VIH y Acceso a los tratamientos de reproducción humana asistida [HIV and Access to Human Assisted...

27
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

Transcript of VIH y Acceso a los tratamientos de reproducción humana asistida [HIV and Access to Human Assisted...

Page 1: VIH y Acceso a los tratamientos de reproducción humana asistida [HIV and Access to Human Assisted Reproduction Treatments]

!!

!"#$!$%$&'()'()*)+,&#',%-."&#'/0.*$&1&-2'()'1.#'+.#.#3'!!!"#$%&'(! )%*&(! (+! ,--()%! .(! +,)! /(&)%#,)! -%#! 0"1! ,! +%)! 2&,2,'"(#2%)! .(!&(/&%.3--"%#!13',#,!,)")2".,!!!

!'45678!9:578!&;<4=>!,?48@A!

":AB4B6B>!C7!.7=7DE>A!16<;:>A!F*;=B>8><@!C7!8;A!-;A;AG!3:4?7=A4C;C!-;=8>A!"""!C7!';C=4C!

!!!45'*)#%-)"'

+;A!<6H7=7A!I!8>A!E><J=7A!D>:!0"1!K67!A7;:!B4B68;=7A!C78!C7=7DE>!;!8;!L=>B7DD4M:!C7!8;!

A;86C!:>!L67C7:!A7=!7ND864C>A!7:!8;!;L84D;D4M:!C7!8;A!B@D:4D;A!C7!=7L=>C6DD4M:!E6<;:;!

;A4AB4C;! K67! A7! =7;84O;:! 7:! 8>A! D7:B=>A! ;A4AB7:D4;87AP! I;! A7;:!C7! B4B68;=4C;C!LQJ84D;! >!

L=4?;C;P!;86C47:C>!D><>!Q:4D;!=;OM:!A6!7AB;C>!A7=>8M54D>R!.4DE;!7ND86A4M:!D>:AB4B6I7!

6:! B=;B>! C4S7=7:D4;C>! K67! 7A! C4AD=4<4:;B>=4>! ;8! :>! 7AB;=! A6S4D47:B7<7:B7! H6AB4S4D;C>P!

L67A! 78! S4:! K67! A7! J6AD;! :>! 7A! 875TB4<>! I! :>! 7N4AB7! 6:;! =78;D4M:! =;O>:;J87! C7!

L=>L>=D4>:;84C;C!7:B=7!8>A!<7C4>A!7<L87;C>A!I!8>A!S4:7A!L7=A7564C>AP!A4!:>A!;B7:7<>A!

;8! D>:>D4<47:B>! K67! A>J=7! 8;! B=;:A<4A4M:! E>=4O>:B;8! I! ?7=B4D;8! C78! 0"1! ;L>=B;! 8;!

<7C4D4:;!J;A;C;!7:!8;!7?4C7:D4;!A47<L=7!K67!A7!6B484D7:!8;A!B@D:4D;A!C7!=7L=>C6DD4M:!

E6<;:;! ;A4AB4C;R! +;A! ;C<4:4AB=;D4>:7A! LQJ84D;A! C7J7:! 4<L7C4=! D>:! A6A! ;DD4>:7A! 7:!

<;B7=4;!C7!A;86C!8;!C4AD=4<4:;D4M:!C7!D6;8K647=!D>87DB4?>!C7!L>J8;D4M:!K67!L>=!=;O>:7A!

A>D4;87AP! D><>! 7A! 78! D;A>! C78! D>87DB4?>! C7! 8;A! L7=A>:;A! D>:! 0"1P! B7:5;! 6:;! 7AL7D4;8!

C4S4D68B;C!L;=;!;DD7C7=!C7!<;:7=;!=7;8!I!7S7DB4?;!;!8;A!L=7AB;D4>:7A!A;:4B;=4;AP!D><>!7A!

78! D;A>! C7! 8;A! B@D:4D;A! C7! =7L=>C6DD4M:! E6<;:;! ;A4AB4C;R! (8! =7D>:>D4<47:B>! C78!

C7=7DE>!;!8;!L=>B7DD4M:!;!8;!A;86C!K67!A7!E;D7!7:!78!;=BTD68>!UV!C7!8;!->:AB4B6D4M:!I!A6!

C7A;==>88>!:>=<;B4?>!;!:4?78!7AB;B;8P!L=4:D4L;8<7:B7!<7C4;:B7!8;!+7I!WUXYZP!!"#"$%&'("'

Page 2: VIH y Acceso a los tratamientos de reproducción humana asistida [HIV and Access to Human Assisted Reproduction Treatments]

[!

)%#*(%(P! 8;! +7I! WZX\VP! +,-".*/#' 0' +%&*(%(' ("&' )*.1"2%' 3%4*,#%&' ("' )%&5(P! I! 78! &7;8!

.7D=7B>!W\V\X\ZP!L>=!78!K67!A7!7AB;J87D7!8;!D;=B7=;!C7!A7=?4D4>A!D><6:7A!C78!)4AB7<;!

#;D4>:;8! C7! );86C! I! 78! L=>D7C4<47:B>! L;=;! A6! ;DB6;84O;D4M:P! =7D>:>D7:! K67! 8;!

L=7AB;D4M:!C7!A7=?4D4>A!A;:4B;=4>A!C7J7!E;D7=A7!7:!D>:C4D4>:7A!C7! 456;8C;C!7S7DB4?;!I!

D>:!78! S4:!C7!L=>L>=D4>:;=!6:;!;B7:D4M:! 4:B75=;8!;! 8;!A;86C!C7! 8;A!L7=A>:;AR!/>=! B;87A!

<>B4?>A!A7!E;!7AB;J87D4C>!6:;!D;=B7=;!C7!A7=?4D4>A!D><6:7A!;! 8;!K67! 8>A!B4B68;=7A!C78!

C7=7DE>!;!8;!L=>B7DD4M:!C7!8;!A;86C!B47:7:!C7=7DE>!;!;DD7C7=!A47<L=7!K67!7N4AB;!6:;!

4:C4D;D4M:! D8T:4D;! I! A;:4B;=4;R! (:B=7! C4DE>A! A7=?4D4>A! A7! 7:D67:B=;:! 8;A! B@D:4D;A! C7!

=7L=>C6DD4M:! E6<;:;! ;A4AB4C;P! 8;A! D6;87A! 7AB]:! D8T:4D;<7:B7! 4:C4D;C;A! 7:! ;K6788>A!

D;A>A!7:!K67!8;A!L;=7H;A!A>:!A7=>C4AD>=C;:B7A!>!A7=>D>:D>=C;:B7A!;8!0"1!I;!A7;!L>=K67!

7N4AB;!6:!C4;5:MAB4D>!C7!4:S7=B484C;C!>!I;!A7;!L>=K67!A>:!B@D:4D;A!K67!E;:!C7<>AB=;C>!

A6! 7S4D;D4;! I! 6B484C;C! ;! 8;! E>=;! C7! 7?4B;=! B;:B>! 8;! B=;:A<4A4M:! E>=4O>:B;8! D><>! 8;!

B=;:A<4A4M:! ?7=B4D;8R! />=! >B=>! 8;C>P! 8;! +7I! WUX\ZP! 674#*4%.' ("' 8"9$,(544*/#':52%#%'

;.*.1*(%P! A7^;8;! K67! C7J7! 5;=;:B4O;=A7! K67! 8;A! L7=A>:;A! D>:! C4AD;L;D4C;CP! 7:B=7! 8;A!

K67! A7! 7:D67:B=;:! 8;A! L7=A>:;A! D>:! 0"1! A4! :>A! ;B7:7<>A! ;8! <>C78>! A>D4;8! C7!

C4AD;L;D4C;C!4<L67AB>!L>=!8;!+,#<"#4*/#'("'&%.'3%4*,#".'=#*(%.'.,>$"'&,.'?"$"4-,.'("'

&%.'@"$.,#%.'4,#'?*.4%9%4*(%(P!:>!A7;:!C4AD=4<4:;C;A!L>=!=;OM:!C7!C4AD;L;D4C;C!7:!78!

;DD7A>!I!6B484O;D4M:!C7!8;A!B@D:4D;A!C7!=7L=>C6DD4M:!E6<;:;!;A4AB4C;R!

!

)4! A7! L=>C6H7A7! B;8! 7ND86A4M:P! 8;A! L7=A>:;A! D>:! 0"1! L>C=T;:! =7D8;<;=! A6! C7=7DE>!

<7C4;:B7! 6:;! A7=47! C7! =7D6=A>AP! L=4<7=>P! ;:B7! 8;! ,C<4:4AB=;D4M:! IP! L>AB7=4>=<7:B7P!!

;:B7!8>A!_67D7A!I!2=4J6:;87AP!D>:!78!S4:!C7!>JB7:7=!A6!A;B4AS;DD4M:R!

!

!

65'!"7&*-)'

6545'789:;<=9>?@':='(=A=BC?'

+;!->:AB4B6D4M:!D>:A;5=;!7:!A6!;=BTD68>!UV!78!C7=7DE>!;!8;!L=>B7DD4M:!C7!8;!A;86CP!D6I>!

C7A;==>88>!:>=<;B4?>! A7!L=>C6D7!L>=!L=4<7=;!?7O!<7C4;:B7! 8;! +7I!WUXYZP!!"#"$%&'("'

)%#*(%(P!I!L>AB7=4>=<7:B7!I!7:B=7!>B=;A!:>=<;AP!L>=!8;!+7I!WZX\VP!+,-".*/#'0'+%&*(%('

("&')*.1"2%'3%4*,#%&'("')%&5(R!+>A!B4B68;=7A!C7!7AB7!C7=7DE>!A>:P!7:!L=4:D4L4>P!B>C>A!8>A!

7AL;^>87A!I!B>C>A!8>A!7NB=;:H7=>A!D>:!=7A4C7:D4;!7:!78!B7==4B>=4>!:;D4>:;8!`;=BR!WR[!+7I!

Page 3: VIH y Acceso a los tratamientos de reproducción humana asistida [HIV and Access to Human Assisted Reproduction Treatments]

V!

WUXYZaWR!+;!+7I!WUXYZ!=7D>:>D7!7:!A6!;=BTD68>!VR[!K67!78!;DD7A>!;!8;!;A4AB7:D4;!A;:4B;=4;!

I!;!8;A!L=7AB;D4>:7A!A;:4B;=4;A!A7!=7;84O;=]!7:!D>:C4D4>:7A!C7!456;8C;C!7S7DB4?;!I!7:!78!

;=BTD68>! W\! A7! 7:6<7=;! 6:;! A7=47! C7! C7=7DE>AP! B;87A! D><>! `4a! 78! =7AL7B>! ;! 8;!

L7=A>:;84C;CP! 8;! C45:4C;C! E6<;:;! I! 8;! 4:B4<4C;CP! A4:! K67! L67C;! C4AD=4<4:;=A7! L>=!

=;O>:7A! =;D4;87AP! A>D4;87AP! A7N6;87AP! <>=;87AP! 7D>:M<4D;AP! 4C7>8M54D;AP! L>8TB4D;A! >!

A4:C4D;87A[b! `44a! 8;! 4:S>=<;D4M:!A>J=7! 8>A!A7=?4D4>A!A;:4B;=4>A!;!K67!A7!L67C7!;DD7C7=!I!

A>J=7!8>A!=7K64A4B>A!:7D7A;=4>A!L;=;!A6!6A>b!`444a!8;!84J=7!787DD4M:!7:B=7!8;A!>LD4>:7A!K67!

L=7A7:B7! 78! =7AL>:A;J87! <@C4D>! C78! D;A>P! A47:C>! L=7D4A>! 78! L=7?4>! D>:A7:B4<47:B>!

7AD=4B>! C78! 6A6;=4>! L;=;! 8;! =7;84O;D4M:! C7! D6;8K647=! 4:B7=?7:D4M:P! A;8?>! 6:;! A7=47! C7!

7ND7LD4>:7A! 875;8<7:B7! 7AB;J87D4C;AR! (8! ;=BTD68>! U! +7I! WZX\V! D><L87B;! 8>A! C7=7DE>A!

K67!B47:7:!8>A!D46C;C;:>AV!7:!78!D>:H6:B>!C78!)4AB7<;!#;D4>:;8!C7!);86C!;8!=7D>:>D7=!

`4a!78!C7=7DE>!;!C4AL>:7=!C7!6:;!A756:C;!>L4:4M:! S;D68B;B4?;P! `44a!78!C7=7DE>!;! =7D4J4=!

;A4AB7:D4;!A;:4B;=4;!7:!A6!D><6:4C;C!;6BM:><;!7:!6:!B47<L>!<]N4<>!I!`444a!78!C7=7DE>!

;!=7D4J4=!;A4AB7:D4;!A;:4B;=4;!7:!;K6788;!D><6:4C;C!;6BM:><;!7:! 8;!K67!A7!7:D67:B=7!

C7AL8;O;C>! 7:! 8;A! <4A<;A! D>:C4D4>:7A! 7! 4C@:B4D;A! 5;=;:BT;A! K67! 8>A! D46C;C;:>A!

=7A4C7:B7A!7:!7A;!D><6:4C;C!;6BM:><;R!/>=!>B=;!L;=B7P!8;!A7DD4M:!B7=D7=;!C78!D;LTB68>!

L=4<7=>!C7! 8;! +7I!WZX\VP!;=BTD68>A![V!;![YP!7AB;J87D7!6:;!A7=47!C7!5;=;:BT;A!L;=;! 8;A!

L=7AB;D4>:7A! ;! 8;A! K67! A7! B47:7! C7=7DE>R! (8! ;=BTD68>! [V! 7AB;J87D7! 8;! A%$%#1B%' ("'

%44".*>*&*(%(!I!C4AL>:7!K67!cB>C>A!8>A!6A6;=4>A!C78!)4AB7<;!#;D4>:;8!C7!);86C!B7:C=]:!

;DD7A>!;!8;A!L=7AB;D4>:7A!=7D>:>D4C;A!7:!7AB;!87I!7:!D>:C4D4>:7A!C7!456;8C;C!7S7DB4?;db!

78! ;=BTD68>! [U! =7568;! 8;! A%$%#1B%' ("' 2,<*&*(%(! ;8! C4AL>:7=! K67! c78! ;DD7A>! ;! 8;A!

