not all—suggest that the use of hormonal contraceptives does not affect the progression of HIV disease[Whiteman 2016; Cejtin 2003; Kilmarx 2000; Richardson 2007; Heffron 2013; Phillips 2013; Jozani 2020]
- WHO recommends that women with HIV use hormonal contraceptives to prevent pregnancy[WHO 2014]
- Coadministration of antiretroviral agents may alter the clinical effectiveness of some oral contraceptives and the pharmacokinetics and efficacy of some antiretrovirals (Table 1)[Ouellet 1998; Mildvan 2002; Chu 2005; Anderson 2011; El-Ibiary 2008; Crauwels 2014; DHHS Perinatal; Robinson 2012; Tseng 2013; Landolt 2013; FDA EVG/COBI/TDF/FTC; Song 2015]
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Keywords: Drug-Drug Interactions, Pregnancy, Women