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KMID : 1025620140170030310
Korean Journal of Medical Ethics
2014 Volume.17 No. 3 p.310 ~ p.330
Reproductive Right of HIV Infected Person and Assisted Reproduction
Bae Hyun-Ah

Abstract
Development of highly active antiretroviral therapy led to a spectacular increase in life expectancy and quality of life for HIV infected men and women. HIV now considered to be a chronic disease and as a consequence quality of life is an important aspect for men and women with HIV. Many of them express the desire to father or mother a child. Assisted reproduction technique such as intrauterine insemination, in vitro fertilization, intracytoplasmic sperm injection in combination with semen washing and elective caesarean section have been used to decrease the risk of HIV transmission. Cumulative evidence suggests that assisted reproduction technology (ART) is safe and effective for avoiding horizontal and vertical transmission of HIV. No maternal or neonatal HIV infections or death occurred. With providing the biotechnology such as ART, contextualized counseling and a respect for patients`` decision regarding infertility or subfertility treatment should be adopted as public health policy and bioethical policy. It is neither ethically nor legally justifiable to categorically exclude individuals from infertility service on the basis of HIV infection. For complete this purpose, in Korean Prevention of AIDS Act has some limitation in applying the scientific changes and ethical basis for reproductive right of HIV infected men and women. It is needed the reconsidering medical evidence and reframing the Act for reproductive right and quality of life of HIV infected couples.
KEYWORD
human immunodeficiency virus, transmission, reproductive right, assisted reproduction
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