!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!W! (8! ;=BTD68>! VRW! +7I!WZX\V! A7^;8;!K67! A>:! B4B68;=7A!C7! 8>A! C7=7DE>A! ;! 8;! L=>B7DD4M:!C7! 8;! A;86C! I! ;! 8;!;B7:D4M:! A;:4B;=4;! B>C>A! 8>A! 7AL;^>87A! I! 8>A! 7NB=;:H7=>A! 7:! 78! B7==4B>=4>! :;D4>:;8! 7:! 8>A! B@=<4:>A!L=7?4AB>A!7:!78!;=BTD68>!W[!+%!UX\\b! 8>A!:;D4>:;87A!C7! 8>A!(AB;C>A!<47<J=>A!C7! 8;!3:4M:!(6=>L7;!K67!B47:7:!8>A!C7=7DE>A!K67!=7A68B7:!C78!C7=7DE>!D><6:4B;=4>!76=>L7>!I!C7!8>A!B=;B;C>A!I!D>:?7:4>A!K67!A7!A6AD=4J;:!L>=!78!(AB;C>!7AL;^>8!I!87A!A7;:!C7!;L84D;D4M:b!8>A!:;D4>:;87A!C7!(AB;C>A!:>!L7=B7:7D47:B7A!;!8;! 3:4M:! (6=>L7;! K67! B47:7:! 8>A! C7=7DE>A! K67! 87A! =7D>:>OD;:! 8;A! 87I7AP! 8>A! B=;B;C>A! I! D>:?7:4>A!A6AD=4B>AR![!-6=4>A;<7:B7P!8;!+7I!e7:7=;8!C7!);:4C;CP!K67!;<L8T;!8;!7:6<7=;D4M:!C7!D;6A;A!C7!C4AD=4<4:;D4M:!C78!;=BTD68>!WU!C7!8;!->:AB4B6D4M:P!:>!4:D86I7!7NL=7A;<7:B78;!A;86C!7:B=7!8;A!D;6A;A!C7!C4AD=4<4:;D4M:R!V! (AB;! =7S7=7:D4;! ;! F8>A! D46C;C;:>AG! :>! L;=7D7!<6I! ;S>=B6:;C;! I;! K67! 8>A! B4B68;=7A! C78! C7=7DE>! ;! 8;!L=>B7DD4M:! C7! 8;! A;86C! I! ;! 8;! ;B7:D4M:! A;:4B;=4;! :>! A>:! AM8>! 8;A! L7=A>:;A! K67! A>:! D46C;C;:>AR! +;!4:B7=L=7B;D4M:! <]A! S;?>=;J87! 7:! <;B7=4;! C7! C7=7DE>A! A7=T;! ;K6788;! K67! 4:D86I7A7! 7:! 78! D>:D7LB>!FD46C;C;:>AG!:>!AM8>!;!8>A!7AL;^>87A!A4:>!B;<J4@:P!D><>!<T:4<>P!;8!=7AB>!C7!8>A!B4B68;=7A!C7S4:4C>A!7:!78!;=BTD68>!VRW!+7I!WZX\VR!/>=!>B=>!8;C>P!78!L=>J87<;!C7!8;!C7B7=<4:;D4M:!C7!K64@:!7A!B4B68;=!A7!E;D7!<]A!7?4C7:B7! D6;:C>! 7:! 78! ;=BTD68>! W\! +7I! WUXYZ! A7! =7D>:>D7! K67! 8>A! C7=7DE>A! K67! ;88T! A7! 7:6<7=;:! A7!;B=4J6I7:!;!FB>C>AGP!A4:!E;D7=!C4AB4:D4M:!7:B=7!D46C;C;:>AP!7NB=;:H7=>A!=7A4C7:B7AP!:;D4>:;87A!C7!L;TA7A!C7! 8;! 3:4M:! (6=>L7;! >! :;D4>:;87A! C7! L;TA7A! D>:! 8>A! K67! A7! E;! S4=<;C>! 6:! B=;B;C>! >! D>:?7:4>! 7:! 8;!<;B7=4;R!

Page 4: VIH y Acceso a los tratamientos de reproducción humana asistida [HIV and Access to Human Assisted Reproduction Treatments]

U!

L=7AB;D4>:7A! =7D>:>D4C;A! 7:! 7AB;! 87I! A7! 5;=;:B4O;=]! D>:! 4:C7L7:C7:D4;! C78! 865;=! C78!

B7==4B>=4>!:;D4>:;8!7:!78!K67!A7!7:D67:B=7:!7:!D;C;!<><7:B>!8>A!6A6;=4>A!C78!)4AB7<;!

#;D4>:;8! C7! );86CP! ;B7:C47:C>! 7AL7D4;8<7:B7! ;! 8;A! A4:568;=4C;C7A! C7! 8>A! B7==4B>=4>A!

4:A68;=7Adb! 78! ;=BTD68>! [f! A7! =7S47=7! ;! 8;! A%$%#1B%' ("' 1*"29,! D6;:C>! A7^;8;! K67!

<7C4;:B7! &7;8!.7D=7B>! A7! ;L=>J;=]:! c8>A! D=4B7=4>A!<;=D>! L;=;! 5;=;:B4O;=! 6:! B47<L>!

<]N4<>! C7! ;DD7A>! ;! 8;A! L=7AB;D4>:7A! C78! )4AB7<;! #;D4>:;8! C7! );86Cd! I! K67! D;C;!

-><6:4C;C! ,6BM:><;! C7S4:4=]! c8>A! B47<L>A! <]N4<>A! C7! ;DD7A>! ;! A6! D;=B7=;! C7!

A7=?4D4>A!C7:B=>!C7!C4DE>!<;=D>db!78!;=BTD68>![Z!A7!>D6L;!C7!8;!A%$%#1B%'("'*#C,$2%4*/#!

;! 8>A! D46C;C;:>A! C7! A6A! C7=7DE>A! I! C7J7=7AP! C7! 8;A! L=7AB;D4>:7AP! C7! 8;! D;=B7=;! C7!

A7=?4D4>A!I!C7!8>A!=7K64A4B>A!:7D7A;=4>A!L;=;!78!;DD7A>!;!@AB>Ab!78!;=BTD68>![g!=7D>57!8;!

A%$%#1B%'("'."A5$*(%(!IP!L>=!Q8B4<>P!78!;=BTD68>![Y!8;A!A%$%#1B%.'("'4%&*(%('0'."$<*4*,.'

("'$"C"$"#4*%R!

!

+;!L=>B7DD4M:!C7!8;!A;86C!7A!6:;!<;B7=4;!K67!E;!A4C>!;S7DB;C;!L>=!<Q8B4L87A!C7A;==>88>A!

:>=<;B4?>A! B;:B>! ;! :4?78! :;D4>:;8! D><>! ;! :4?78! ;6B>:M<4D>! L67A! :>A! 7:D>:B=;<>A!

;:B7! 6:;! <;B7=4;! 7:! 8;! K67P! L>=! 6:! 8;C>P! 78! (AB;C>! A7! E;! 56;=C;C>P! 7:! ?4=B6C! C78!

;=BTD68>! WUhRWRWZ! C7! 8;! ->:AB4B6D4M:P! 8;! D><L7B7:D4;! C7! 7AB;J87D7=! 8>A! L=4:D4L4>A! I!

D=4B7=4>A! A6JAB;:B4?>A! K67! L7=<4B;:! D>:S7=4=! ;8! A4AB7<;! A;:4B;=4>! 6:;A! D;=;DB7=TAB4D;A!

57:7=;87A! I! D><6:7AP! K67! A7;:! S6:C;<7:B>! C7! 8>A! A7=?4D4>A! A;:4B;=4>A! 7:! B>C>! 78!

B7==4B>=4>!C78!(AB;C>P!IP!L>=!>B=>! 8;C>P! 8;A!-><6:4C;C7A!,6BM:><;A!A>:!D><L7B7:B7A!

L;=;!;C<4:4AB=;=!8>A!A7=?4D4>A!C7!A;86C!7:!A6!]<J4B>!B7==4B>=4;8!D>:!78!S4:!C7!;L=>N4<;=!

8;!57AB4M:!C7!8;!;A4AB7:D4;!A;:4B;=4;!;8!D46C;C;:>!I!S;D484B;=87P!;ATP!5;=;:BT;A!7:!D6;:B>!;!

8;!7K64C;CP!8;!D;84C;C!I!8;!L;=B4D4L;D4M:R!

!

+;! +7I! WZX\V! ;J>=C;! ;<J>A! ;AL7DB>A! I;! K67P! 7:!L=4<7=! 865;=P! 7:B=7! 8>A! L=4:D4L4>A! I!

D=4B7=4>A! A6JAB;:B4?>A! K67! L7=<4B7:! D>:S7=4=! ;8! A4AB7<;! A;:4B;=4>! 6:;A! D;=;DB7=TAB4D;A!

57:7=;87A! I! D><6:7AP! K67! A7;:! S6:C;<7:B>! C7! 8>A! A7=?4D4>A! A;:4B;=4>A! 7:! B>C>! 78!

B7==4B>=4>!C78!(AB;C>P!7AB]! 8;!C7B7=<4:;D4M:!C7!6:;!D;=B7=;!C7!A7=?4D4>A!D>:! 8;!K67!A7!

L=7B7:C7!5;=;:B4O;=!6:;!A7=47!C7!A7=?4D4>A!D><6:7A!;!8>A!6A6;=4>!C78!)4AB7<;!#;D4>:;8!

C7!);86C!7:!D>:C4D4>:7A!456;8C;C!7S7DB4?;!I!D;84C;Cb!IP!7:!A756:C>!865;=P!A6!>JH7B4?>!7A!

78! C7! D=7;=! 78! <;=D>! 875;8! L;=;! 8;A! ;DD4>:7A! C7! D>>=C4:;D4M:! I! D>>L7=;D4M:! C7! 8;A!

;C<4:4AB=;D4>:7A! LQJ84D;A! A;:4B;=4;A! ;! :4?78! 7AB;B;8! I! ;6B>:M<4D>P! A47:C>! 6:;! C7! 8;A!

Page 5: VIH y Acceso a los tratamientos de reproducción humana asistida [HIV and Access to Human Assisted Reproduction Treatments]

f!

;DD4>:7A!8;!C7B7=<4:;D4M:!C7!8>A!A7=?4D4>A!K67!?;:!;!A7=!D><6:7A!7:!B>C>!78!B7==4B>=4>!

:;D4>:;8! I! 8>A! K67! ?;:! ;! A7=! C4S7=7:B7A! 7:! D;C;! -><6:4C;C! ,6BM:><;! `;=BR! f! +7I!

WZX\VaR!

!

(8! ;=BTD68>! gRW! +7I! WZX\V! 7AB;J87D7! K67! 78! D;B]8>5>! C7! L=7AB;D4>:7A! C78! )4AB7<;!

#;D4>:;8!C7!);86C!B47:7!L>=!>JH7B>!5;=;:B4O;=!8;A!D>:C4D4>:7A!J]A4D;A!I!D><6:7A!L;=;!

6:;!;B7:D4M:! 4:B75=;8P! D>:B4:6;C;!I!7:!78!:4?78!;C7D6;C>!C7!;B7:D4M:R!)7!D>:A4C7=;:!

L=7AB;D4>:7A! C7! ;B7:D4M:! A;:4B;=4;! C78! )4AB7<;! #;D4>:;8! C7! );86C! 8>A! A7=?4D4>A! >!

D>:H6:B>! C7! A7=?4D4>A! L=7?7:B4?>AP! C4;5:MAB4D>AP! B7=;L@6B4D>AP! C7! =7E;J484B;D4M:! I! C7!

L=><>D4M:!I!<;:B7:4<47:B>!C7!8;!A;86C!C4=454C>A!;!8>A!D46C;C;:>AR!)7^;8;P!L>=!Q8B4<>P!

K67! 78! D;B]8>5>! D><L=7:C7=]! 8;A! L=7AB;D4>:7A! D>==7AL>:C47:B7A! ;! 8>A! ]<J4B>A! C7! `4a!

A;86C! LQJ84D;P! `44a! ;B7:D4M:! L=4<;=4;P! `444a! ;B7:D4M:! 7AL7D4;84O;C;P! `4?a! ;B7:D4M:!

A>D4>A;:4B;=4;P!`?a!;B7:D4M:!C7!6=57:D4;AP!`?4a!C7!S;=<;D4;P!`?44a!>=B>L=>B@A4D>AP!`?444a!C7!

L=>C6DB>A!C47B@B4D>A!I! `4Na!C7! B=;:AL>=B7!A;:4B;=4>R!(8!;=BTD68>!Y!+7I!WZX\V!D>:B7<L8;!

K67!8;A!L=7AB;D4>:7A!A;:4B;=4;A!C78!D;B]8>5>!A7!E;=]:!7S7DB4?;A!<7C4;:B7!8;!D;=B7=;!C7!

A7=?4D4>A! D><6:7AP! 8;! D6;8! A7=]! ;D>=C;C;! 7:! 78! A7:>! C78! ->:A7H>! ":B7=B7==4B>=4;8! C78!

)4AB7<;!#;D4>:;8!C7!);86CR!/>=!A6!L;=B7P!78!;=BTD68>!W\!+7I!WZX\V!A7^;8;!7:!78!;L;=B;C>!

W! K67! 8;A! L=7AB;D4>:7A! A>:! 6:;! =7AL>:A;J484C;C! S4:;:D47=;! C7! 8;A! -><6:4C;C7A!

,6BM:><;A! C7! D>:S>=<4C;C! D>:! 8>A! ;D67=C>A! C7! B=;:AS7=7:D4;A! I! 78! A4AB7<;! C7!

S4:;:D4;D4M:!;6B>:M<4D;P! I!7:!78! ;L;=B;C>!V! A7! 4:C4D;!K67! 8;! 4:D86A4M:!C7!6:;!:67?;!

L=7AB;D4M:! 7:! 78! D;B]8>5>! A7! ;D><L;^;=]! C7! 6:;! <7<>=4;! 7D>:M<4D;P! 8;! D6;8! A7!

787?;=]!;8!->:A7H>!C7!/>8TB4D;!$4AD;8!I!$4:;:D47=;R!(AB;A!L=7?4A4>:7A!C7J7:!D><L87B;=A7!

D>:!8;!L>B7AB;C!K67!A7!>B>=5;!;!8;A!-><6:4C;C7A!,6BM:><;A!7:!78!4:D4A>!A756:C>!C78!

;L;=B;C>! A756:C>! C78! ;=BTD68>! [\! +7I! WZX\V! L67A! 7NL=7A;<7:B7! A7! A7^;8;! K67! c8;A!

D><6:4C;C7A! ;6BM:><;AP! 7:! 78! ]<J4B>! C7! A6A! D><L7B7:D4;AP! L>C=]:! ;L=>J;=! A6A!

=7AL7DB4?;A! D;=B7=;A!C7! A7=?4D4>AP! K67! 4:D864=]:! D6;:C>!<7:>A! 8;! D;=B7=;!C7! A7=?4D4>A!

C78!)4AB7<;!#;D4>:;8!C7!);86CdR!

!

(:!78!L=>D7A>!C7!78;J>=;D4M:!C7!8;A!D;=B7=;A!C7!A7=?4D4>AP!I;!A7;!8;!D;=B7=;!D><Q:!>!8;A!

7AL7DTS4D;A! C7! D;C;! -><6:4C;C! ,6BM:><;P! C7J7=]! B7:7=A7! 7:! D67:B;P! 7:B=7! >B=;A!

D>A;AP! 8;! 7S4D47:D4;P! 7S7DB4?4C;CP! A756=4C;C! I! 6B484C;C! B7=;L@6B4D;AP! 8;A! ?7:B;H;A! I!

;8B7=:;B4?;A!;A4AB7:D4;87AP!I!78!D64C;C>!C7!8>A!5=6L>A!<7:>A!L=>B754C>A!>!C7!=47A5>!`;=BR!

Page 6: VIH y Acceso a los tratamientos de reproducción humana asistida [HIV and Access to Human Assisted Reproduction Treatments]

Z!

[\R[!B7=D7=!4:D4A>!+7I!WZX\VaR!/>=!>B=>!8;C>P!78!L=>D7A>!C7!;DB6;84O;D4M:!C7!8;!D;=B7=;!C7!

A7=?4D4>A!A7!C7J7=]!=7568;=!<7C4;:B7!6:;!>=C7:!C78!'4:4AB7=4>!C7!);:4C;C!`;=BR![W!+7I!

WZX\VaUR! (AB;A! :67?;A! B@D:4D;AP! B7D:>8>5T;A! >! L=>D7C4<47:B>A! A7=]:! A><7B4C;A! ;!

7?;86;D4M:! L>=! 78! '4:4AB7=4>! C7! );:4C;C! I! ->:A6<>P! ;! B=;?@A! C7! 8;! ,57:D4;! C7!

(?;86;D4M:!C7! 27D:>8>5T;A! );:4B;=4;A! C78! ":AB4B6B>!C7! );86C!-;=8>A! """P! K67! D>8;J>=;=]!

D>:! >B=>A! M=5;:>A! 7?;86;C>=7A! L=>L67AB>A! L>=! 8;A! -><6:4C;C7A! ,6BM:><;AR! +;!

7?;86;D4M:! B7:C=]! L>=! >JH7B>! ?7=4S4D;=! K67P! 7:B=7! >B=;A! D>A;AP! 8;A! :67?;A! B@D:4D;AP!

B7D:>8>5T;A! >! L=>D7C4<47:B>A! D>:B=4J6I7:! C7! S>=<;! 7S4D;O! ;! 8;! L=7?7:D4M:P! ;8!

C4;5:MAB4D>! >! ;8! B=;B;<47:B>! C7! 7:S7=<7C;C7AP! ;! 8;! D>:A7=?;D4M:! >! <7H>=;! C7! 8;!

7AL7=;:O;!C7! ?4C;P! ;8! ;6B>?;84<47:B>!>! ;! 8;! 784<4:;D4M:!>! C4A<4:6D4M:!C78! C>8>=! I! 78!

