In January 2019, the prestigious American medical journal JAMA published a review article officially endorsing the revolutionary "U=U" concept of HIV transmission, which brings light to the majority of people living with HIV to have children.

• The original term "U=U" is Undetectable Equals Untransmittable, which means that HIV-infected people who have been treated with antiretroviral therapy and who continue to have undetectable viral loads in their blood are equivalent to being non-transmissible, referring specifically to the lack of ability to infect others through unprotected sex. .
  

This idea is based on a great deal of credible scientific evidence. "U=U" may strike a chord in some people's hearts: What? Is it possible to be infected with HIV and still not be contagious? Unprotected sex? What rights do they have ......?

For those who would like to put all HIV-infected people on a "sanctuary island," science sometimes brings with it very ironic and subversive ideas.

Because, just when some people are still worried about eating, shaking hands, riding in the same car, sharing the same bathroom, working together in a company wind way will not be infectious, people can have unprotected sex sex without infection.

Back to reality, China's first group of HIV-infected people, represented by Meng Lin (a pseudonym), have entered their 25th year of long-term survival after infection. Some of them are still healthy and living around us, while others are still active in campaigning for the rights of people living with HIV.

A bit of a stretch ......

The problem of fertility in people with AIDS is not a problem of fertility, but it involves: traditional childbearing, with the risk of infection from traditional sex; the risk of mother-to-child transmission if you infect the other person; the risk of lifelong medication if the child is infected; the lifelong medication of a child who will have to struggle with the toxicity of the medication for the rest of his or her life... ...It's a chain reaction.

A series of problems is what makes this situation so terrible. Therefore, for people infected with AIDS, if they do not regulate the act of giving birth to a child under the guidance of science, it will inevitably bring a heavy burden to the child, the family and the society. To give birth to a child regardless, if not out of ignorance, may be a moral issue, and no amount of condemnation would be excessive.

The concept of U equals U has brought light to this problem. The central, proven theory is this: after effective antiretroviral treatment, if a patient's blood HIV nucleic acid is consistently below the lower detection line, that is, not detected with a highly sensitive test, it is not transmissible to a partner through sexual intercourse.Here, see clearly, it's won't, not highly unlikely!Because eligible participants in the experiment have had hundreds of thousands of hours of unprotected sex, there hasn't been a single case of infection by accident.

Therefore, for those who are infected with HIV and how not to pass it on to their children, research has concluded that the following can be done:

1. For a child who has already been born and is not infected with AIDS, ordinary life contact between the infected person and the child will not be infected in the absence of blood exposure or direct contact with wounds.

2. For couples in which the woman does not have AIDS and the man does, the woman can be impregnated by artificial insemination through sperm washing to extract a single uncontaminated sperm or by using the sperm of another healthy person. Alternatively, if the man has undergone effective treatment and HIV nucleic acid has been undetectable by highly sensitive testing methods for more than six months, the woman can be fertilized by direct sexual intercourse.

3. For women who have AIDS but men who do not, the woman can conceive normally through sexual intercourse through active and effective treatment with the most effective antiretroviral drugs to reach a level where HIV nucleic acid is undetectable, and this condition lasts for more than six months.

4. For single-positive families to ensure the safety of both partners, an additional layer of insurance can be added, i.e., the partner who has tested negative for HIV, using pre-exposure prophylaxis for at least three months.

5. Both parties are HIV-infected, it is best to reach the HIV nucleic acid test at the same time before considering conception, or in the case of unplanned pregnancy, in specialized hospitals under the guidance of specialists in the whole process of mother-to-child interruption.

6. Children born to HIV-infected persons who have met the previous conditions and who have passed through various safe treatments and other measures can still increase the use of safe mother-to-child interruption measures: taking medication in order to ensure the success rate of having a healthy child.

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I see that one of the answers says that if you have AIDS, you should not have any more children. In fact, although this sounds rather unpleasant and may be difficult for people to accept, it is also a big truth. After all, in the marriage test, if a patient with AIDS infection is detected, it will also be recommended to suspend marriage and childbirth.

After all, for people living with HIV, the desire to have children is their own right and should not be denied. However, considering that one of the ways of transmission of HIV is from mother to child, people living with HIV who want to have children must fulfill certain conditions.

Before giving birth, AIDS patients must receive systematic treatment to reduce the viral load in their bodies, and after pregnancy, they need to receive mother-to-child interruption to block the vertical transmission of HIV; only in this way can the transmission of HIV from the mother's body to the baby be eliminated as far as possible.

