Can I still have children? Yes: Yet, you should still know that there are certain precautions to be taken during pregnancy to prevent the transmission of HIV to your baby. With proper monitoring of the pregnancy and an anti-HIV treatment during the pregnancy you are placing the chances in your favour. Before undertaking this commitment, please consult your doctor. Cocaine is considered to have very few interactions with anti-HIV medication; however, it can render immune cells more vulnerable to HIV – which may foster a more rapid progression of the infection. Yes, you can receive treatment for HIV even if you consume illegal drugs. However, you should consult your doctor so that he/she can inform you of the potentially harmful interactions between the treatments that you are undergoing and the drugs that you are using. Even if there are no interactions with your treatment, you should know that, generally speaking, when our judgement is affected by drugs, we are more susceptible to take risks (sexual or others) that we would not normally take. You can be screened for HIV at your health centre, a CLSC, a hospital or in an anonymous screening centre. To find out where the closest available anonymous screening centre is located, contact your CLSC. I have other questions – who can I contact? What about alcohol? I use drugs – can I still be treated? Where do I go for screening? You can be treated for HIV even if you consume alcohol. However, alcohol can cause damage to the liver and the pancreas. Excessive consumption can lead to a cirrhosis or a cancer of the liver or pancreas. Drinking too much alcohol can also have an impact on the antiretroviral action in your body, which could compromise the efficiency of your anti-HIV treatment. Canadian Aids Treatment Information Exchange (CATIE) www.catie.ca Clinique du VIH de Sainte-Justine www.hsj.qc.ca www.soinsdenosenfants.cps.ca Canadian Aboriginal Aids Network www.caan.ca Canadian Women’s Health Network. www.cwhn.ca The best advice is to have a discussion with your doctor in regards to your consumption habits – he will be able to help you to find solutions so as to not interfere with your antiretroviral treatment. After a sexual aggression (rape) You must go to the hospital as soon as possible after a rape in order to receive the necessary help. They will be able to provide you with a preventive treatment for HIV along with antiretrovirals that must be taken for 4 weeks starting within 72 hours of the rape. FIRST NATIONS OF QUEBEC AND LABRADOR HEALTH AND SOCIAL SERVICES COMMISSION 250, Place Chef Michel Laveau Wendake, Quebec G0A 4V0 Phone : 418.842.1540 cssspnql.com Funding provided by Ministère de la santé et des services sociaux (MSSS). What women should know How is this avoided? What is HIV/Aids? The acronym “HIV” means “Human Immunodeficiency Virus”. The acronym “Aids” means “Acquired Immunodeficiency Syndrome”. HIV is a virus that attacks the human body’s immune system. With time, the system gets weaker, and the person who has contracted HIV can suffer from many diseases. After a certain amount of time, the immune system is no longer able to defend the body against infections, diseases or cancers which can be fatal. Aids is an advanced state of HIV. - Always use a condom or dental dam when practicing sexual relations. - Never share injection materials. - Always verify the practices of the tattoo artist or piercer (use of new materials, sterilisation of the equipment). How is it transmitted? HIV is transmitted by: • • • • • blood, sperm, pre-ejaculatory fluid, vaginal secretions, breast milk. Aboriginal women represent 48.1% of all cases of HIV among Aboriginal populations in Canada. 64.4% of HIV cases among Aboriginal women in Canada are caused by sharing injection materials. Therefore, you can contract or transmit HIV if: 1) You have had sexual relations without a condom or *dental dam with a HIV positive person. 2) You share injection materials or straws for snorting drugs with a person who is HIV positive. 3) You get a homemade tattoo or piercing. 4) You are HIV positive and you breastfeed your baby. * A dental damn is a piece of latex that is placed upon the genitals or anus in order to practice oral sex. Can it be treated? Aids is an incurable disease (meaning that it cannot be healed). However, treatments are available to slow down the evolution of the disease, help live a much longer life and have a better quality of life. These treatments, called Tritherapy, act differently for different people, which is why it is important to follow the doctor’s recommendations and discuss with him/her the various side effects in order to find the best possible treatment for you. And what if I don’t want treatment? Treatment is not obligatory – it is a personal choice. Sometimes it is not necessary, but only a doctor can provide you with advice on the benefits of being treated for you. Afterwards, it is your decision to make. Women are more vulnerable to HIV infection because the woman’s sexual organs (the membranes of the vulva and vagina) have a larger surface than the male sexual organs, and there is a possibility for tiny lesions to be produced during penetration. Women are more vulnerable to HIV infection because the virus is more concentrated in sperm than in vaginal secretions. However, you should know that if you are pregnant, the treatment will considerably lower your chances of transmitting HIV to your baby during pregnancy and/or labour. Being pregnant will not accelerate the rate of progression of HIV in your body. Without treatment, the risk of transmitting HIV to your baby is 1 in 4. With treatment, the risk becomes 1 in 100. I am using traditional medicine – is this good for me? If you are being treated, traditional medicine can be useful to reduce the side effects of the medication. However, you should consult your doctor before taking any product whatsoever in order to avoid any harmful interactions. I am pregnant, what must I do? It is important to undergo screening for HIV early during your pregnancy. If you test positive for HIV, you may then decide to receive treatment that will diminish the possibilities of transmitting HIV to your baby during pregnancy and labour. The earlier the treatment starts (1st trimester), the greater the chances for success. A female condom is a cylindrical polyurethane tube that looks a bit like an inside-out plastic bag that is inserted into the vagina before sexual relations. The condom holds the sperm, thereby preventing it from entering the vagina.
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