A6S=4<47:B>b! I! ;L>=B;! 6:;! <7H>=;P! 7:! B@=<4:>A! C7! A756=4C;CP! 7S4D;D4;P! 7S7DB4?4C;CP!

7S4D47:D4;!>!6B484C;C!C7<>AB=;C;!=7AL7DB>!;!>B=;A!;8B7=:;B4?;A!S;D484B;C;A!`;=BR![WRV!+7I!

WZX\VaR!

!

+;! =7568;D4M:! 7AL7DTS4D;! C7! 8;! D;=B7=;! C7! A7=?4D4>A! D><6:7A! C78! )4AB7<;!#;D4>:;8! C7!

);86C!A7!E;D7!7:!78!&.!W\V\X\ZP!L>=!<;:C;B>!C78!;=BTD68>![\R[!+7I!WZX\VfR!(8!;=BTD68>!W!

&.! W\V\X\Z! A7^;8;! K67! A6! >JH7B>! 7AP! 7:! L=4<7=! 865;=P! 7AB;J87D7=! 78! D>:B7:4C>! C7! 8;!

D;=B7=;! C7! A7=?4D4>A! D><6:7A! C7! 8;A! L=7AB;D4>:7A! A;:4B;=4;A! C7! 8>A! ]<J4B>A! C7! A;86C!

LQJ84D;P!;B7:D4M:!L=4<;=4;P!;B7:D4M:!7AL7D4;84O;C;P!;B7:D4M:!C7!6=57:D4;P!C7!S;=<;D4;P!

>=B>L=>B@A4D>P!C7!L=>C6DB>A!C47B@B4D>A!I!C7!B=;:AL>=B7!A;:4B;=4>P!I!7:!78!;=BTD68>![!&.!

W\V\X\Z! A7! C7S4:7! 8;! D;=B7=;! C7! A7=?4D4>A! D><6:7A! D><>! c78! D>:H6:B>! C7! B@D:4D;AP!

B7D:>8>5T;A! >! L=>D7C4<47:B>AP! 7:B7:C47:C>! L>=! B;87A! D;C;! 6:>! C7! 8>A! <@B>C>AP!

;DB4?4C;C7A! I! =7D6=A>A! J;A;C>A! 7:! 78! D>:>D4<47:B>! I! 7NL7=4<7:B;D4M:! D47:BTS4D;P!

<7C4;:B7! 8>A! K67! A7! E;D7:! 7S7DB4?;A! 8;A! L=7AB;D4>:7A! A;:4B;=4;AdZR! )7! =74B7=;! 7:! 78!

;L;=B;C>!V!C78!;=BTD68>![!&.!W\V\X\Z!K67!8>A!B4B68;=7A!C7!8>A!C7=7DE>A!;!8;!L=>B7DD4M:!

C7!8;!A;86C!I!;!8;!;B7:D4M:!A;:4B;=4;!;!B=;?@A!C7!8;!D;=B7=;!C7!A7=?4D4>A!D><6:7A!A>:!8;A!

L7=A>:;A!K67!A7!7:6<7=;:!7:!78!;=BTD68>!VRW!+7I!WZX\V!I!A7!A7^;8;!K67!8>A!6A6;=4>A!C78!

)4AB7<;!#;D4>:;8! C7! );86C! B7:C=]:! ;DD7A>! ;! 8;! D;=B7=;! C7! A7=?4D4>A! D><6:7A! K67! A7!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!U! 0@;A7! 8;! %=C7:! )-%XVU[[X[\\g! K67! C7A;==>88;! 78! L=>D7C4<47:B>! C7! ;DB6;84O;D4M:! C7! 8;! D;=B7=;! C7!A7=?4D4>A!D><6:7A!C78!)4AB7<;!#;D4>:;8!C7!);86CR!f!(8!;=BTD68>![\R[!+7I!WZX\V!C4AL>:7!K67!c7:!78!A7:>!C78!->:A7H>!":B7=B7==4B>=4;8!A7!;D>=C;=]!8;!D;=B7=;!C7!A7=?4D4>A!D>==7AL>:C47:B7A!;8!D;B]8>5>!C7!L=7AB;D4>:7A!;8!K67!A7!=7S47=7!78!;=BTD68>!g!C7!7AB;!87IP!K67!A7!;L=>J;=]!<7C4;:B7!=7;8!C7D=7B>dR!Z!07;A7!B;<J4@:!;=BTD68>![\RW!+7I!WZX\VR!

Page 7: VIH y Acceso a los tratamientos de reproducción humana asistida [HIV and Access to Human Assisted Reproduction Treatments]

g!

7AL7D4S4D;!7:!8>A!;:7N>A!C78!&.!W\V\X[\\Z!cA47<L=7!K67!7N4AB;!6:;!4:C4D;D4M:!D8T:4D;!I!

A;:4B;=4;!L;=;!788>P!7:!D>:C4D4>:7A!C7!456;8C;C!7S7DB4?;P!;8!<;=57:!C7!K67!A7!C4AL>:5;!

>! :>! C7! 6:;! B@D:4D;P! B7D:>8>5T;! >! L=>D7C4<47:B>! 7:! 78! ]<J4B>! 57>5=]S4D>! 7:! 78! K67!

=7A4C;:R! +>A! A7=?4D4>A! C7! A;86C! K67! :>! L67C;:! >S=7D7=! ;856:;! C7! 8;A! B@D:4D;AP!

B7D:>8>5T;A!>!L=>D7C4<47:B>A!D>:B7<L8;C>A!7:!7AB;!D;=B7=;!7:!A6!]<J4B>!57>5=]S4D>!

7AB;J87D7=]:!8>A!<7D;:4A<>A!:7D7A;=4>A!C7!D;:;84O;D4M:!I!=7<4A4M:!C7!8>A!6A6;=4>A!K67!

8>!L=7D4A7:!;8!D7:B=>!>!A7=?4D4>!C>:C7!87A!L67C;!A7=!S;D484B;C>P!7:!D>>=C4:;D4M:!D>:!78!

A7=?4D4>!C7!A;86C!K67! 8>!L=>L>=D4>:7dR!,ATP! A7!D>:D=7B;!<]A!;C78;:B7P!78!;DD7A>!;! 8;A!

L=7AB;D4>:7A! A;:4B;=4;A! C78! )4AB7<;! #;D4>:;8! C7! );86CP! C7B;88;C;A! 7:! 8;! D;=B7=;! C7!

A7=?4D4>A!D><6:7AP!cA7!5;=;:B4O;=]!D>:!4:C7L7:C7:D4;!C78!865;=!C78!B7==4B>=4>!:;D4>:;8!

7:! 78! K67! A7! 7:D67:B=7:! 7:! D;C;! <><7:B>! 8>A! 6A6;=4>A! C78! A4AB7<;P! ;B7:C47:C>!

7AL7D4;8<7:B7! ;! 8;A! A4:568;=4C;C7A! C7! 8>A! B7==4B>=4>A! 4:A68;=7A! I! C7! 8;A! -46C;C7A! C7!

-76B;!I!'78488;dR!/>=!>B=>!8;C>P!7:!78!;L;=B;C>!Z!C78!;=BTD68>![!&.!W\V\X\Z!A7!=7D67=C;!

K67!8;A!L=7AB;D4>:7AP!D6I;!D;=B7=;!C7!A7=?4D4>A!A7!7AB;J87D7!7:!8>A!;:7N>A!:6<7=;C>A!

C78! "! ;8! 0""! K67! A7! 4:D86I7:! 7:! 78! &.! W\V\X\ZP! A7! S4:;:D4;=]:! L>=! 8;A! -><6:4C;C7A!

,6BM:><;A! C7! D>:S>=<4C;C! D>:! 8>A! ;D67=C>A! C7! B=;:AS7=7:D4;! I! 78! A4AB7<;! C7!

S4:;:D4;D4M:!;6B>:M<4D;!?457:B7R!

!

(8!;=BTD68>!U!&.!W\V\X[\\Z!A7^;8;!B=7A!C7J7=7A!C7!8>A!L=>S7A4>:;87A!A;:4B;=4>A!K67!A>:!

<6I!4<L>=B;:B7A!7:!78!C7A;==>88>!C78!B7<;!K67!B=;B;!7AB7!4:S>=<7!I;!K67!78!;DD7A>!;!8;!

D;=B7=;! C7! A7=?4D4>A! C7L7:C7=]! C7! K67! E;I;! 6:! C4;5:MAB4D>! C7! 4:S7=B484C;C! >! 6:;!

4:C4D;D4M:!D8T:4D;!L=7?4>AR!/>=!B;8!<>B4?>!A7! 87A!=7D67=C;!`4a!78!C7J7=!C7!E;D7=!6:!6A>!

=;D4>:;8!C7!8>A!=7D6=A>A!C4;5:MAB4D>A!I!B7=;L@6B4D>A!;!A6!D;=5>P!7?4B;:C>!A6!4:;C7D6;C;!

6B484O;D4M:R! _6:B>! ;! 7A7! C7J7=! A7! =7D>57:! `44a! 78! C7J7=! C7! =7AL7B;=! 8;! L7=A>:;84C;CP!

C45:4C;C!7!4:B4<4C;C!C7!8;A!L7=A>:;A!;!A6!D64C;C>!I!A6!L;=B4D4L;D4M:!7:!8;A!C7D4A4>:7A!

K67!87A!;S7DB7:!I!`444a!78!C7J7=!C7!>S=7D7=!6:;!4:S>=<;D4M:!A6S4D47:B7!I!;C7D6;C;!L;=;!

K67!;K6@88;A!L67C;:!7H7=D7=!A6!C7=7DE>!;8!D>:A7:B4<47:B>!A>J=7!C4DE;A!C7D4A4>:7AP!C7!

;D67=C>! D>:! 8>! =7568;C>! L>=! 8;! +7I! UWX\[P! DE.*4%' $"A5&%(,$%' ("' &%' ;51,#,2B%' ("&'

@%4*"#1"' 0' ("' ?"$"4-,.' 0' F>&*A%4*,#".' "#'2%1"$*%' ("' G#C,$2%4*/#' 0' ?,452"#1%4*/#'

+&B#*4%P!I!=7AL7B;:C>!8;!+7I!%=5]:4D;!WfXhhP!@$,1"44*/#'("'?%1,.'("'+%$E41"$'@"$.,#%&R!

!

Page 8: VIH y Acceso a los tratamientos de reproducción humana asistida [HIV and Access to Human Assisted Reproduction Treatments]

Y!

/>=! >B=>! 8;C>P! 78! ;=BTD68>! V! &.! W\V\X[\\Z! A7^;8;! K67! 8>A! A7=?4D4>A! cB47:7:! 8;!

D>:A4C7=;D4M:!C7!J]A4D>A!I!D><6:7AP!7:B7:C47:C>!L>=!B;87A!8>A!:7D7A;=4>A!L;=;!887?;=!;!

D;J>!6:;!;B7:D4M:!A;:4B;=4;!;C7D6;C;P! 4:B75=;8!I!D>:B4:6;C;!;! B>C>A! 8>A!6A6;=4>A!C78!

)4AB7<;! #;D4>:;8! C7! );86CdR! .7! B;8! S>=<;! K67! 8;! D;=B7=;! C7! A7=?4D4>A! D><6:7A! C78!

)4AB7<;!#;D4>:;8!C7!);86C!cC7J7!5;=;:B4O;=!8;!;B7:D4M:!4:B75=;8!I!8;!D>:B4:64C;C!C7!8;!

;A4AB7:D4;!L=7AB;C;!;!8>A!6A6;=4>AP!4:C7L7:C47:B7<7:B7!C78!:4?78!;A4AB7:D4;8!7:!78!K67!

A7! 87A! ;B47:C;! 7:! D;C;! <><7:B>dR! (8! ;=BTD68>! f! &.! W\V\X[\\Z! A7^;8;! K67! L;=;! 8;!

C7S4:4D4M:P! C7B;887! I! ;DB6;84O;D4M:! C7! 8;! D;=B7=;! C7! A7=?4D4>A! D><6:7A! cA7! B7:C=]! 7:!

D67:B;! 8;! A756=4C;CP! 7S4D;D4;P! 7S4D47:D4;P! 7S7DB4?4C;C! I! 6B484C;C! B7=;L@6B4D;A! C7! 8;A!

B@D:4D;AP! B7D:>8>5T;A! I! L=>D7C4<47:B>AP! ;AT! D><>! 8;A! ?7:B;H;A! I! ;8B7=:;B4?;A!

;A4AB7:D4;87AP! 78! D64C;C>! C7! 5=6L>A!<7:>A! L=>B754C>A! >! C7! =47A5>! I! 8;A! :7D7A4C;C7A!

A>D4;87AP! I! A6! 4<L;DB>! 7D>:M<4D>! I! >=5;:4O;B4?>dR! /;=;! 788>! A7! J;A;! 7:!6:;! A7=47! C7!

D=4B7=4>A! I! =7K64A4B>AR! ,ATP! L=7?4;<7:B7! ;! A6! 4:D86A4M:! 7:! 8;! D;=B7=;P! 8;A! B@D:4D;AP!

B7D:>8>5T;A! >! L=>D7C4<47:B>A! K67! L;=;! A6! =7;84O;D4M:! L=7D4A7:! 6B484O;=! 6:!

<7C4D;<7:B>P!L=>C6DB>!A;:4B;=4>P!L=>C6DB>!C47B@B4D>!6!>B=>!B4L>!C7!L=>C6DB>P!=7A68B;!

4<L=7AD4:C4J87!K67!`4a!8>A!<7C4D;<7:B>A!7AB@:!;6B>=4O;C>A!L;=;!A6!D><7=D4;84O;D4M:!C7!

;D67=C>!D>:!8;! 8754A8;D4M:!?457:B7P!I!A7!6B484D7:!D>:S>=<7!;!8;A!7AL7D4S4D;D4>:7A!C7!A6!

S4DE;! B@D:4D;! ;6B>=4O;C;b! `44a! 8>A! L=>C6DB>A! A;:4B;=4>AP! 4:D864C>A! 8>A! 4<L8;:B7A! I! 8>A!

=7;DB4?>A!L;=;!C4;5:MAB4D>! *#' <*1$,P! D67:B7:! D>:!78!<;=D;C>!-(!L;=;! 8;! 4:C4D;D4M:!C7!

K67! A7! B=;B7P! ;AT! D><>! 8>A! =7AB;:B7A! =7K64A4B>A!K67!7AB;J87D7!78!&.!UWUXWhhZP!L>=!78!

K67! A7! =7568;:! 8>A! L=>C6DB>A! A;:4B;=4>AgP! I! C7<]A! :>=<;B4?;! C7! ;L84D;D4M:b! `444a! 8>A!

L=>C6DB>A! C47B@B4D>A! 7AB@:! 4:AD=4B>A! 7:! 78! &754AB=>! e7:7=;8! );:4B;=4>! C7! ,84<7:B>A!

D><>! ;84<7:B>A! C47B@B4D>A! C7AB4:;C>A! ;! 6A>A! <@C4D>A! 7AL7D4;87Ab! `4?a! 8>A! C7<]A!

L=>C6DB>A!A><7B4C>A!;!=7568;D4M:!7AL7DTS4D;!D6<L8;:!8;!=7AL7DB4?;!:>=<;B4?;!?457:B7!

K67!87A!A7;!C7!;L84D;D4M:R!

!

+;A!B@D:4D;AP!B7D:>8>5T;A!>!L=>D7C4<47:B>A!L;=;!A7=!4:D864C>A!D><>!L;=B7!C7!8;!D;=B7=;!

C7!A7=?4D4>A!D><6:7A!C78!)4AB7<;!#;D4>:;8!C7!);86CP!C7J7=]:! `4a! D>:B=4J64=!C7! S>=<;!

7S4D;O! ;! 8;! L=7?7:D4M:P! ;8! C4;5:MAB4D>! >! ;8! B=;B;<47:B>! C7! 7:S7=<7C;C7AP! ;! 8;!

D>:A7=?;D4M:!>!<7H>=;!C7!8;!7AL7=;:O;!C7!?4C;P!;8!;6B>?;84<47:B>!>!;!8;!784<4:;D4M:!>!