If she already has a healthy child, we sometimes advise her to carefully consider having another child. If the person does not have children and really desires to have children of her own, then we will advise her to receive treatment first and then consider pregnancy based on the outcome of the treatment.

Bringing a life into this world is not a hot-headed decision, and each one of us needs to be cautious when it comes to the possibility of contracting a disease, and if we don't think about anything and just conceive and have a baby, that's not only disrespectful to life, but also disrespectful to ourselves.

On this issue, I have the following views for criticism.

In order not to pass it on to your son and others, you should first understand the three aspects of AIDS as an infectious disease. First, the source of infection of AIDS is HIV-infected persons and AIDS patients, and second, the ways of transmission of AIDS are mother-to-child transmission, sexual transmission and blood transmission. The third is the susceptible population, to which HIV is universally susceptible. Only when these three links exist at the same time can one be infected with HIV, and one cannot exist without the other.

Therefore, if you know these three links, you can prevent transmission. If you are infected with HIV, of course you are the source of infection for your son and others. All other people are susceptible. The only way to stop the transmission is to cut off the transmission pathway. Analyzing the three transmission pathways of AIDS, the key is not to put your own blood and body fluids into the blood of the other person (your son and other people), and then the transmission will not happen.

From this we can see that your normal kissing, eating at the same table and general life will not spread, as long as your son or others have intact skin and mucous membranes, they will not "receive" the AIDS virus. Of course, in the event that your son's or another person's skin or mucous membranes are broken, you should never touch your own bodily fluids (saliva, semen, and other tissue exudates), so that they will not be passed on to your son or another person.

First of all, I would like to express my sympathy to you. Having this disease must be a painful psychological, life, and social torture, and since you have already considered the birth of the next generation, which means that you have already made adequate preparations, I will briefly give you a little bit of advice based on what I have learned.

A thorough workup is performed first, and patients who take blocking medications on a regular basis are already well aware of the process, which begins with getting the viral load and small 4 (CD4) under control at a more optimal level before considering pregnancy.

It is possible to exacerbate the condition after pregnancy because of decreased immunity, so it may accelerate the progression of HIV, so stick to your medication during pregnancy. Strengthen nutrition, prevent colds and flu, etc.

The medications taken after pregnancy are generally different from non-pregnancy, but not every regional CDC has the appropriate medications; check with your local CDC ahead of time.

HIV-positive women are more likely to have miscarriages, preterm births, and stillbirths than normal pregnant women.

After standardized treatment, it is possible to reduce the rate of mother-to-child transmission to 2%, so there is still a good chance of obtaining a normal fetus.

HIV-positive pregnant women need to be handled at the CDC with a doctor who is experienced in handling HIV deliveries, and make an appointment in advance with a birthing hospital that can handle HIV-positive patients.

Early labor is needed around 38 weeks, and a cesarean section is recommended, which reduces the chances of infecting the fetus. As well as the prohibition of breastfeeding.

A person, who is infected with AIDS for no apparent reason, is extremely painful for a person and a family. This mental torture is really excruciating, and the thought of it is extremely frightening, looking at the people around you with a different look in their eyes, and looking at all the people who are cautious about touching you, in short, AIDS makes everything change in your world.

We all know how AIDS is transmitted, the most direct is blood transmission, saliva transmission, and physical cross-infection. If you want to protect your child, then the best way is to take good care of your child, try to take all the measures you can to protect your child, do not kiss your child, use separate utensils when eating with your child, love your child in a way that becomes simple and clear, less hugging and less intimacy, and give your child an independent space.

After we know the way of transmission of AIDS, we know how to deal with the way of contact with people, reduce the skin to skin, keep a distance in conversation, eat and drink using independent tableware, maintain a good lifestyle, establish optimistic mood, more with the children to establish verbal communication, to maintain a positive and optimistic attitude, AIDS is not scary, as long as it is not intimate contact will not be infected, you can rest assured that the good work will not be easily transmitted to children. Doing well won't easily pass it on to your child.

Quarantine! If you have AIDS, you don't want your wife and kids to catch it! You have to take the initiative to quarantine! If you live in the same house, it's easy to infect others! Usually AIDS patients live alone, not with family and friends!

If a pregnant woman has been diagnosed with AIDS or suspected HIV infection, or if she is certain of having HIV infection, she should go to her local infectious disease specialist hospital for counseling and treatment as soon as possible.

