Physician Education: Bridging Clinical Research and Patient Care

Family Planning Care and Preconception Counseling for HIV-Infected Patients

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This activity is part of IAS-USA’s Cases on the Web (COW) archive. Because it contains information that may no longer be accurate, this activity should only be considered a historical document. 

CME Credit Available: Credit No Longer Available 
Release Date: March 26, 2004 
Date of Last Review/Update: March 2004 
Expiration Date: March 26, 2005 

This activity consists of an overview and 3 cases. To receive CME credit, please read the overview and follow the links through the case presentations. 

Each case begins with a description of a patient and his or her clinical course. Following the case presentation, readers are presented with several patient management options. Learners should select the option they believe is most sound, and then read the presenter's discussion of that option. Cases may include 1 or 2 subsequent courses for the same patient. Follow the arrows at the bottom of the case pages to move through the courses. 

Once the final case has been reviewed, learners may link to the CME posttest and evaluation questions, both of which are required for credit. Instructions for the evaluation and posttest are found on those pages. 

Learning Objectives

On completing this activity, the learner will be able to: 

  • Describe factors that increase the risk of sexual transmission of HIV. 

  • List prevention strategies that can be incorporated into HIV clinic settings that support the reduction of secondary transmission of HIV. 

  • Prescribe appropriate pregnancy prevention methods for HIV-seropositive patients. 

  • Become proficient in preconception counseling for HIV-serodiscordant partners desiring fertility. 


Assessment of Needs

The International AIDS Society–USA offers this state-of-the-art activity as part of a nationwide continuing medical education effort for physicians on the evolving challenges of HIV disease. This activity focuses on issues in preconception counseling and reproductive choices for individuals with HIV infection.

Intended Audience

This online CME activity is designed for physicians who are actively involved in HIV/AIDS care. Specifically, these activities have been designed for physicians who: 

  • Have a solid, working knowledge of HIV disease management 
  • Provide comprehensive or specialty care for at least 10 patients with HIV/AIDS or are involved in HIV/AIDS clinical trials or investigations 
  • Have completed at least 10 hours of CME in the area of HIV/AIDS medicine in the past 2 years 

This activity is also relevant to nurse practitioners, physician assistants, nurses, and other health professionals who provide care to people with HIV disease.


CME Information

The International AIDS Society–USA is accredited by the Accreditation Council for Continuing Medical Education to sponsor continuing medical education for physicians. 

CME Credit is no longer available for this activity. 


Erika Aaron, CRNP 

Erika Aaron is an Adult Nurse Practitioner and the Director of Women’s Services in the Division of HIV/AIDS Medicine at the Drexel University School of Medicine. She is a member of the Perinatal HIV Guidelines Working Group for the Public Health Service Task Force. 

Michael S. Saag, MD 
Editor in Chief, Cases on the Web

Michael S. Saag, MD, is Professor of Medicine at the University of Alabama at Birmingham (UAB) and Director of the UAB AIDS Outpatient Clinic. He is also Associate Director for Clinical Care and Therapeutics at the UAB Center for AIDS Research. Dr Saag has published extensively on his research on the clinical and basic science of HIV. He serves on several state and national advisory committees, including the Executive Committee of the NIH/NIAID Adult AIDS Clinical Trials Group and the American Board of Internal Medicine Infectious Diseases Subspecialty Board. Dr Saag has served on the Board of Directors of the International AIDS Society–USA since 1992. He has taken a leading role in the development of a number of its programs, including the organization's case-based CME course series and its viral load guidelines panel, which published guidelines in Nature Medicine in 1996. 

Meg D. Newman, MD 
Co-Editor, Cases on the Web

Meg D. Newman, MD, is attending physician and Associate Professor of Medicine at the University of California San Francisco (UCSF) Positive Health Program at San Francisco General Hospital. She is also Director of the UCSF AIDS Education Unit. Her domains of interest include women and AIDS, general and HIV dermatology, general HIV medicine, and HIV/hepatitis C virus coinfection. Dr Newman has received numerous teaching honors, including a 2002 UCSF Medical Residents, Women In Medicine Role Model Award, Clinical Teaching Award from the UCSF School of Medicine Class of 2001, 1998, and the Kaiser Teaching Award for Full Time Clinical Faculty in 1997. Dr Newman is a member of the Core Faculty of the International AIDS Society–USA advanced CME courses. 

Disclosure of Financial Interests

In the interest of maintaining the independence of its CME activities, and in accordance with the policies of the Accreditation Council for Continuing Medical Education (ACCME), the IAS–USA requires all persons with control of content (ie, faculty, IAS–USA Board members, and program staff) to disclose any financial relationships that they or their spouses or partners have had with commercial companies within the past 12 months. Any real or apparent conflicts of interest of those parties are resolved prior to the CME activity being delivered. Individuals who refuse to disclose financial interests may not participate in an IAS–USA CME activity.


Contributors have indicated the following affiliations with commercial organizations that have interests related to the content of this online activity. 

Erika Aaron, CRNP 

Ms Aaron has no affiliations with organizations that have interests related to the content of this program. 

Michael S. Saag, MD 
Editor in Chief, Cases on the Web 

Dr Saag has received grant support from and served as a consultant to or on the speakers bureau for Abbott, Agouron, Bristol-Myers Squibb, Gilead, GlaxoSmithKline, Hoffmann-LaRoche, Ortho Biotech, Pfizer, Schering-Plough, Shire, Tibotec-Virco, Triangle, Trimeris, and ViroLogic. 

Meg D. Newman, MD 
Co-Editor, Cases on the Web 

Dr Newman has no affiliations with organizations that have interests related to the content of this program.

Cases on the Web Editorial Board

Members of the COW Editorial Board participate in a volunteer capacity. They are not compensated for their role in overseeing the program. Listed below are the COW Editorial Board members and their financial interests with commercial companies within the past 12 months from the date of disclosure. Click here to view the COW Editorial Board.

Drug and Product Disclaimer

This activity may contain information about the investigational uses of drugs or products that are not approved by the US Food and Drug Administration. Please consult full prescribing information before using any medication or product mentioned in this COW activity.

The views and opinions expressed herein are those of the faculty and do not necessarily represent the opinions or recommendations of the IAS–USA.

Contact Information

If you have any questions about this COW activity, please contact the IAS–USA:

425 California Street
Suite 1450
San Francisco, CA 94104-2120
Telephone: 415-544-9400
Fax: 415-544-9401
E-mail: info“at”

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Course outline

Family Planning Care and Preconception Counseling for HIV-Infected Patients

  • Overview
  • Case 1: HIV-Infected Woman Who Desires Birth Control
  • Case 2: HIV-Infected Woman Who Desires Pregnancy With Her Uninfected Partner
  • Case 3: HIV-Infected Man Who Desires Pregnancy With His Uninfected Partner
  • COW References
  • CME Post test