!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!g!0@;A7!8;!+7I![hX\ZP!!%$%#1B%.'0'=.,'8%4*,#%&'("'&,.'H"(*4%2"#1,.'0'@$,(541,.')%#*1%$*,.R!

Page 9: VIH y Acceso a los tratamientos de reproducción humana asistida [HIV and Access to Human Assisted Reproduction Treatments]

h!

C4A<4:6D4M:! C78! C>8>=! I! 78! A6S=4<47:B>b! `44a! ;L>=B;=! 6:;! <7H>=;P! 7:! B@=<4:>A! C7!

A756=4C;CP! 7S4D;D4;P! 7S7DB4?4C;CP! 7S4D47:D4;! >! 6B484C;C! C7<>AB=;C;P! =7AL7DB>! ;! >B=;A!

;8B7=:;B4?;A! S;D484B;C;A! ;DB6;8<7:B7b! `444a! D6<L84=! 8;A! 7N457:D4;A! K67! 7AB;J87OD;! 8;!

8754A8;D4M:! ?457:B7! 7:! 78! D;A>! C7! K67! 4:D86I;:! 8;! 6B484O;D4M:! C7! <7C4D;<7:B>AP!

L=>C6DB>A!A;:4B;=4>A!6!>B=>A!L=>C6DB>AR!

!

#>! A7! 4:D864=]:! 7:! 8;! D;=B7=;! C7! A7=?4D4>A! D><6:7A! ;K6788;A! B@D:4D;AP! B7D:>8>5T;A! >!

L=>D7C4<47:B>A!`4a!D6I;!D>:B=4J6D4M:!7S4D;O!;! 8;!L=7?7:D4M:P!C4;5:MAB4D>P!B=;B;<47:B>P!

=7E;J484B;D4M:!>!D6=;D4M:!C7!8;A!7:S7=<7C;C7AP!D>:A7=?;D4M:!>!<7H>=;!C7!8;!7AL7=;:O;!

C7! ?4C;P! ;6B>:><T;! I! 784<4:;D4M:! >! C4A<4:6D4M:! C78! C>8>=! I! 78! A6S=4<47:B>! :>! 7AB@!

A6S4D47:B7<7:B7!L=>J;C;b!`44a!K67!A7!7:D67:B=7:!7:!S;A7!C7!4:?7AB45;D4M:!D8T:4D;P!A;8?>!

8>A! ;6B>=4O;C>A! L;=;! 6A>! D><L;A4?>b! `444a! K67! :>! 56;=C7:! =78;D4M:! D>:! 7:S7=<7C;CP!

;DD4C7:B7!>!<;8S>=<;D4M:!D>:5@:4B;b!`4?a!K67!B7:5;:!D><>!S4:;84C;C!<7=;A!;DB4?4C;C7A!

C7! >D4>P! C7AD;:A>P! D>:S>=BP! C7L>=B7! >! <7H>=;! 7AB@B4D;! >! D>A<@B4D;P! 6A>! C7! ;56;AP!

J;8:7;=4>A!>!D7:B=>A!=7A4C7:D4;87A!6!>B=;A!A4<48;=7AR!2;<L>D>!A7!4:D864=]:!8;!=7;84O;D4M:!

C7! =7D>:>D4<47:B>A! I! 7N]<7:7A! >! L=67J;A! J4>8M54D;A! ?>86:B;=4;<7:B7! A>84D4B;C;A! >!

=7;84O;C;A! L>=! 4:B7=@A! C7! B7=D7=>AR! +;! 7ND86A4M:! C7! 6:;! B@D:4D;P! B7D:>8>5T;! >!

L=>D7C4<47:B>!4:D864C>!7:!8;!D;=B7=;!C7!A7=?4D4>A!D><6:7A!A7!887?;=]!;!D;J>!D6;:C>!`4a!

A7! 7?4C7:D47! A6! S;8B;! C7! 7S4D;D4;P! 7S7DB4?4C;C! >! 7S4D47:D4;P! >! K67! 78! J;8;:D7! 7:B=7!

J7:7S4D4>! I! =47A5>! A7;! A45:4S4D;B4?;<7:B7! C7AS;?>=;J87b! `44a! E;I;! L7=C4C>! A6! 4:B7=@A!

A;:4B;=4>! D><>! D>:A7D67:D4;! C78! C7A;==>88>! B7D:>8M54D>! I! D47:BTS4D>! >! :>! E;J7=!

C7<>AB=;C>!A6!6B484C;C!A;:4B;=4;b!`444a!C7H7!C7!D6<L84=!8>A!=7K64A4B>A!7AB;J87D4C>A!L>=!8;!

8754A8;D4M:!?457:B7R!

!

(8!;=BTD68>!Z!&.!W\V\X\Z!A7^;8;!K67!78!D>:B7:4C>!C7!8;!D;=B7=;!C7!A7=?4D4>A!D><6:7A!C78!

)4AB7<;!#;D4>:;8!C7!);86C!D>==7AL>:C47:B7!;! B>C;A! 8;A!L=7AB;D4>:7A!A7!=7D>57!7:! 8>A!

;:7N>A! 4:D864C>A! 7:! 78! L=>L4>! &7;8! .7D=7B>R! (8! ,:7N>! """P! C7C4D;C>! ;! 8;! D;=B7=;! C7!

A7=?4D4>A!D><6:7A!C78!]<J4B>!C7!8;!;B7:D4M:!7AL7D4;84O;C;P!4:D86I7!7:!78!7LT5=;S7!YP!C7!

8;!A7DD4M:!V!C78!D;LTB68>!fP!8;!=7L=>C6DD4M:!E6<;:;!;A4AB4C;!I!D>:C4D4>:;!78!;DD7A>!;!8;!

7N4AB7:D4;! >! J47:! C7! 6:! C4;5:MAB4D>! C7! 7AB7=484C;C! >! J47:! C7! 6:;! 4:C4D;D4M:! D8T:4D;!

7AB;J87D4C;P!C7!;D67=C>!D>:!8>A!L=>5=;<;A!C7!D;C;!A7=?4D4>!C7!A;86CR!(:!C4DE>!7LT5=;S7!

A7!7:6<7=;:! 8;A! B=7A! B@D:4D;A! 4:D864C;A!7:! 8;! D;=B7=;!C7! A7=?4D4>Ai! `4a! 8;! 4:A7<4:;D4M:!

Page 10: VIH y Acceso a los tratamientos de reproducción humana asistida [HIV and Access to Human Assisted Reproduction Treatments]

W\!

;=B4S4D4;8b! `44a! 8;! S7D6:C;D4M:! *#' <*1$,! 7! 4:I7DD4M:! 4:B=;D4B>L8;A<]B4D;! C7!

7AL7=<;B>O>4C7AP! D>:! 5;<7B>A! L=>L4>A! >! C7! C>:;:B7! I! D>:! B=;:AS7=7:D4;! C7!

7<J=4>:7Ab!`444a!8;!B=;:AS7=7:D4;!4:B=;B6J]=4D;!C7!5;<7B>AR!

!

(:! 78! ]<J4B>! ;6B>:M<4D>! 7:D>:B=;<>A! 6:;! 5=;:! D;:B4C;C! C7! :>=<;A! H6=TC4D;AP! 7:!

B>C>A! 8>A! :4?787A! H7=]=K64D>AP! K67! A7! =7S47=7:! ;! 8;! A;:4C;CP! 8;! A;86C! LQJ84D;P! 8>A!

C7=7DE>A! C7! 8>A! 6A6;=4>A! I! C7! 8>A! L;D47:B7AP! 8>A! A7=?4D4>A! A>D4;87A! >! 8;! D;=B7=;! C7!

A7=?4D4>A! L67A! @AB;! 7A! 6:;! <;B7=4;! K67! E;! A4C>! B=;:AS7=4C;! ;! 8;! B>B;84C;C! C7! 8;A!

-><6:4C;C7A!,6BM:><;AR!,ATP!7:!D;C;!6:;!C7!8;A!C47D4A47B7!-><6:4C;C7A!,6BM:><;A!

:>A! 7:D>:B=;<>A! D>:! 6:;! ->:A7H7=T;! C7! );86C! >! C7! );:4C;C! K67! ?;! ;! 7H7D6B;=! 8;!

L>8TB4D;! A;:4B;=4;!7:! A6!]<J4B>! B7==4B>=4;8! D>:!78! S4:!C7!C7A;==>88;=! I!E;D7=!7S7DB4?>!78!

C7=7DE>!;!8;!L=>B7DD4M:!C7!8;!A;86CR!-><>!I;!A7!E;!A7^;8;C>P!78!;L;=B;C>!Z!C78!;=BTD68>!

[! &.!W\V\X\Z! 7AB;J87D7! K67! 8;A! L=7AB;D4>:7A! A;:4B;=4;AP! D6I;! D;=B7=;! C7! A7=?4D4>A! A7!

7AB;J87D7!7:! 8>A!;:7N>A!:6<7=;C>A!C78! "!;8!0""!K67!A7! 4:D86I7:!7:!78!&.!W\V\X\ZP! A7!

S4:;:D4;=]:! L>=! 8;A! -><6:4C;C7A! ,6BM:><;A! C7! D>:S>=<4C;C! D>:! 8>A! ;D67=C>A! C7!

B=;:AS7=7:D4;!I!78! A4AB7<;!C7! S4:;:D4;D4M:!;6B>:M<4D;!?457:B7R!)7=]:!L>=! 8>! B;:B>! 8;A!

-><6:4C;C7A! ,6BM:><;A! 8;A! 7:D;=5;C;A! C7! 5;=;:B4O;=! K67! 8;! D;=B7=;! C7! A7=?4D4>A!

D><6:7AP! K67! 7A! 456;8! L;=;! B>C;A! 788;AP! A7! L=7AB7! D>:! 4:C7L7:C7:D4;! C78! 865;=! C78!

B7==4B>=4>!:;D4>:;8!7:!78!K67!A7!7:D67:B=7:!7:!D;C;!<><7:B>!8>A!6A6;=4>A!C78!A4AB7<;R!

&7D6@=C7A7! B;<J4@:! K67! 8;A! -><6:4C;C7A! ,6BM:><;AP! 7:! ?4=B6C! C78! 4:D4A>! A756:C>!

C78! ;L;=B;C>! A756:C>! C78! ;=BTD68>! [\! +7I! WZX\VP! 7:! 78! ]<J4B>! C7! A6A! D><L7B7:D4;AP!

L>C=]:!;L=>J;=! A6A! =7AL7DB4?;A! D;=B7=;A!C7! A7=?4D4>AP!K67! 4:D864=]:! D6;:C>!<7:>A! 8;!

D;=B7=;!C7!A7=?4D4>A!C78!)4AB7<;!#;D4>:;8!C7!);86CR!+;!D;=B7=;!C7!A7=?4D4>A!D><6:7A!7A!

78!<T:4<>! D><Q:!C7:><4:;C>=! 7:! B>C>! 78! B7==4B>=4>! :;D4>:;8P! 7AB>! 7AP! D>:AB4B6I7! 78!

A678>!K67!:>!L67C7!S;8B;=!A4!A7!K647=7!7AB;J87D7=!6:;!D;=B7=;!C7!A7=?4D4>A!;6B>:M<4D;P!

8;!D6;8!;DB6;=]!D><>!D><L87<7:B>!C7!8;!D;=B7=;!C7!A7=?4D4>A!D><6:7AR!

!

/67A!J47:P!7:!78!]<J4B>!;6B>:M<4D>YP!C7AC7!8;!7:B=;C;!7:!?45>=!C7!8;!+7I!WZX\V!I!78!&.!

W\V\X\ZP!7N4AB7!6:;!B7:C7:D4;!E;D4;!8;!;A4<48;D4M:!C7!8;A!L=7AB;D4>:7A!:>!4:D864C;A!7:!

8;! D;=B7=;!C7! A7=?4D4>A! D><6:7AP!C7! S>=<;! B;8! K67!L=]DB4D;<7:B7!E;:! B7=<4:;C>!L>=!

!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!Y!j647=>!;5=;C7D7=!;!_>A@!04C;!$7=:]:C7O!8;!;I6C;!L=7AB;C;!7:!8;!=7C;DD4M:!C7!7AB;!L;=B7!C78!4:S>=<7R!

Page 11: VIH y Acceso a los tratamientos de reproducción humana asistida [HIV and Access to Human Assisted Reproduction Treatments]

WW!

57:7=;84O;=A7! 7:! B>C;A! 8;A! -><6:4C;C7A!,6BM:><;AR!,AT! >D6==7P! L>=! 7H7<L8>P! D>:! 8;!

L=7AB;D4M:! C7! ;B7:D4M:! C7:B;8! ;! <7:>=7A! I! 8;! L=7AB;D4M:! C7! ;B7:D4M:! L>C>8M54D;! ;!

7:S7=<>A! C7! C4;J7B7AR! />=! >B=;! L;=B7P! H6:B>! ;! 8;A! L=7AB;D4>:7AP! 8;A! -><6:4C;C7A!

,6BM:><;A!E;:!C4AL67AB>!;I6C;A!7D>:M<4D;A!D>:!8;A!K67!D6J=4=!C7B7=<4:;C>A!5;AB>A!

C7=4?;C>A! C7! ;856:;! 7:S7=<7C;CR! ,AT! >D6==7P! L>=! 7H7<L8>P! D>:! 8;A! ;I6C;A! L;=;!

S;<484;=7A!C7!7:S7=<>A!C7!,8OE74<7=!>!D>:! 8;A!;I6C;A!L;=;!L7=A>:;A!D>:!E7<>S484;!>!

D>;568>L;BT;A! ;S7DB;C;A! L>=! 01-! B=;A! L=>D7A>A! C7! B=;B;<47:B>! 7:! 8>A! A7=?4D4>A! C7!

A;86CR! .7! 456;8! <>C>P! 7:! 78! ]<J4B>! :>=<;B4?>! ;6B>:M<4D>! A7! E;:! C7A;==>88;C>! ?T;!

7AB;B6B;=4;! >! ?T;! 8754A8;B4?;! 8>A! C7=7DE>A! I! 8;A! 5;=;:BT;A! D>:B7<L8;C;A! 7:! 8;A! +7I7A!

UWX\[! I! WZX\VP! B;87A! D><>! 78! C7=7DE>! ;! 8;! A756:C;! >L4:4M:!<@C4D;P! 78! C7=7DE>! ;! 8;!

;B7:D4M:!A;:4B;=4;!7:!6:!B47<L>!C7B7=<4:;C>!I!78!C7=7DE>!;!8;A!4:AB=6DD4>:7A!L=7?4;AR!

&7AL7DB>!;! 8;A! B@D:4D;A!C7! =7L=>C6DD4M:!E6<;:;!;A4AB4C;P!7:! 8;A!:>=<;A!D>:A68B;C;A!

:>! A7! L=>C6D7! 6:;! 7ND86A4M:! C4=7DB;! C7! 8;A! L7=A>:;A! D>:! 0"1R! #4! B;:! A4K647=;! 7:! 8;!

D;=B7=;!C7!A7=?4D4>A!C7!,=;5M:h! `C>:C7!A7!7ND86I7!7NL=7A;<7:B7!;! 8>A!L;D47:B7A!D>:!

4:S7DD4M:!D=M:4D;!L>=!0"1!C7!8;!L=7AB;D4M:!C7!D4=65T;!L8]AB4D;!L;=;!78!B=;B;<47:B>!C7!8;!

84L>C4AB=>S4;! S;D4;8! c7:! B;:B>! :>! 7N4AB;! 7?4C7:D4;! D47:BTS4D;! A6S4D47:B7! ;D7=D;! C7! A6!

7S7DB4?4C;C!I!A756=4C;C!D>:!=78;D4M:!;!8>A!L>A4J87A!7S7DB>A!A>J=7!8;!D;84C;C!C7!?4C;!I!8;!

4:B75=;D4M:! LA4D>A>D4;8! C7! 8>A! L;D47:B7AP! I! 8;! D4=65T;! C78! =>:K64C>P! A;8?>! K67! A7!

