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U=U and Conception — SCE Infectious Diseases MCQ

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HardHIV MedicineU=U and ConceptionSCE Infectious Diseases

A man with HIV has maintained viral load below 50 copies/mL on ART for 3 years. His HIV-negative partner wishes to conceive naturally and neither has another STI. Which counselling is correct?

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Correct answer: A — Support natural conception under sustained viral suppression (U=U)

Sustained viral suppression on ART means sexual transmission does not occur (U=U), so natural conception can be supported. Adherence and viral-load monitoring remain important. PrEP can be discussed according to preference or uncertainty but is not mandatory when suppression is durable; stopping ART would create transmission and health risk.

Reference: BHIVA Standards: Reproductive health. https://standards.bhiva.org/5b-guide