Decision Tree for Engaging Sexually Active Men in Reproductive Topics Discuss ARV adherence, disclosure of HIV Status, partner testing Does he ever have sex with women? Never Yes Desires childre n Unsure of/no desire for children Does not desire children now, but will in future Provide ProMEN flyers Desires children Does not desire children Is the patient/his partner currently using contraception? Refer to BAPAC Refer to BAPAC Yes Contact: Shannon Weber 415-206-8919 [email protected] Pre-conception discussion - Safe sex - Adherence - Disclosure of HIV status to partner - STD check - Partner HIV status - Smoking/HTN - Diabetes/obesity No/Unsure Determine efficacy of contraception Discuss contraception - Discuss female contraception Adherence Safety Comfort Other Options Provide safe-sex brochure Contact: Shannon Weber 415-206-8919 [email protected] http://www.wwc.org/docum ent.doc?id=110 - Condoms (including role in preventing HIV spread) - Birth control for partner - Sterilization - Discuss broaching topic of contraception with partners - Invite partners to next clinic visit if appropriate - Explain primary forms of contraception available to women and men. http://bedsider.org/ http://www.nyc.gov/html/doh/downloads/pdf/csi/con trakit-pt-birthctrl-fact.pdf Rev. 03/12/2015 Decision Tree for Engaging Sexually Active Women in Reproductive Topics Discuss ARV adherence, disclosure of HIV Status, partner testing Does she ever have sex with men? Yes Desires childre n Unsure of/no desire for children Does not desire children now, but will in future Provide ProMEN flyers Desires children Refer to BAPAC Contact: Shannon Weber 415-206-8919 [email protected] - Safe sex - Adherence - Disclosure of HIV status to partner - STD check - Partner HIV status - Smoking/HTN - Diabetes/obesity Does not desire children Is the patient/her partner currently using contraception? Refer to BAPAC Pre-conception discussion Never Yes No/Unsure Contact: Shannon Weber 415-206-8919 [email protected] Provide safe-sex brochure http://www.avert.org/lesbia ns-safe-sex.htm Discuss contraception Determine efficacy of contraception - Adherence Safety Comfort Other Options - Condoms (including role in preventing HIV spread) - Birth control for partner - Sterilization Discuss female contraception - Discuss broaching topic of contraception with partners - Invite partners to next clinic visit if appropriate - Explain primary forms of contraception available to women and men. http://bedsider.org/ http://www.nyc.gov/html/doh/downloads/pdf/csi/contrakitpt-birthctrl-fact.pdf Rev. 03/12/2015
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