D>:S4=<7! AT:C=><7! C7! ;L:7;! >JAB=6DB4?;! C78! A67^>! ;A>D4;C>! ;! C7S>=<4C;C7A!

;:;BM<4D;A!7:!?T;A!;@=7;A!A6L7=4>=7A!>!D>:!;8B7=;D4>:7A!<;N48>S;D4;87Ada!A7!L=>C6D7!8;!

7ND86A4M:!C4=7DB;!C7! 8;A!L7=A>:;A! D>:!0"1!I;!K67! A7! A7^;8;!K67! A7! B7:C=]!C7=7DE>!;!

;DD7C7=!;!8;!L=7AB;D4M:!C7!=7L=>C6DD4M:!E6<;:;!;A4AB4C;!D6;:C>!E;I;!C4;5:MAB4D>!C7!

4:S7=B484C;C! IX>! 4:C4D;D4M:! D8T:4D;! 7AB;J87D4C;P! I! C7! ;D67=C>! D>:! 8>A! L=>5=;<;A! I!

L=>B>D>8>A! C78! )4AB7<;! C7! );86C! C7! ,=;5M:W\P! A47:C>! 8;A! B@D:4D;A! ;C<4B4C;A! 8;!

!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!h! 0@;A7! 78! .7D=7B>! ZfX\gP! C78! e>J47=:>! C7! ,=;5M:P! I! 8;! %=C7:! W[X\gP! C78! .7L;=B;<7:B>! C7! );86C! I!->:A6<>R!W\!(AB;!=7<4A4M:!;!8>A!L=>5=;<;A!I!L=>B>D>8>A!C78!)4AB7<;!C7!);86C!C7!,=;5M:!L>C=T;!A7=!6:;!L>A4J87!?T;!L>=! 8;! K67! A7! 84<4B;A7! 78! C7=7DE>! K67! B47:7:! 8;A! L7=A>:;A! K67! ?4?7:! D>:! 0"1X)".,! ;! ;DD7C7=! ;! 8;A!B@D:4D;A! C7! =7L=>C6DD4M:! E6<;:;! ;A4AB4C;R! (A;!<4A<;! 1$%29%! ;L;=7D7! 7:! 8;! =7C;DD4M:! C78! ,:7N>! """P!7LT5=;S7! YP! A7DD4M:! VP! D;LTB68>! f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

Page 12: VIH y Acceso a los tratamientos de reproducción humana asistida [HIV and Access to Human Assisted Reproduction Treatments]

W[!

4:A7<4:;D4M:! ;=B4S4D4;8b! 8;! S7D6:C;D4M:! 4:! ?4B=>! 7! 4:I7DD4M:! 4:B=;D4B>L8;A<]B4D;! C7!

7AL7=<;B>O>4C7AP! D>:! 5;<7B>A! L=>L4>A! >! C7! C>:;:B7! I! D>:! B=;:AS7=7:D4;! C7!

7<J=4>:7Ab!>!8;!B=;:AS7=7:D4;!4:B=;B6J]=4D;!C7!5;<7B>AWWR!

!

+;A! B@D:4D;A!C7! =7L=>C6DD4M:!E6<;:;!;A4AB4C;! A7! =7568;:!C7! S>=<;!57:7=;8!7:! 8;! +7I!

WUX\ZP! 674#*4%.' ("' 8"9$,(544*/#' :52%#%' ;.*.1*(%P! D6I>! >JH7B4?>! 7A! A>86D4>:;=! 8>A!

L=>J87<;A! C7! 4:S7=B484C;C! I! 7?4B;=! 8;! ;L;=4D4M:! >! B=;:A<4A4M:! C7! 7:S7=<7C;C7A! K67!

D;=7D7:!C7!B=;B;<47:B>!D6=;B4?>!6:;!?7O!K67!A7!L=>C6D7!78!:;D4<47:B>R!+;A!B@D:4D;A!C7!

=7L=>C6DD4M:!E6<;:;!;A4AB4C;!K67!7:!7AB7!<><7:B>P!A75Q:!78!,:7N>!4:D864C>!7:!8;!+7I!

WUX\ZP!7AB]:!;D=7C4B;C;A!D47:BTS4D;<7:B7!7!4:C4D;C;A!D8T:4D;<7:B7!A>:!8;!4:A7<4:;D4M:!

;=B4S4D4;8b! 8;! S7D6:C;D4M:! *#' <*1$,! 7! 4:I7DD4M:! 4:B=;D4B>L8]A<4D;! C7! 7AL7=<;B>O>4C7A!

L=>D7C7:B7A!C7!7I;D68;C>P!D>:!5;<7B>A!L=>L4>A!>!C7!C>:;:B7!I!D>:!B=;:AS7=7:D4;!C7!

L=77<J=4>:7AW[b!I!8;!B=;:AS7=7:D4;!4:B=;B6J]=4D;!C7!5;<7B>A!`;=BR![RW!+7I!WUX\ZaR!

!

+;!+7I!WUX\Z!A7^;8;!6:;!A7=47!C7!D>:C4D4>:7A!C7!D;=]DB7=!L7=A>:;8!K67!A>:!=7K64A4B>A!

L;=;!A6!=7;84O;D4M:R!+;A!L=4<7=;A!7AB]:!7:!78!;=BTD68>!V!+7I!WUX\Z!D6;:C>!A7^;8;!K67!8;A!

B@D:4D;A! C7! =7L=>C6DD4M:! ;A4AB4C;! AM8>! A7! =7;84O;=]:! `4a! D6;:C>! E;I;! L>A4J484C;C7A!

=;O>:;J87A!C7!@N4B>P!`44a!:>!A6L>:5;:!=47A5>!5=;?7!L;=;!8;!A;86CP!STA4D;!>!LATK64D;P!C7!8;!

<6H7=!>!8;!L>A4J87!C7AD7:C7:D4;!I!`444a!L=7?4;!;D7LB;D4M:!84J=7!I!D>:AD47:B7!7!4:S>=<;C;R!

!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

887?;:! ;! C7:75;=! 7AB7! B4L>! C7! B=;B;<47:B>AR! />=! 788>P! A6=57! 78! D>:B=;AB7! 7:B=7! ;K6788;A! -><6:4C;C7A!,6BM:><;A!K67!E;:!;A6<4C>! 8;! 4<L>=B;:D4;!I! 8;! S4;J484C;C!C7!7AB>A!B=;B;<47:B>A!I!E;:!C4AL67AB>A! 8>A!<7C4>A!L7=A>:;87AP!<;B7=4;87A! I!7D>:M<4D>A!L;=;! S;D484B;=8>AP! I! ;K6@88;A!K67! A4<L87<7:B7!:>!L=7AB;:!7AB>A!B=;B;<47:B>AR!/;=;!7?4B;=! 8;!L7=L7B6;D4M:!C7!6:;!A4B6;D4M:!D>:B=;=4;!;8!C7=7DE>!;! 8;!A;86C!C7! 8;A!L7=A>:;A! D>:! 0"1! I! D>:H6=;=! 8;! L>A4J87! L=>84S7=;D4M:! C7! =7D6=A>A! I! A7:B7:D4;AP! =7A68B;! C7! 7AL7D4;8!4<L>=B;:D4;!8;!4:D86A4M:!C7!S>=<;!7NL=7A;!C7!7AB>A!B=;B;<47:B>A!7:!8;!D;=B7=;!C7!A7=?4D4>A!D><6:7A!C78!)4AB7<;! #;D4>:;8! C7! );86CP! C7! <>C>! K67! :>! K67C;! :4:56:;! C6C;! 7:! D6;:B>! ;! A6! D>J7=B6=;! L>=! 78!A4AB7<;!LQJ84D>!`K67P!7:!D6;8K647=!D;A>P!I;!7N4AB7aP!I!A>J=7!B>C>P!8;!;DB6;D4M:!C78!->:A7H>!":B7=B7==4B>=4;8!C78!)4AB7<;!#;D4>:;8!C7!);86C!K67!C7J7!C4AL>:7=! 8;A!<7C4C;A!:7D7A;=4;A!L;=;!5;=;:B4O;=! 8;!L=7AB;D4M:!C7!7AB>A!B=;B;<47:B>A!`C7=4?;D4>:7AP!7BDRaP!;AT!D><>!6:>A!L;=]<7B=>A!D><6:7A!C7!D;=]DB7=!<T:4<>!L>=!8>!K67!=7AL7DB;!;!8>A!=7K64A4B>A!7N454J87AP!;!8>A!B=;B;<47:B>A!;L84D;J87AP!7BDRP!K67!5;=;:B4D7:!78!;DD7A>!;!7AB>A!B=;B;<47:B>A!;!8;A!L7=A>:;A!D>:!0"1R!2;8!I!D><>!A7!A7^;8;!7:!78!G#C,$2"'IG@)J'.,>$"'?*.4$*2*#%4*/#'

0' KG:L)G?;P! 6:;! S67:B7! C7! 8;! K67! 7<;:;:! B=;B>A! C4S7=7:D4;C>A! :>! H6AB4S4D;C>A! 8;! D>:AB4B6I7:! 8>A!=758;<7:B>A! I! L=>B>D>8>A! 4:B7=:>A! C7! ;DB6;D4M:! B;:B>! C7! 4:AB4B6D4>:7A! LQJ84D;A! D><>! L=4?;C;AR!.>D6<7:B>!C4AL>:4J87!7:!kkkRS4LA7R7AX":S>=<7lC4AD=4<4:;D4>:RLCS!!WW!(:!78!C>D6<7:B>!K67!D>:B47:7!78!@&%#'H5&1*."41,$*%&'C$"#1"'%'&%'*#C"44*/#'9,$'KG:'0')*(%P!LLR!W\YmW\hP!A7!A7^;8;!K67!c7:!78!<><7:B>!;DB6;8!8;A!D><6:4C;C7A!;6BM:><;A!7:!A6A!6:4C;C7A!C7!4:S7=B484C;C!B47:7:!4:D864C;A! ;856:;A! C7! 8;A! B@D:4D;A! C7! =7L=>C6DD4M:! ;A4AB4C;! C7:B=>! C7! 8;A! L=7AB;D4>:7A! A;:4B;=4;A! >! A7!7:D67:B=;:!7:!L=>D7A>!C7!4:D86A4M:dR W[!%JA@=?7A7!K67!<47:B=;A!7:!78!&.!W\V\X\Z!A7!E;D7!=7S7=7:D4;!;!8;!B=;:AS7=7:D4;!C7!7<J=4>:7AP!7:!8;!+7I!WUX\Z!8;!B=;:AS7=7:D4;!7A!C7!L=77<J=4>:7AR!

Page 13: VIH y Acceso a los tratamientos de reproducción humana asistida [HIV and Access to Human Assisted Reproduction Treatments]

WV!

(8!;=BTD68>!fRZ!+7I!WUX\Z!A7^;8;!K67!8>A!C>:;:B7A!C7J7:!A7=!<;I>=7A!C7!7C;CP!B7:7=!6:!

J67:!7AB;C>!C7!A;86C!LA4D>STA4D;!I!B7:7=!L87:;!D;L;D4C;C!C7!>J=;=R!&7AL7DB>!;8!7AB;C>!

C7!A;86C!LA4D>STA4D;P!A7!7N457!K67P!A75Q:!78!7AB;C>!C7!8>A!D>:>D4<47:B>A!C7!8;!D47:D4;!I!

C7!8;!B@D:4D;!7N4AB7:B7A!7:!78!<><7:B>!C7!A6!=7;84O;D4M:P!A7!C7B7=<4:7!;:;8TB4D;<7:B7!

K67!:>!L;C7D7!:4:56:;!7:S7=<7C;C!57:@B4D;P!E7=7C4B;=4;!>!4:S7DD4>A;!B=;:A<4A4J87!;!8;!

C7AD7:C7:D4;R!/>=!>B=>!8;C>P!78!;=BTD68>!ZRW!+7I!WUX\Z!A7^;8;!K67!L>C=]!A7=!=7D7LB>=;!

B>C;! <6H7=! <;I>=! C7! 7C;C! D>:! L87:;! D;L;D4C;C! C7! >J=;=! K67! E;I;! ;D7LB;C>! A7=!

6A6;=4;! >! =7D7LB>=;! C7! ;856:;! C7! 8;A! B@D:4D;A! C7! =7L=>C6DD4M:! E6<;:;! ;A4AB4C;R! +;!

C4AL>A4D4M:!;C4D4>:;8!K64:B;P!L>=!Q8B4<>P!7AB;J87D7!7:!A6!L=4<7=!L]==;S>!6:;!5;=;:BT;!

C7!:>!C4AD=4<4:;D4M:!L;=;!8;A!L7=A>:;A!D>:!C4AD;L;D4C;C!;8!A7^;8;=!K67!cD>:!;==758>!;!

8>!C4AL67AB>!7:!8;!+7I!fWX[\\VP!C7![!C7!C4D47<J=7P!C7!456;8C;C!C7!>L>=B6:4C;C7AP!:>!

C4AD=4<4:;D4M:!I!;DD7A4J484C;C!6:4?7=A;8!C7!8;A!L7=A>:;A!D>:!C4AD;L;D4C;CP!8;A!L7=A>:;A!

D>:! C4AD;L;D4C;C! 5>O;=]:! C7! 8>A! C7=7DE>A! I! S;D68B;C7A! =7D>:>D4C>A! 7:! 7AB;! +7IP! :>!

L6C47:C>!A7=!C4AD=4<4:;C;A!L>=!=;OM:!C7!C4AD;L;D4C;C!7:!78!;DD7A>!I!6B484O;D4M:!C7!8;A!

B@D:4D;A!C7!=7L=>C6DD4M:!E6<;:;!;A4AB4C;dR!

!

6565'(DB>;<=9'

,! 8;! ?4AB;! C7! 8;! 7NL>A4D4M:! K67! A7! E;! E7DE>! C7! 8;A! :>=<;A! ?457:B7A! 7:! (AL;^;! K67!

=7568;:! 78! C7=7DE>! C7! ;DD7C7=! ;! 6:;! A7=47! C7! L=7AB;D4>:7A! I! A7=?4D4>A! A;:4B;=4>A!

D><6:7A! 7:! B>C>! 78! B7==4B>=4>! :;D4>:;8P! L67C7! ;S4=<;=A7! K67! E;I! B=7A! B@D:4D;A! C7!

=7L=>C6DD4M:! E6<;:;! ;A4AB4C;! K67! 7AB]:! 4:D864C;A! 7:! 8;! D;=B7=;! D><Q:! C78! )4AB7<;!

#;D4>:;8! C7! );86C! ;! 8;A! K67! A7! B47:7! C7=7DE>! ;! ;DD7C7=! A47<L=7! I! D6;:C>! E;I;! 6:!

C4;5:MAB4D>! C7! 7AB7=484C;C! >! 6:;! 4:C4D;D4M:! D8T:4D;! 7AB;J87D4C;R! 2;<J4@:! L67C7!

;S4=<;=A7! K67! :>! E;I! :4:56:;! 84<4B;D4M:! L7=A>:;8P! <]A! ;88]! C7! ;856:>A! L7K67^>A!

L=>J87<;A! B7M=4D>A! ;! 8;! E>=;! C7! D>:D=7B;=! 8;! B4B68;=4C;C! C7! ;856:;A! L>B7AB;C7A! K67!

C4<;:;:! C78! C7=7DE>! ;! 8;! L=>B7DD4M:! C7! 8;! A;86C! I! ;! 8;A! L=7AB;D4>:7A! A;:4B;=4;AR! +;!

84<4B;D4M:!L7=A>:;8!K67!L>C=T;!7NB=;7=A7!C7!8;!+7I!WUX\Z!;8!7N454=!K67!78!C>:;:B7!C7J;!

B7:7=! 6:! J67:! 7AB;C>! C7! A;86C! LA4D>STA4D;P! 8>! D6;8! A45:4S4D;! K67! ;:;8TB4D;<7:B7! C7J7!

C7<>AB=;=A7!K67!:>!L;C7D7!:4:56:;!7:S7=<7C;C!4:S7DD4>A;!K67!A7;!B=;:A<4A4J87!;!8;!

