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As Told by
Laury:
Question: Has there ever been a case reported in which
either HIV/AIDS or the medications that women take when they are positive has
caused one of her breasts to become abnormally smaller or larger?
Answer:
No, not that I'm aware of. Some of the HIV antivirals can cause a
woman's breast size to increase, but this would normally occur in both breasts
equally. It is actually quite common for women's breasts to be different sizes
though. This usually occurs in the teen years, during menopause, or during
pregnancy. If you have recently noticed a breast has changed size, it's
important to see your medical provider to make sure there isn't another medical
problem that could be causing the size difference.
Question: If a woman has had her tubes tied then becomes
HIV positive is it possible for her to be able to have her tubes untied so she
can become pregnant if she chooses? And if so are there any doctors out there
that are willing to perform this procedure? Also is she risking serious
infection from the procedure?
Answer:
It is possible, but regardless of HIV status, the success rate of
becoming pregnant after a tubal ligation is, unfortunately, not great - about
20 to 70%. The success rate depends on the length and health of the remaining
fallopian tube segments, what surgical technique was used for the original
procedure, age, and other factors. You should definitely have a long discussion
with your gynecologist and she/he can give you more detailed information on the
potential success rate as it relates to your personal history. They would also
be able to refer you to a specialist to perform the procedure.
As long as your viral load is
under control, your CD4 count is above 200, and you are generally healthy, your
risk of infection is not that much greater than someone who is HIV negative.
What do you want to
know?
As you've probably noticed, "As Told By
Laury" is finally here! Laury McKean, RN, who is a nurse at Country Doctor
Clinic in Seattle, has graciously agreed to answer your questions in this new
monthly column, "As Told By Laury." This is your opportunity to learn more
about women and HIV, so please don't be shy! Whether it's about medication side
effects or where we positive people stand statistically today, all questions
are welcome. You may submit your questions in your own name or make up a new
one to protect your identity. If you have an HIV-related question you'd like
Laury to answer, please send it to Tonya at
tonya@babesnetwork.org
or call her at (206) 720-5566 x16 to submit it via telephone.
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Contado por Laury:
Question:¿Ha sido reportado un caso en que el
VIH/SIDA o los medicamentos que toman las mujeres para controlar el virus ha
causado que una de sus memelas aumenten o disminuen abnormalmente?
Answer: No, nunca he oido de eso. Algunos de los
medicamentos antivirales si pueden causar que aumenten las memelas de una
mujer, pero normalmente pasaria a las dos igualmente. Acutalmente, es muy comun
tener memelas que son diferentes, especialmente durante la juventud, el
embarazo o menopausia. Si recientemente has notado un cambio de taller de una
memela, es precisco que vayas al medico inmediatamente para asgurarte que no
hay otra problema que ha causado el cambio.
Question:¿Si una mujer ha tenido una ligadura
tubal y luego descubre que tiene el VIH, es posible que ella pueda tener sus
tubos desatados así que ella puede hacer embarazada si elige? ¿Y
hay doctores que esten dispuestos a realizar este procedimiento?
¿También, hay un riesgo de infección si tiene el
procedimiento?
Answer: Es posible, pero sin importar el VIH, el
índice del éxito de convertirse embarazada después de una
ligadura tubal sea, desafortunadamente, no grande - cerca de 20 a 70%. La
tarifa del éxito depende de la longitud y de la salud de los segmentos
restantes del tubo de falopio, qué técnica quirúrgica fue
utilizada para el procedimiento original, la edad, y otros factores.
Definitivamente, debes tener una discusión larga con su
ginecólogo y el/ella puede darte más información sobre la
tarifa potencial del éxito mientras que se relaciona con su historia
personal. También podrían referirte a un especialista para
realizar el procedimiento. Mientras su carga viral está bajo control, su
cuenta CD4 está sobre 200, y estas generalmente sana, su riesgo de la
infección no es que mucho mayor que alguien que es negativa del VIH.
Qué quieres saber?
Como quizás has
notado, "Contado por Laury" por fin ha llegado! Laury McKean, RN, quien es una
enfermera en la Clinica Country Doctor de Seattle, graciosamente ha acordado
contestar tus preguntas en esta nueva columa mensual, "Contado por Laury." Si
tienes una pregunta sobre medicamentos o estadísticas, todo tipo de
pregunta sobre mujeres y el VIH está bien. Pueden someter tus preguntas
en propio nombre o crear un nuevo nombre para proteger su identidad. Si tienes
una pregunta relacionada al VIH y quiere que la conteste Laury, favor de
entregarla via correo electrónico a Sarah en
sarah@babesnetwork.org
o llámala en (206) 720-5566 x 15 para someter la pregunta por
teléfono.
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