The Assisted Conception Unit (ACU) at Chelsea & Westminster Hospital has been the principal centre offering treatment to virally infected patients since 1999 as it has specialised facilities. In this retrospective study, we assessed the fertility needs, geographical origin and state funding of patients with blood-borne viral infection seen in our clinic to determine whether their needs were being met. There is currently no information on funding of fertility treatment for this cohort of patients in the United Kingdom. A retrospective analysis was conducted of the medical records of 205 couples where one or both partners were infected with HIV, HBV and/or HCV
Buparlisib research buy who were referred to Chelsea & Westminster ACU between selleck kinase inhibitor January 1999 and December 2006 for fertility treatment. The results of fertility screening carried out on all patients were noted, irrespective of whether their subfertility was voluntary (consistent condom use to avoid the risk of viral transmission to their partner) or not. The initial screen included assessment of early follicular phase serum follicle-stimulating hormone (FSH), luteinizing hormone (LH) and oestradiol, and midluteal
phase progesterone. Hysterosalpingogram was chosen as the first-line test for tubal patency as it is least invasive. Laparoscopy and a dye test were performed where there was comorbidity . Semen analysis was performed in all cases and results interpreted based on World Health Organization Isotretinoin (WHO) reference values . The availability of state funding for the couples and their geographical origins were also recorded. Information on funding was obtained from the unit accounts department and by reviewing invoices. In 176 of the 205 couples (85.8%), at least one partner was infected with HIV (127 serodiscordant HIV-positive men, 29 serodiscordant
HIV-positive women and 20 HIV-concordant couples). Of these 176 couples, 88.6% (156 of 176) were ‘voluntarily’ infertile. A male factor was identified in 33.3% (49 of 147) of HIV-positive men and tubal disease in 40.8% (20 of 49) of HIV-positive women. Among the HIV-positive couples who proceeded to assisted reproduction treatment, state funding was obtained in 23.6% of cases (38 of 161). In 31 of the 205 couples, at least one partner was infected with HBV (20 serodiscordant HBV-positive men, 10 serodiscordant HBV-positive women and one HBV-concordant couple). Of these couples, 58% (18 of 31) were voluntarily infertile. A male factor was identified in 47.6% (10 of 21) of infected men and tubal disease in 45.5% (five of 11) of infected women. Of the 20 HBV-infected patients who proceeded to assisted reproduction treatment, 20% (four of 20) received state funding. In 28 of 205 couples (13.