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L Series
Series L, Number 15 Issues in World Health

Family Planning Choices for Women With HIV

How providers can help women with HIV make reproductive decisions

CONTENTS

Home (Key Points)

Supporting the Reproductive Decisions of Women With HIV

Box: Family Planning Is a Key Strategy to Reduce Mother-to-Child Transmission of HIV

Box: When a Woman With HIV Decides About Pregnancy

Box: Helping Women Talk With Their Partners About Contraception and Safer Sex

Box: Information Communication Technology: Mobile Phones Keep Women With HIV in Contact With Care

Women With HIV Can Safely Use Most Contraceptive Methods

Box: Dual Protection Strategies Help Prevent Pregnancy and STIs

Women With HIV Need the Facts About Pregnancy

Box: What People With HIV Need to Know About Pregnancy and
Preventing Pregnancy


Bibliography

Credits

From INFO's Toolbox
INFO Report: “Women and HIV: Questions Answered”
Web Tool: Assess Your Attitudes and Beliefs About People With HIV
Box: What People With HIV Need to Know About Preventing Pregnancy

Quick Look
Table 1: Comparing Contraceptive Methods for People with HIV
Table 2: Drug Interactions: Combined Oral Contraceptives and Antiretroviral (ARV) Medications
Web Box: Condoms at a Glance

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Quick LookWeb Box: Male Condoms at a Glance

A good method for many men and couples

  • A rubber sheath that covers the erect penis during sex.
  • Condoms—male and female—are the only contraceptives that also help to prevent sexually transmitted infections.
  • Almost all men can use latex male condoms, even men with large penises. Only those who have severe allergic reactions to latex cannot use them. They should use plastic (polyurethane) condoms if available.
  • Use whenever penis will have any contact with vagina or anus.

 Effectiveness depends on consistent and correct use

  • When used correctly every time, provides very good protection against HIV infection, other STIs, and pregnancy. Not all couples use condoms consistently, however, and thus typical effectiveness against pregnancy is only moderate.

Can be used alone or with another method

  • A woman can use another family planning method (except the female condom) along with male condoms for extra protection from pregnancy.
  • Also, condoms can be used as backup for another method of family planning (for example, if a woman missed pills or is late for an injection).

Easy to get, easy to use

  • Sold in many shops and available free at many health clinics.
  • Use becomes easy with a little experience.
  • Most couples find that they still enjoy sex with condoms.

Partners usually need to discuss condom use


The 5 Basic Steps of Using a Male Condom


Use a new condom for each sex act.


Before any contact, place condom on tip of erect penis with rolled side out.


Unroll condom all the way to base of penis.


After ejaculation, hold rim of condom in place, and withdraw penis while it is still hard.


Use only once. Throw away used condom safely.


Female Condoms at a Glance

A good method for many women and couples

  • A loose sheath that is inserted into the vagina before any sexual contact. Currently available female condoms are made of plastic (polyurethane) but soon will also be available in latex.
  • Condoms—male and female—are the only contraceptives that also help to prevent sexually transmitted infections.
  • No medical conditions limit use. No allergic reactions to plastic female condoms.

Effectiveness depends on consistent and correct use

  • When used correctly every time, help to protect against HIV infection, other STIs, and pregnancy. Not all couples use condoms consistently, however, and typical effectiveness against pregnancy is less than with male condoms.

Can be used alone or with another method

  • A woman can use another family planning method (except the male condom) along with the female condom for extra protections from pregnancy.
  • Also can be used as backup for another method of family planning (for example, if a woman missed pills or is late for injection).

Inserted by the woman but usually needs partner’s cooperation


The 5 Basic Steps of Using a Female Condom

Open package carefully.

Make sure the condom is well-lubricated inside.


Choose a comfortable position—squat, raise one leg, sit, or lie down.


Squeeze the inner ring, at the closed end


Gently insert the inner ring into the vagina.

Place the index finger inside condom and push the inner ring up as far as it will go.

Make sure the outer ring is outside the vagina and the condom is not twisted.

Be sure that the penis enters inside the condom and stays inside it during intercourse.


To remove, twist outer ring and pull gently.

Reuse is not recommended.

Throw away condom safely.


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