Gestação após injeção intracitoplasmática de espermatozóides (ICSI) em casal sorodiscordante para HIV-1: tempo de refletir sobre AIDS e reprodução

Abstract

An HIV-1 discordant couple (seropositive man) has undergone an assisted reproduction cycle by intracytoplasmic sperm injection (ICSI). The semen was prepared in discontinuous gradients followed by the swim-up technique and resulting in one ongoing pregnancy. So far there is no proof that ICSI might offer a risk reduction of transmission compared to intrauterine insemination as the oocyte is exposed to a single spermatozoon. However, we prefer to perform ICSI as assisted reproduction technique in these cases since, at least theoretically, the risks are lower for both the partner and the baby.