Page 73 - ESHRE2019

HepatitisB(HBV)
 Horizontal sexual transmission risk:  2 x higher than HIV; 6 x higher than HCV
 ART only if fertility issues
 sperm washing not required
 vaccinate uninfected partner
 treat infected partner with ARV first if HBV DNA +ve
 Vertical mother to child transmission (MCT) risk:  < 10% if mother HbsAg +ve
 > 90% if HbeAg +ve or HBV DNA +ve  Management of neonate
 HBV immunoglobulin and vaccine at birth, 1 month and 6 months  treat mother with antiretrovirals if DNA VL > 100,000 IU/ml
Empowering the freedom of reproductive choice with wisdo
m
HepatitisC(HCV): RNAvirus
 Sexual transmission risk in monogamous HCV serodiscordant couples zero
 Sexual transmission reported in MSM
related to sexual practice involving exchange of blood
 Antiretroviral medication advised pre‐conceptually (if time allows)  No vaccine available
 Vertical Mother to child transmission: 5 ‐ 6%
 Use ART only if fertility issues sperm washing not required
Empowering the freedom of reproductive choice with wisdo
m
68
PRECONGRESS COURSE 12 I VIENNA, AUSTRIA – 23 JUNE 2019 71