As early as 2015, the National Health and Planning Commission issued the Circular on Comprehensively Carrying Out the Work of Preventing Mother-to-Child Transmission of HIV, Syphilis and Hepatitis B, in which scientific and reasonable recommendations were made on the treatment measures for HIV-infected pregnant women as well as the use of antiviral drugs for the prevention of mother-to-child transmission of HIV, and clear provisions and distinctions were made between the rights and obligations of healthcare institutions and patients at all levels.

Currently, the country is strictly enforced in cases where HIV-infected people are found during pregnancy or where previous HIV-infected people are found to be pregnantFree drug-blocking therapyThis will maximize intervention in the pathology of HIV-infected co-pregnancies, reduce mother-to-child transmission of HIV during pregnancy, and protect the fetus from HIV infection. At the same time, after the birth of the fetus, the newborn still needs to be examined and treated with antiretroviral drugs or prophylaxis, and artificial feeding is also recommended in order to save our next generation from the ravages of HIV.

There's a kid who's a scumbag who's been kicked out of a prestigious university, and that's a good warning and a good thing.

I also hope that people with AIDS don't jeopardize the next generation and don't give birth to a child who is a drug addict or a promiscuous sexually active person, so that your child's genes are not good in the first place, so don't harm yourself and others.

Secondly, people will look at this child with a colored eye. Is that okay? Don't hurt the innocent.

In the end, AIDS doesn't last long, so how long can you be there for your child? If the child lacks education, if there are no good genes, then there's a very high chance that he'll follow in the footsteps of his parents.

So really, think about not having a baby, you have the right, but please appreciate life and living.

Is it the new coronavirus or HIV that is serious? HIV is currently incurable, will it become an extinct disease of the human race? If a person is infected with HIV and does not take medication, the virus will endlessly replicate and attack the body's immune system to mutate these. Therefore, if a person infected with HIV takes medicine, it will control the replication and mutation of these, and the transmission of HIV is through blood, sex, and so on. HIV blood does not survive in fruits and vegetables. If an HIV-infected person injects blood into all animals, it will live and spread. Some mammals, such as rats, rabbits, snakes, dogs, wild boars. In the river turtle, crab, etc., flying in the sky, running on the ground, all animals inside the animal reproduction will increase the number of infinite replication. Outside running animals infected with HIV will not be able to take medication, can not be controlled, will be infinite replication and mutation, long time will be brought to the society of mankind may be no cure. So HIV is transmitted in animals, more terrible than human-to-human transmission, more serious disease-causing. People with HIV should never go this way. So we have to protect the privacy of HIV infected patients, care and concern. I have been working in a village health center for eight years. HIV-infected people had better farm less, for fear that when they accidentally have trauma, by chance they also have trauma on the farmed animals, for fear of unintentionally infecting the animals. Fear of giving humans no cure? Free distribution of HIV poisons in order not to scourge infected to others, infected people should never go to harm others. There are also a lot of HIV self-financed drugs, expensive, but some better than free drugs antiviral effects and fewer side effects, the average poor people can not afford to treat, take up ah ...... HIV may be on the human immune system is constantly harming, the more laborious and hard work, it will be invisible the more serious injury to the body, infected not only to rest well, but also eat well! Nutrition to keep up, etc.

There is currently no cure for AIDS, but AIDS is not a disease that can wipe out the human race. I once read a study that simulated the spread of AIDS and the number of human beings, and the program, after several decades of calculations, found that the spread of AIDS to death did not have the same effect on human beings as the influenza virus and some other infectious diseases, such as the bubonic plague.

Although AIDS cannot be cured, the method of its transmission has now been clearly found, and with the vigorous popularization of science, the way of transmission of AIDS, even in the rural villages of the doctor's bulletin board inside, can be said to be widely known.

More and more people know that HIV is transmitted from mother to child, blood to blood and sexually. At the same time, more and more people know that the use of condoms can effectively prevent the spread of HIV. For those who are currently infected with HIV, it is also possible to try to prevent the fetus from becoming infected with HIV by means of interruption.

Although it can not be cured, but can achieve effective prevention, and for people who have been infected with AIDS, but also through the antiretroviral treatment to control the development of the disease, to improve the quality of life of patients, is to prolong the life of patients.

So although AIDS cannot be cured, it can be effectively prevented, and there are also medicines to control the condition, is to prolong life. So AIDS will not be the cause of our human extinction at all. As long as you clean yourself up, you can basically do away with AIDS.

AIDS counts for nothing. People? Viruses are everywhere. Enjoy the lifestyle that brings happiness. People must be happy. So as not to involve the children. Stay away.