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THE DOC IS IN: Can An HIV-Positive Man Father Children?

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Dr. Rani Whitfield, MD Tha Hip Hop DocAt '25 Years and Counting' our lively discussion forum (i.e., the comments section) provides plenty of good insight, information and sometimes, questions around HIV and AIDS.

Some questions I try to answer, but some need to be deferred to a medical professional.

Dr. Rani G. Whitfield, MD, also known as Tha Hip Hop Doc (H2D), has a general practice in Baton Rouge, LA and also works in high schools and in prisons. He has appeared on BET's '106th and Park' dispensing medical advice and has a chapter in the book, 'Not In My Family' -- a collection of essays on AIDS in the African-American community.

Our question this time comes from Darnell, who posted on HIV and Pregnancy (#52):

"Negative children born to positive mothers is definitely a gift from God. I'm young a professional black male, diagnosed with HIV three years ago. My hopes for fathering a child have been shattered, is there anything out there for HIV+ men who want to become biological fathers?"

H2D Responds:

Several studies have been done on relationships where one partner is positive and the other is negative. This is called mixed status or HIV discordant couples. Even if the HIV (+) partner has a healthy immune or defense system (low viral load and good CD4 count), the possibility of infecting the HIV (-) person is still very real.

Pregnant WomanA baby can only be HIV positive if his/her mother is HIV positive. Medicines, such as AZT, can be used during child birth to prevent the virus from spreading to the baby. However, mixed status couples that continue to have unprotected sex in an attempt to "get pregnant" run the risk of infecting both mom AND baby.

Unfortunately, at this time, there are not many options. I strongly recommend condom use (male and/or female) during sex between mixed status couples. Great question. Lets stay Hip-Hop Healthy!

Continue to submit your questions via your comments in the blog.

For more on Dr. Rani G. Whitfield, M.D., please visit his Web site: www.h2doc.com

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