C7AD7:C7:D4;P!:>!7A!6:!>JAB]D68>!4:A;8?;J87!L;=;!8>A!E><J=7A!D>:!0"1!I;!K67P!A75Q:!78!

7AB;C>! C7! 8>A! D>:>D4<47:B>A! C7! 8;! D47:D4;! I! C7! 8;! B@D:4D;! 7N4AB7:B7AP! <7C4;:B7! 8;!

B@D:4D;! C78! 8;?;C>! C7! A7<7:! A7! 8>5=;! A7L;=;=! 78! L8;A<;! A7<4:;8! C7! 8>A!

Page 14: VIH y Acceso a los tratamientos de reproducción humana asistida [HIV and Access to Human Assisted Reproduction Treatments]

WU!

7AL7=<;B>O>4C7AP! K67! 7AB]:! 84J=7A! C7! ?4=6AP! 8>! D6;8! A7! D><L=67J;! D>:! 6:;! A4<L87!

L=67J;! /-&! :75;B4?;R! +;! 7?4C7:D4;! D47:BTS4D;! L;=7D7! K67! C7<67AB=;! K67! c78!

7AL7=<;B>O>4C7!:>!7A!?7ETD68>!B=;:A<4A>=!C78!0"1mW!I!AT!8>!7A!78!A7<7:dWVR!/>=!8>!K67!

=7AL7DB;! ;! 8;A! <6H7=7A! D>:! 0"1P! A6! ;DD7A>! ;! 8;A! B@D:4D;A! C7! =7L=>C6DD4M:! E6<;:;!

;A4AB4C;! B;<L>D>!L;=7D7!K67!A7!C4S4D68B7!L>=!A6!7AB;C>!C7!A;86C!LA4D>STA4D;!I;!K67! 8;!

<7C4D4:;! J;A;C;! 7:! 8;! 7?4C7:D4;! I! 8>A! D>:>D4<47:B>A! C7! 8;! D47:D4;! I! C7! 8;! B@D:4D;!

7N4AB7:B7A!C7<67AB=;:!K67!8;!B=;:A<4A4M:!?7=B4D;8!`L7=4:;B;8a!L67C7!D><J;B4=A7!D>:!8;!

;C<4:4AB=;D4M:! C6=;:B7! 78! 7<J;=;O>! C7! 8>A! <7C4D;<7:B>A! K67! ;DB6;8<7:B7! 7AB]:!

C4AL>:4J87A!7:!78!<7=D;C>!L;=;!D><J;B4=!8;!=7L=>C6DD4M:!C78!0"1WUR!

!

,ATP!L>C7<>A!C4DB;<4:;=!K67P!L>=!8>!<7:>AP!8;A!L7=A>:;A!D>:!0"1!K67!S>=<7:!L;=B7!C7!

L;=7H;A!A7=>D>:D>=C;:B7A!>!A7=>C4AD>=C;:B7!I!B7:5;:!8;!:;D4>:;84C;C!7AL;^>8;!B47:7:!

=7D>:>D4C>!875;8<7:B7!78!C7=7DE>!;!;DD7C7=!;!7A;A!B@D:4D;A!C7!=7L=>C6DD4M:!E6<;:;!

;A4AB4C;!A4!B47:7:!6:!C4;5:MAB4D>!C7!4:S7=B484C;C!>!7N4AB7!6:;!4:C4D;D4M:!D8T:4D;R!!

!

+;A!B@D:4D;A!C7!=7L=>C6DD4M:!E6<;:;!;A4AB4C;!:>!K67C;:!7NL=7A;<7:B7!7ND864C;A!L;=;!

8;A! L7=A>:;A! D>:! 0"1! :4! C7! 8;! D;=B7=;! C7! A7=?4D4>A! D><6:7A! :4! C7! 8;A! D;=B7=;A!

;6B>:M<4D;A!C7!A7=?4D4>AR!)4!J47:!7A!D47=B>!K67!B;<L>D>!E;I!6:;!=7S7=7:D4;!7NL=7A;!;8!

D;A>! K67! :>A! >D6L;P! 7?4C7:B7<7:B7! :>! A7! L67C7! 7AL7=;=! K67! 7N4AB;! 6:;! =7S7=7:D4;!

7NL=7A;!I!L=7D4A;!;!D;C;!6:>!C7!8>A!B=;B;<47:B>AP!A4:>!K67!C7J7!D>:A4C7=;=A7!;!L;=B4=!

C7! 8;A! L=7AB;D4>:7A! 4:D864C;A! 7:! 8;! D;=B7=;! C7! A7=?4D4>A! D><6:7A! C7! ;B7:D4M:!

7AL7D4;84O;C;R!

!

!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!WV!)4<M:!';=4:;!"1'%&**P!F1"0!I!=7L=>C6DD4M:!;A4A4B4C;R!&7L=>C6DD4M:!;A4AB4C;!7:!L;=7H;A!A7=>C4AD>=C;:B7A!`E><J7A! A7=>L>A4B4?>Aa! ;8! 0"1mWi! 7NL7=47:D4;! C7! WWY! :4^>A! :;D4C>A! A;:>AGP!!*#"4,&,A*%' 0' F>.1"1$*4*%'+&B#*4%P!ViVP![\\[P!LR!WUhR!WU! -><4A4M:! ,A7A>=;! A>J=7! 2@D:4D;A! C7! &7L=>C6DD4M:! 16<;:;! ,A4AB4C;! 7:! -;B;86^;P! 674#*4%.' ("'8"9$,(544*/#' ;.*.1*(%' 0' KG:P! LLR! Ymhi! c(8! =47A5>! C7! B=;:A<4A4M!<;C=7mE4H>! C78! 0"1! 7:! 6:;!<6H7=! D>:!D>:B=>8!C7!8;!7:S7=<7C;C!7AP!D><>!<]N4<>!C78!Wn!;8![nR!(:!57:7=;8P!8>A!;:B4==7B=>?4=;87A!K67!=7K647=7!8;!<6H7=!4:S7DB;C;!L>=!78!D>:B=>8!C7!A6!7:S7=<7C;C!A>:!A6S4D47:B7A!L;=;!L=7?7:4=!8;!B=;:A<4A4M:!?7=B4D;8!C78! 0"1dR! +>A! L=>J87<;A! A7D6:C;=4>A! K67! L67C;:! L=>C6D4=! cA>:!<6I! L>D>! S=7D67:B7A! IP! 7:! 57:7=;8P!=7?7=A4J87AdP!L>=!8>!K67!c8>A!J7:7S4D4>A!>JB7:4C>A!A>:!<6I!A6L7=4>=7A!;!8>A!=47A5>AdR!3:;!?7O!K67!A7!E;!L=>C6D4C>!78!L;=B>P!78!D6;8!L>C=]!=7;84O;=A7!B;:B>!L>=!D7A]=7;!D><>!L>=!?T;!?;54:;8P!A7!=7D><47:C;!:>!;<;<;:B;=! ;8! J7J@! L;=;! 7?4B;=! 8;! B=;:A<4A4M:! ?7=B4D;8R! .>D6<7:B>! C4AL>:4J87! 7:!kkkR57:D;BR:7BXA;86BXC7LA;86BXLCSX7A=7E6?4ERLCS!

Page 15: VIH y Acceso a los tratamientos de reproducción humana asistida [HIV and Access to Human Assisted Reproduction Treatments]

Wf!

.7J7! ;A756=;=7! 78! ;DD7A>! L>=! L;=B7! C7! 8;A! L7=A>:;A! D>:! 0"1! ;! C4DE;A! B@D:4D;A! C7!

=7L=>C6DD4M:! E6<;:;! ;A4AB4C;! L>=K67! D>:B=4J6I7:! 7S4D;O<7:B7! ;! B=;B;=! I! ;! D6=;=! 8;!

4:S7=B484C;CP! 784<4:;! >! C4A<4:6I7:! 78! A6S=4<47:B>! C7! 8;A! L7=A>:;A! I! :>! B47:7:! D><>!

S4:;84C;C!A7=!!6:;!<7=;!;DB4?4C;C!C7!>D4>P!C7AD;:A>P!D>:S>=BP!C7L>=B7!>!<7H>=;!7AB@B4D;!

>!D>A<@B4D;P!6A>!C7!;56;AP!J;8:7;=4>A!>!D7:B=>A! =7A4C7:D4;87A!6!>B=;A! A4<48;=7AR!)4! A7!

:475;!78!C7=7DE>!;!;DD7C7=!;! 8;A!B@D:4D;A!C7!=7L=>C6DD4M:!;A4AB4C;!;! 8;A!L7=A>:;A!D>:!

0"1P!;C7<]A!C7!7AB;=!:75]:C>87A!78!;DD7A>!I!78!7H7=D4D4>!C7!6:!C7=7DE>!C78!K67! A>:!

B4B68;=7AP! A7! 87A! 7AB;=]! S;8B;:C>! 78! =7AL7B>! ;! A6! C45:4C;C! E6<;:;! I;! K67! A7! 87A! 7AB]!

4<L4C47:C>!S>=<;=!6:;!S;<484;P!8>!D6;8!A6L>:7!?68:7=;=!78!;=BTD68>!WZ!C7!8;!?"4&%$%4*/#'

=#*<"$.%&'("'?"$"4-,.':52%#,.!I!78!;=BTD68>![V!C7!8;!+,#<"#4*/#'("'3%4*,#".'=#*(%.'

.,>$"'?"$"4-,.' ("' &%.' @"$.,#%.' 4,#'?*.4%9%4*(%(WfR! />=! >B=>! 8;C>P! 8;! C7:75;D4M:! C7!

;DD7A>!;!6:>!C7!8>A!A7=?4D4>A!4:D864C>A!7:!8;!D;=B7=;!C7!A7=?4D4>A!D><6:7A!C78!)4AB7<;!

#;D4>:;8! C7! );86C! A6L>:7! K67! 8;! L7=A>:;! D>:! 0"1! L67C;! 4<L65:;=! 8;! C7D4A4M:P!

L=4<7=>P! ;:B7! 8>A! M=5;:>A! ;C<4:4AB=;B4?>A! IP! L>AB7=4>=<7:B7P! ;:B7! 8>A! M=5;:>A!

H6C4D4;87A! 7:! 78! >=C7:! D>:B7:D4>A>m;C<4:4AB=;B4?>! A4! 8;! C7D4A4M:! C7! C7:75;D4M:! C7! 8;!

L=7AB;D4M:!L=>?47:7!C7!6:!>=5;:4A<>!C7!8;!,C<4:4AB=;D4M:!LQJ84D;R!,ATP!7:!8;!!5B%'("'

+%9%4*1%4*/#' M"A%&! 7C4B;C;! L>=! -()".,! A7! C7AD=4J7:! 8>A! C4S7=7:B7A! B4L>A! C7! =7D6=A>A!

K67! 7:! 8;! ?T;! ;C<4:4AB=;B4?;! L67C7! E;D7=! ?;87=! 8;! L7=A>:;! D>:! 0"1! L;=;! =7D8;<;=! 78!

7H7=D4D4>!C7!A6!C7=7DE>!;!6:;!C7B7=<4:;C;!L=7AB;D4M:!A;:4B;=4;WZR!3:;!?7O!;5>B;C;!7AB;!

?T;! I! A47<L=7! K67! A7! D6<L8;:! 8>A! =7K64A4B>A! C7! 8;! +7I! [hXhYP! 8"A5&%(,$%' ("' &%'

N5$*.(*44*/#'+,#1"#4*,.,';(2*#*.1$%1*<%P! !D;J7! 4:B7=L>:7=!;:B7! 8;! H6AB4D4;!>=C4:;=4;!6:!

=7D6=A>! D>:B7:D4>A>! ;C<4:4AB=;B4?>! I;! K67! A7! E;! L=>C6D4C>! L>=! L;=B7! C7! 8;!

,C<4:4AB=;D4M:! LQJ84D;! 8;! ?68:7=;D4M:! C7! 6:>! C7! 8>A! C7=7DE>A! S6:C;<7:B;87A!

=7D>:>D4C>A! 7:! :67AB=>A! A4AB7<;! H6=TC4D>R! (AB>! A45:4S4D;! K67! 8>A! D46C;C;:>A! L67C7:!

A>84D4B;=! C4=7DB;<7:B7! 8;! L=7AB;D4M:! ;! 8;! K67! ?7:4<>A! =7S4=4@:C>:>A! ;:B7! D6;8K647=!

!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!Wf! 0@;:A7! 78! ;=BTD68>! W\R[! ->:AB4B6D4M:P! c+;A! :>=<;A! =78;B4?;A! ;! 8>A! C7=7DE>A! S6:C;<7:B;87A! I! ;! 8;A!84J7=B;C7A!K67!8;!->:AB4B6D4M:!=7D>:>D7!A7!4:B7=L=7B;=]:!C7!D>:S>=<4C;C!D>:!8;!C7D8;=;D4M:!6:4?7=A;8!C7!C7=7DE>A!E6<;:>A!I!8>A!B=;B;C>A!I!;D67=C>A!4:B7=:;D4>:;87A!A>J=7!8;A!<4A<;A!<;B7=4;A!=;B4S4D;C>A!L>=!(AL;^;dP!I!78!;=BTD68>!hZRW!->:AB4B6D4M:P!c+>A!B=;B;C>A!4:B7=:;D4>:;87A!?]84C;<7:B7!D787J=;C>AP!6:;!?7O!L6J84D;C>A!>S4D4;8<7:B7!7:!(AL;^;P!S>=<;=]:!L;=B7!C78!>=C7:;<47:B>!4:B7=:>!`oadR!WZ! +;! !5B%' ("' +%9%4*1%4*/#' M"A%&! L67C7! D>:A68B;=A7! 7:! 8;! L]54:;! k7J! C7! -()".,!kkkRD7A4C;R>=5X4:C7NRLELp>LB4>:qD><l7?7:BArB;Asq?47klC7B;48r;54CqhhrI7;=q[\\Yr<>:BEqW\rC;Iq[[r"B7<4CqYf!!!

Page 16: VIH y Acceso a los tratamientos de reproducción humana asistida [HIV and Access to Human Assisted Reproduction Treatments]

WZ!

A7=?4D4>!C7!A;86C!;6B>:M<4D>!IP!;:B7!6:;!7?7:B6;8!C7A7AB4<;D4M:P!L67C7:!;D6C4=!;! 8;!

B6B78;!H6C4D4;8!C78!_67O!>!2=4J6:;8!D><L7B7:B7R!

!

(8! ;DD7A>! ;! 8;A! B@D:4D;A! C7! =7L=>C6DD4M:! E6<;:;! ;A4AB4C;! K67! S>=<;:! L;=B7! C7! 8;!

D;=B7=;!D><Q:!C7!A7=?4D4>A!C7J7!=7;84O;=A7!7:!D>:C4D4>:7A!C7!456;8C;C!B;:B>!=7AL7DB>!

;!8;A!L7=A>:;A!K67!:>!A>:!A7=>L>A4B4?;A!;8!0"1!D><>!=7AL7DB>!7:B=7!8>A!E><J=7A!I!8;A!

<6H7=7A! K67! A>:! A7=>L>A4B4?;A! ;8! 0"1R! (:! 7AB7! A7:B4C>P! B;8! I! D><>! A7! A>AB47:7! 7:! 78!

G#C,$2"'IG@)J'.,>$"'?*.4$*2*#%4*/#'0'KG:L)G?;!C7![\\fP! 8;!L7=AL7DB4?;!C7!5@:7=>!:>!

C7J7!>8?4C;=A7!D6;:C>!A7!B=;B;!8;!D67AB4M:!C7!8;A!B@D:4D;A!C7!=7L=>C6DD4M:!;A4AB4C;!I;!

K67! 7:! 78! D67AB4>:;=4>! 6B484O;C>! 7:! 78! ]<J4B>! A;:4B;=4>! A7! 4:D86T;! 6:;! J;B7=T;! C7!

L=756:B;A!A>J=7!8;!;B7:D4M:P!8;!4:S>=<;D4M:!I!8;A!;8B7=:;B4?;A!K67!A7!87A!L=7A7:B;J;:!;!

