How to conceive despite being hiv positive?
Patient: Hi dr im belina 28yrs old me and my husband are hiv pos we dont have children at all we realy want a child so badly i cant conceive.i hav a problem evry month when im menstruating i sleep bcoz of bad pains on my abdomen and worse on my backache and even during i have pains inside my abdomen and i cant barn to take something down if i can barn when i stand up i'll feel pains that makes me unable to move i resigned where i was working bcoz of this pls help dr i realy need help me and my husband are happily married help dr. 88kg Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.If you don't have any pregnancy yet than the pain during menstruation is mostly due to spasm of cervix (mouth of uterus). So, you have to take antispasmodic tablets or injection for pain relief. You can have that tablet every time in your menses. Secondly, if you both are HIV positive that doesn't mean you cannot conceive. Yes it is true that there is a chance of transfer to the baby. And also it is a high risk pregnancy. You just have to continue your treatment medicines and continue pregnancy also. For detail you have to consult a nearby gynecologist and may be pediatrician for chances of pregnancy, chances of transfer to baby, and other pros and cons of that. Now for your pain, Dicyclomine like Antispasmodic will do. And if it remains for long time and you don't want pregnancy at all than cervical dilatation is one option after which your pain will be very less and bearable. It is a minor operation you can ask your doctor about it. And if you are planning for pregnancy then one pregnancy happens and the problem is gone so no pain. Once delivery or abortion takes place the source of pain is also gone due to natural cervical dilatation.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Jimesh H Mavani