8;A!L;=7H;A! A7=>C4AD>=C;:B7AR!/67A!J47:P!7:!78! D;A>!C7!K67! S67A7!78! ?;=M:! 8;!L7=A>:;!

A7=>L>A4B4?;!;8!0"1P!7:!78!Vn!C7!8>A!D;A>A!A7!C7A;D>:A7H;J;!8;!=7L=>C6DD4M:P!7:!78!WVn!

C7! 8>A! D;A>A! A7! =7D><7:C;J;! 8;! S7D6:C;D4M:! :;B6=;8! ;C>LB;:C>! 6:;! A7=47! C7!

L=7D;6D4>:7A!;C7D6;C;A!I!7:!78!YUn!C7!8>A!D;A>A!A7!=7D><7:C;J;!78!8;?;C>!C7!A7<7:!

I! 8;! =7L=>C6DD4M:! E6<;:;! ;A4AB4C;! L;=;! 7?4B;=! 8>A! =47A5>AR! (AB>A! :Q<7=>A! :>! A>:!

C7A;87:B;C>=7A! A;8?>! D6;:C>! A7! D><L;=;:! D>:! 8>A! >JB7:4C>A! C7! 8;!<4A<;! L=756:B;!

L7=>!A47:C>! 8;!<6H7=!K647:!7A!A7=>L>A4B4?;!;8!0"1R!(:!7A7!A6L67AB>P!7:!78![Vn!C7! 8>A!

D;A>A!A7!C7A;D>:A7H;!8;!=7L=>C6DD4M:P!7:!78!WZn!A7!=7D><47:C;!8;!S7D6:C;D4M:!:;B6=;8!

D>:!8;A!;C7D6;C;A!L=7D;6D4>:7A!I!7:!78!ZWn!C7!8>A!D;A>A!A7!;D>:A7H;!8;!=7L=>C6DD4M:!

;A4AB4C;R!#>!>JAB;:B7P!7A!L=7D4A>! =7D>:>D7=!K67!7A!:7D7A;=4>!C4S7=7:D4;=!:TB4C;<7:B7!

;<J;A!A4B6;D4>:7A!I;!K67!C7L7:C47:C>!C7!A4!7A!78!E><J=7P!A4!7A!8;!<6H7=!>!A>:!;<J>A!

8>A!K67!A>:!A7=>L>A4B4?>A!;8!0"1!8;A!<7C4C;AP!8;A!B@D:4D;A!I!8>A!L=>B>D>8>A!C7!;DB6;D4M:!

A7=]:!C4S7=7:B7AWgR!

!

+;A!5;=;:BT;A!C7!;DD7A4J484C;C!I!C7!<>?484C;C!;:B7A!7NL67AB;A!A6L>:7:!K67!78!;DD7A>!;!

8;A! L=7AB;D4>:7A! =7D>:>D4C;A! C7J7! ;A756=;=A7! 4:C7L7:C47:B7<7:B7! C78! 865;=! C78!

B7==4B>=4>!:;D4>:;8!7:!78!K67!A7!7:D67:B=7!78!6A6;=4>!C78!)4AB7<;!#;D4>:;8!C7!);86CP!8>!

!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!Wg!0@;A7!78!C>D6<7:B>!8"4,2"#(%4*,#".'("' &%')"4$"1%$B%'("&'@&%#'3%4*,#%&'.,>$"'"&')*(%O'"&'!$59,'("'

J.15(*,.' ("' )*(%O' &%' ),4*"(%(' J.9%P,&%' ("' !*#"4,&,AB%' 0' F>.1"1$*4*%O' 0' &%' ;.,4*%4*/#' J.9%P,&%' ("'

@"(*%1$B%'9%$%'"&' ."A5*2*"#1,'("' &%' *#C"44*/#'9,$'KG:'4,#' $"&%4*/#'%' &%' $"9$,(544*/#O'"&'"2>%$%Q,'0' &%'

9$"<"#4*/#' ("' &%' 1$%#.2*.*/#' <"$1*4%&P! LR! W[R! (8! C>D6<7:B>! 7AB]! C4AL>:4J87! 7:!kkkR57A4C;RA74<DR>=5XLD47:B4S4D;XS67:B7AX.DI&Dl&7D><7:C;D4>:7AlA7564<47:B>l4:S7DD4>:l0"1l7:l8;l=7L=>C6DD4>:l7<J;=;O>IL=7?7:D4>:lB=;:A<4A4>:l?7=B4D;8RLCS!!

Page 17: VIH y Acceso a los tratamientos de reproducción humana asistida [HIV and Access to Human Assisted Reproduction Treatments]

Wg!

D6;8! 7A! 7AL7D4;8<7:B7! =787?;:B7! L>=! 8;A! C4S7=7:D4;A! K67! L67C7:! 7N4AB4=! 7:! D6;:B>! ;8!

;DD7A>! ;! 8>A! A7=?4D4>A! D><6:7A! :>! I;! 7:B=7! 8;A! 5=;:C7A! D46C;C7A! D><>! ';C=4C! >!

*;=D78>:;!I! 8>A! B7==4B>=4>A! 4:A68;=7AP!-76B;!I!'78488;!A4:>!7:B=7!78!]<J4B>!6=J;:>!I!78!

]<J4B>!=6=;8R!

!

+;A!L7=A>:;A!D>:!0"1!B47:7:P!L67AP!=7D>:>D4C>!L>=!8;!8754A8;D4M:!7AL;^>8;!78!C7=7DE>!;!

;DD7C7=! ;! 8;A! L=7AB;D4>:7A! C78! )4AB7<;! #;D4>:;8! C7! );86C! =7;84O;C;A! 7:! 78! ]<J4B>!

A;:4B;=4>! C7! 8;! ;B7:D4M:! 7AL7D4;84O;C;! K67! A7! =7S47=7:! ;! 8;! =7L=>C6DD4M:! E6<;:;!

;A4AB4C;R!(:!7AB7!]<J4B>!A7=]!C7!;L84D;D4M:!8>A!L=4:D4L4>A!C7!8;!+7I!UWX\[!=7D>54C>A!7:!

8;A! +7I7A! WZX\V! I! WUX\ZP! 7:! ?4=B6C! C7! 8>A! D6;87A! B>C;! ;DB6;D4M:! 7:! 78! ]<J4B>! C7! 8;!

L=>B7DD4M:!C7!8;!A;86C!=7K647=7P!D>:!D;=]DB7=!57:7=;8P!78!L=7?4>!D>:A7:B4<47:B>!C7!8>A!

L;D47:B7A!>!6A6;=4>AR!(8!D>:A7:B4<47:B>!A7!>JB7:C=]!6:;!?7O!K67!78!L;D47:B7!>!6A6;=4>!

E;I;!A4C>!;C7D6;C;<7:B7!4:S>=<;C>R!.4DE;!4:S>=<;D4M:!L7=<4B4=]!;8!L;D47:B7!C7D4C4=!

84J=7<7:B7! 7:B=7! 8;A! >LD4>:7A! D8T:4D;<7:B7! C4AL>:4J87AP! 8>! D6;8! 4<L84D;! 78! C7=7DE>! ;!

A>84D4B;=! 6:;! A756:C;! >L4:4M:! `;=BAR! [! +7I! UWX\[! I! U! +7I! WZX\VaWYR! />=! >B=>! 8;C>P! I!

5=;D4;A!;!8;!5;=;:BT;!C7!B47<L>P!78!;DD7A>!C7J7!=7;84O;=A7!C7:B=>!C7!6:!L8;O>!B7<L>=;8!

<]N4<>R! (:! D;A>! C7! :>! 5;=;:B4O;=A7! C4DE>! ;DD7A>! 7:! 6:! L8;O>! B7<L>=;8! <]N4<>! I!

=;O>:;J87!7A!L=7D4A>!=7D>=C;=P!L>=!A4!L6C47=;!;L84D;=A7!L>=!;:;8>5T;P! 8;!A>86D4M:!C;C;!

L>=!8;!);8;!C7!8>!)>D4;8!C78!2=4J6:;8!)6L7=4>=!C7!_6AB4D4;!C7!';C=4C!`);8;!C7!8>!)>D4;8a!7:!

A6!A7:B7:D4;!C7!W[!C7!<;=O>!C7![\\gP!=7D6=A>!:Q<R!UVV\X[\\ZP!7:!8;!K67!A7!C7A7AB4<;!

78!=7D6=A>!L=7A7:B;C>!L>=!78!":AB4B6B>!';C=487^>!C7!);86C!S=7:B7!;!6:;!A7:B7:D4;!K67!87!

D>:C7:;J;!;!;J>:;=!L;=B7!C78!D>AB7!C7!6:;!4:B7=?7:D4M:!K64=Q=54D;!A>J=7!6:!D;A>!C7!

84L>;B=>S4;!S;D4;8R!(:!7AB7!D;A>P!78!":AB4B6B>!';C=487^>!C7!);86CP!B=;A!;C<4B4=!7:![\\[!78!

B=;B;<47:B>! C7! 8;! 84L>;B=>S4;P! 7:! [\\f! B>C;?T;! :>! E;JT;! S;D484B;C>! 8;! L=7AB;D4M:!

=7D>:>D4C;P!8>!K67!<>B4?M!K67!78!J7:7S4D4;=4>!;D6C47=;!;!8;!A;:4C;C!L=4?;C;!L;=;!K67!87!

=7;84O;A7:! 8;! 4:B7=?7:D4M:! I! L>AB7=4>=<7:B7! =7D8;<;=! 78! =77<J>8A>! C7! 8>A! 5;AB>AR! (8!

":AB4B6B>!';C=487^>!C7!);86C!D>:A4C7=;J;!K67!78!L;5>!C7!C4DE;!D;:B4C;C!:>!L=>D7CT;!

L67AP!D>:S>=<7!;8!;=BTD68>!fRV!C78!;:B456>!&7;8!.7D=7B>!ZVXWhhfP!:>!7N4ABT;!=475>!?4B;8R!

(8!2=4J6:;8!=7DE;O;!8;!L>AB6=;!C7!8;!,C<4:4AB=;D4M:!A;:4B;=4;!<;C=487^;!A7^;8;:C>!K67!

!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!WY! (:! 78! G#C,$2"' IG@)J' .,>$"' ?*.4$*2*#%4*/#' 0' KG:L)G?;! A7! C7AD;B;! K67! 78! hgn! C7! 8>A! L=>S7A4>:;87A!A;:4B;=4>A!4:S>=<;J;:!;!8;A!L;=7H;A!A7=>C4AD>=C;:B7A!C7!8>A!=47A5>A!K67!7:B=7^;J;!8;!C7D4A4M:!C7!B7:7=!E4H>A!B;:B>!L;=;!@AB>A!L>=!8;!L>A4J87!B=;:A<4A4M:!?7=B4D;8!D><>!L;=;!8;!L;=7H;!K67!:>!7=;!A7=>L>A4B4?;!;8!0"1R!(8!Vn!=7AB;:B7!C4=7DB;<7:B7!C7A;D>:A7H;J;!K67!A7!B6?47=;:!E4H>AR!

Page 18: VIH y Acceso a los tratamientos de reproducción humana asistida [HIV and Access to Human Assisted Reproduction Treatments]

WY!

c;8!7S7DB>!78! A6L67AB>!C7!;6B>A!7AP! D><>!C7=4?;!C78! =78;B>!E4ABM=4D>P!6:!A6L67AB>!C7!

C7:75;D4M:!4:H6AB4S4D;C;!<]A!K67!C7!6=57:D4;!?4B;8R!t!B;8!C7:75;D4M:!:>!7A!D67AB4>:;J87!

7:!D6;:B>!78!;DB>=!;D6C4M!;! 8;!<7C4D4:;!LQJ84D;!I!7AB;!;DD7C4M!;!A6!L7B4D4M:!A;:4B;=4;!

`E7DE>! L=>J;C>! [ua! A4:! D67AB4>:;=! A6! C7=7DE>P! A4! J47:! 8675>! :>! A>8>! :>! 8>! A;B4AS4O>!

B7<L7AB4?;<7:B7P!A4:>!K67P!L;A;C>A!D;A4!C>A!;^>A!C7!8;!A>84D4B6CP!A7!87!C7:75M!`E7DE>!

L=>J;C>! YuaR! -;=7D7! C7! H6AB4S4D;D4M:! 8;! ;DB6;D4M:! C78! C7<;:C;C>! K67! D>:?47=B7! 7:!

486A>=4;P!C7!S;DB>P! 8;!L=7AB;D4M:!A;:4B;=4;!K67!5;=;:B4O;! 8;! 87I!;!B>C>A! 8>A!J7:7S4D4;=4>A!

C7!8;!A756=4C;C!A>D4;8dR!

!

+;A! B@D:4D;A!C7! =7L=>C6DD4M:!E6<;:;!;A4AB4C;!E;:!C7<>AB=;C>!D8T:4D;<7:B7!K67!A>:!

7S4D47:B7AP!7S7DB4?;AP!A756=;A!I!QB487A!B7=;L@6B4D;<7:B7!7:!8;A!L7=A>:;A!D>:!0"1!I;!K67P!

L=4<7=>P!7:!D;A>!C7!L;=7H;A!A7=>C4AD>=C;:B7A!7?4B;:!8;!A7=>D>:?7=A4M:!IP!A756:C>P!87A!

L7=<4B7!S>=<;=!6:;!S;<484;!7:!8;!K67!8;!C7AD7:C7:D4;P!L>=!6:!8;C>P!7A!57:@B4D;<7:B7!

L=>L4;! IP! L>=! >B=>! 8;C>P! :>! A>:! A7=>L>A4B4?>A! ;8! 0"1R! ,ATP! L>=! 7H7<L8>P! 7:! ;K6788>A!

7<J;=;O>A!7:!8>A!K67!78!E><J=7!7=;!A7=>L>A4B4?>!;8!0"1!I!8;A!B@D:4D;A!C7!=7L=>C6DD4M:!

;A4AB4C;!6B484O;C;A!A7!E;:!;H6AB;C>!;!6:;!A7=47!C7!L=>B>D>8>A!D47:BTS4D;<7:B7!B7AB;C>AP!

:>! A7! E;! L=>C6D4C>! 8;! A7=>D>:?7=A4M:! C7! 8;! <6H7=! I! 8>A! :4^>A! :;D4C>A! E;:! A4C>!

57:@B4D;<7:B7!L=>L4>A!I!A7=>:75;B4?>A!;8!0"1WhR!!

!

+;A! L7=A>:;A! D>:! 0"1! :7D7A4B;:! K67! 8;A! ,C<4:4AB=;D4>:7A! LQJ84D;AP! I;! A7;! ;! :4?78!

:;D4>:;8! >! ;! :4?78! ;6B>:M<4D>P! 5;=;:B4D7:! 78! ;DD7A>! ;! 8;A! B@D:4D;A! C7! =7L=>C6DD4M:!

E6<;:;!;A4AB4C;!L>=K67!A>:!6:!5=6L>!<7:>A!L=>B754C>P!<]A!?68:7=;J87P!7AB45<;B4O;C>!

7:!<6DE>A!D;A>A[\P!I!C7!:>!L=>C6D4=A7!7A;!5;=;:BT;!L>C=T;!S><7:B;=A7!8;!=7;84O;D4M:!C7!

D>:C6DB;A! C7! =47A5>! I;! K67! 78! C7A7>! C7! B7:7=! E4H>A! L67C7! 887?;=! ;! 8;A! L;=7H;A! B;:B>!

A7=>C4AD>=C;:B7A!D><>!A7=>D>:D>=C;:B7AP!7:!7AL7D4;8!A4!A6!A4B6;D4M:!7D>:M<4D;!:>!87A!

L7=<4B7!;D6C4=!;!8;!A;:4C;C!L=4?;C;P!;!L=;DB4D;=!78!D>4B>!?;54:;8!A4:!L=>B7DD4M:P!8>!D6;8!

L67C7!L=>?>D;=!K67P!7:!78!L=4<7=!D;A>P!A7!L=>C6OD;!8;!A7=>D>:?7=A4M:!IP!7:!78!A756:C>!

!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!Wh!)4<M:!';=4:;!"1'%&**P!F1"0!I!=7L=>C6DD4M:!;A4A4B4C;R!&7L=>C6DD4M:!,A4AB4C;!7:!L;=7H;A!A7=>C4AD>=C;:B7A!`E><J7A! A7=>L>A4B4?>Aa! ;8! 0"1mWi! 7NL7=47:D4;! C7! WWY! :4^>A! :;D4C>A! A;:>AGP!!*#"4,&,AB%' 0' F>.1"1$*4*%'+&B#*4%P!ViVP![\\[P!WUZmWf\R!(AB>A!4:?7AB45;C>=7A!D>:D86I7:!K67!A4!A7!A4567!8;!<7B>C>8>5T;!C7AD=4B;!7:!A6!B=;J;H>P!c78! =47A5>!C7! B=;:A<4B4=!78!0"1mW!;! B=;?@A!C7!7AL7=<;B>O>4C7A! 8;?;C>A!7A! 4:S7=4>=! `D7=>!L>=!78!<><7:B>a!;8!>JA7=?;C>!7:!L;=7H;A!A7=>C4AD>=C;:B7A!K67!7S7DBQ;:!D>4B>!:>!L=>B754C>R!![\! 0@;A7! '45678! ,:578! &;<4=>! ,?48@AP! F(8! 0"1X)".,! I! 78! L=4:D4L4>! C7! 456;8C;CGP! ;.%2>&"%R' 8"<*.1%'

9%$&%2"#1%$*%'("'&%';.%2>&"%'("'H%($*(P!WYP![\\YP!LLR![hZm[hhR!

Page 19: VIH y Acceso a los tratamientos de reproducción humana asistida [HIV and Access to Human Assisted Reproduction Treatments]

Wh!

D;A>P! 8;! A6L7=4:S7DD4M:! D>:! 0"1! C4AB4:B>A! I! D>:! A7:A4J484C;C! C4S7=7:B7! ;! 8>A!

=7B=>?4=;87A[WR!

!

+;A! :>=<;A! 875;87A! K67! ;S7DB;:! ;8! C7=7DE>! ;! ;DD7C7=! ;! 8;A! B@D:4D;A! C7! =7L=>C6DD4M:!

;A4AB4C;! :>! A7! S6:C;<7:B;:! C7AC7! 6:! L6:B>! C7! ?4AB;! @B4D>! 7ND86A4?;<7:B7! 7:! 78!

L=4:D4L4>!C7!;6B>:><T;P!78!D6;8!7AB]!A><7B4C>!;!6:;!D>:C4D4M:!L7=7:B>=4;!D><>!7A! 8;!

7N4AB7:D4;!C7!6:;!4:C4D;D4M:!D8T:4D;!>!6:!C4;5:MAB4D>!C7!4:S7=B484C;CP!A4:>!B;<J4@:!7:!8>A!

L=4:D4L4>A! J4>@B4D>A! I! C7>:B>8M54D>A! C7! J7:7S4D7:D4;P! :>! <;87S4D7:D4;! I! H6AB4D4;R!

&7AL7DB>! ;! @AB>AP! 5;=;:B4O;=! 78! ;DD7A>! C7! 8;A! L7=A>:;A! D>:! 0"1! ;! 8;A! B@D:4D;A! C7!

=7L=>C6DD4M:! ;A4AB4C;! L7=<4B4=]! A7^;8;=! K67! 78! =7A68B;C>! >JB7:4C>! A7;! @B4D;! I!

C7>:B>8M54D;<7:B7! ;D7LB;J87R! )7! E;D7! 78! J47:! ;8! L;D47:B7! ;8! =7C6D4=! 78! 7AB=@A!

LA4D>8M54D>! ;8! K67! L67C7! ?7=A7! A><7B4C>! A4! 8;! Q:4D;! >LD4M:! ?4;J87! L;=;! B7:7=!

C7AD7:C7:D4;! 7A! 78! D>4B>! ?;54:;8! A4:! L=>B7DD4M:[[b! A7! 7?4B;! E;D7=! C;^>! I;! K67! :>! A7!

L=>C6D7:!A7=>D>:?7=A4>:7A!:4!7:!8>A!L=>57:4B>=7A!:4!7:!8;!C7AD7:C7:D4;!I!5=;D4;A!;!8;!

B7=;L4;! ;:B4==7B=>?4=;8! C7! 5=;:! ;DB4?4C;C! `2,&e,a! ;K6@88>A! B47:7:! D;84C;C! C7! ?4C;! I!

7AL7=;:O;! C7! ?4C;b! IP! 7:! B7=D7=! 865;=P! A7! L=>C6D7! 6:;! C4AB=4J6D4M:! 7K64B;B4?;! C7! 8;A!

D;=5;A!I!C7!8>A!J7:7S4D4>A!A>D4;87A!L7=<4B47:C>!78!;DD7A>!;!6:>A!A7=?4D4>A!K67!?;:!;!A7=!

A6S=;5;C>A!L>=!8;A!;C<4:4AB=;D4>:7A!A;:4B;=4;A!LQJ84D;A[VR!

!

)4! 8;A! ;C<4:4AB=;D4>:7A!LQJ84D;A!:>! A6S=;5;:!7AB>A! D>AB7AP! 7:B>:D7A! 8;A!L7=A>:;A! D>:!

0"1!K67!A7!7:D67:B=7:!7:!6:;!A4B6;D4M:!A>D4;8!<]A!C7A;?7:B;H;C;!7D>:M<4D;<7:B7!I!

C7A77:! B7:7=! C7AD7:C7:D4;! L>C=T;:! ?7=A7! ;?>D;C;A! ;! =7;84O;=! D><L>=B;<47:B>A! C7!

=47A5>!<;:B7:47:C>!=78;D4>:7A!A7N6;87A!?T;!?;54:;8!A4:!L=>B7DD4M:R!(AB>!L67C7!A6L>:7=!

K67! ;6<7:B7! 78! =47A5>! C7! B=;:A<4B4=! 8;! 7:S7=<7C;C! K67P! A4! J47:! L67C7! A7=! J;H>P!

!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!![W!0@;A7!$=;:D4AD>!07=5;=;P! F*4>@B4D;!I! =7L=>C6DD4M:!;A4AB4C;!7:!L;=7H;A!D>:!0"1GP!LR![hZR!.>D6<7:B>!C4AL>:4J87!7:!kkkRE?:R7AXA7=?4D4>Al;A4AB7:D4;87AX54:7D>8>54;XC>D6<7:B>AX/>:7:D4;A[\\fX7B4D;l0"1RLCS!![[!+;!=7C6DD4M:!C78!7AB=@A!;6<7:B;=T;! 8;!D;84C;C!C7!?4C;!C7!8;A!L7=A>:;A!D>:!0"1P! 8>!D6;8!7A!6:>!C7!8>A!>JH7B4?>A! C78!@&%#'H5&1*."41,$*%&' C$"#1"' %' &%' *#C"44*/#' 9,$' KG:' 0' )*(%R' J.9%P%' STTUVSTWSR! .>D6<7:B>!C4AL>:4J87!7:!kkkR<ADR7AXD46C;C;:>AX7:S+7A4>:7AX7:S2=;:A<4A4J87AXA4C;XL8;:7A(AB=;BXE><7REB<! [V!_R!17=:]:C7O!#Q^7O!"1'%&**P!F&7L=>C6DD4M:!7:!L;=7H;A!A7=>C4AD>=C;:B7A!L;=;!78!0"1R!,L=>N4<;D4M:!;!8;!A4B6;D4M:!;DB6;8GP!H"(*C%2P!WVi[P![\\VP!LR!gVP!A7^;8;!K67!7:![\\WP!8;A!8"4,2"#(%4*,#".'("'&%')"4$"1%$B%'

("&' @&%#'3%4*,#%&' .,>$"' "&' )G?;O' "&'!$59,'("' J.15(*,.' ("' )*(%O' &%' ),4*"(%(' J.9%P,&%' ("'!*#"4,&,AB%' 0'

F>.1"1$*4*%O' 0' &%' ;.,4*%4*/#' J.9%P,&%' ("' @"(*%1$B%' 9%$%' "&' ."A5*2*"#1,' ("' &%' *#C"44*/#' 9,$' KG:' 4,#'

$"&%4*/#' %' &%' $"9$,(544*/#O' "&' "2>%$%Q,' 0' &%' 9$"<"#4*/#' ("' &%' 1$%#.2*.*/#' <"$1*4%&! 4:D86T;:! D><>!A657=7:D4;! 8;!L>A4J484C;C!C7! 4:D864=!78! 8;?;C>!C7!A7<7:!I!A6!L>AB7=4>=! 4:A7<4:;D4M:!;=B4S4D4;8!D><>!6:;!L=7AB;D4M:!C78!)4AB7<;!#;D4>:;8!C7!);86CR!

Page 20: VIH y Acceso a los tratamientos de reproducción humana asistida [HIV and Access to Human Assisted Reproduction Treatments]

[\!

A47<L=7! I! D6;:C>! 78! D>4B>! A4:! L=>B7DD4M:! A7! L=;DB4K67! 7ND86A4?;<7:B7! C6=;:B7! 78!

L7=T>C>! L7=4>?68;B>=4>P! :>! 7A! 6:! S;DB>=! K67! A7;! ;JA>86B;<7:B7! C7AL=7D4;J87R! (AB7!

4:D=7<7:B>! C78! =47A5>! C7! B=;:A<4A4M:! B;:B>! C78! 0"1! D><>! C7! D6;8K647=! >B=;!

7:S7=<7C;C!C7!B=;:A<4A4M:!A7N6;8!:>!7A!@B4D;<7:B7!;D7LB;J87!I;!K67!L67C7!A6L>:7=!

>J845;=!;!C4DE;A!L7=A>:;A!;!=7;84O;=!D><L>=B;<47:B>A!C7!=47A5>A[UR!

!

/>=!>B=>! 8;C>P! A4! :>! A7!5;=;:B4O;!78! ;DD7A>!C7! 8;A!L7=A>:;A! D>:!0"1!;! 8;A! B@D:4D;A!C7!

=7L=>C6DD4M:! E6<;:;! ;A4AB4C;! I;! A7;! L>=K67! S>=<;:! L;=7H;A! A7=>C4AD>=C;:B7A! >!

L;=7H;A! A7=>D>:D>=C;:B7A! D>:! =47A5>! C7! =74:S7DD4M:P! L>C=T;! =7A68B;=! 4:7NL84D;J87! I!

D>:B=;C4DB>=4>!L;=;! 8;! >L4:4M:!LQJ84D;!K67! A7! A>AB7:5;!K67! 8;! Q:4D;! ?T;! L;=;!K67! 8;A!

L;=7H;A!A7=>C4AD>=C;:B7A!>!A7=>D>:D>=C;:B7A!D>:!=47A5>!C7!=74:S7DD4M:!L67C;:!B7:7=!

C7AD7:C7:D4;! 57:@B4D;<7:B7! L=>L4;! A7;! =7;84O;=! 6:! D><L>=B;<47:B>! C7! =47A5>P! 7AB>!

7AP!<;:B7:7=!=78;D4>:7A!A7N6;87A!?T;!?;54:;8!A4:!L=>B7DD4M:!C6=;:B7!8>A!CT;A!C7!<;I>=!

S7=B484C;C!C7!8;!<6H7=R!

!

+;A!L>8TB4D;A!LQJ84D;A!7:!<;B7=4;!C7!0"1!C7J7:!A7564=! 4:A4AB47:C>!7:! 8;!:7D7A4C;CP!7:!

57:7=;8P! C7! K67! B>C;A! 8;A! L7=A>:;A! 7?4B7:! 8;! =7;84O;D4M:! C7! L=]DB4D;A! C7! =47A5>! IP! 7:!

L;=B4D68;=P! C7! K67! 8;A! L7=A>:;A! D>:! 0"1! ;C>LB7:! <7C4C;A! C4=454C;A! ;! 7?4B;=! 8;!

B=;:A<4A4M:!A7N6;8!C78!0"1P!4:C7L7:C47:B7<7:B7!C78!C7A7>!=7L=>C6DB4?>[fR!#>!A7!B=;B;P!

7:!<4! >L4:4M:P! C7! =7L=>C6D4=A7! ;! B>C;! D>AB;! I! ;! D6;8K647=! L=7D4>! A4:>!C7!E;D7=8>!C7!

S>=<;! A756=;P! I! L;=;! 5;=;:B4O;=! 7AB>! 8;A! B@D:4D;A! C7! =7L=>C6DD4M:! ;A4AB4C;!

D47:BTS4D;<7:B7!;C<4B4C;A!A>:!6:!4:AB=6<7:B>!4CM:7>R!#>!>JAB;:B7P!E;I!K67!=7D>=C;=!

K67!D6;8K647=!<@B>C>!=7L=>C6DB4?>!K67!A7!6B484D7!7:!L;=7H;A!A7=>C4AD>=C;:B7A!D>:887?;!

;85Q:!=47A5>P!L>=!L7K67^>!K67!A7;P!C7!B=;:A<4A4M:!IP!L>=!B;:B>P!8>A!C4S7=7:B7A!<@B>C>A!

!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!![U! 0@;A7! 7:! A7:B4C>! D>:B=;=4>! /;J8>! *;==74=>! "1' %&**P! F"A! :;B6=;8! D>:D7LB4>:! ;! ?;84C! >LB4>:! S>=! 1"0mA7=>C4AD>=C;:B! D>6L87ApGP!:52%#'8"9$,(541*,#P! [[ihP! [\\gP!LLR! [VfVm[Vf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f! 0@;A7! 3#,".)P! )"X5%&&0' 6$%#.2*11"(' ?*."%.".Y' @,&*4*".' %#(' @$%41*4".' C,$' @$"<"#1*,#' %#(' +%$"R!.>D6<7:B>!C4AL>:4J87!7:!kkkRkE>R4:BXE4?XL6JXAB4X7:XL=7?lD;=7l7:RLCS!'

Page 21: VIH y Acceso a los tratamientos de reproducción humana asistida [HIV and Access to Human Assisted Reproduction Treatments]

[W!

C7!=7L=>C6DD4M:!;A4AB4C;!B47:7:!D><>!>JH7B4?>!C4A<4:64=!;8!<]N4<>!L>A4J87!78!=47A5>!C7!

B=;:A<4A4M:P!A4:!K67!:4:56:>!C7!788>A!A7;!D;L;O!C7!5;=;:B4O;=!8;!;6A7:D4;!C78!<4A<>R!

!

j67C;! L>=! C486D4C;=! 8;! D>:C4D4M:! C7! ;DD7A>! ;! 8;A! B@D:4D;A! C7! =7L=>C6DD4M:! E6<;:;!

;A4AB4C;!L67A!A7!E;!A7^;8;C>!K67!C7J7!7N4AB4=!6:;!4:C4D;D4M:!D8T:4D;!>!6:!C4;5:MAB4D>!C7!

4:S7=B484C;CR!/67A!J47:P!D=7>!K67!L67C7!;S4=<;=A7!K67!8;!C>DB=4:;!D47:BTS4D;!7A!6:]:4<7!

;! 8;! E>=;! C7! ;S4=<;=! K67! 8;A! B@D:4D;A! C7! =7L=>C6DD4M:! ;A4AB4C;! 7AB]:! 4:C4D;C;A!

D8T:4D;<7:B7! I;! A7;! L>=K67! 8;A! L7=A>:;A! D>:! 0"1! L67C7:! B7:7=! 6:! C@S4D4B! C7!

S7=B484C;C[ZP!I;!A7;!L>=K67!;!B>C;!D>AB;!C7J7!7?4B;=A7!8;!L>A4J484C;C!C7!K67!A7!B=;:A<4B;!

78! 0"1! ;8! <47<J=>! A7=>:75;B4?>! C7! 8;! L;=7H;R! -67AB4M:! C4AB4:B;! 7A! K6@! B@D:4D;! ?;! ;!

6B484O;=A7! A4! 7A! 78! E><J=7P! 8;!<6H7=! >! A>:! ;<J>A! K647:7A! A>:! A7=>L>A4B4?>AP! ;6:K67!

4:C7L7:C47:B7<7:B7!C7!A4!7AB;<>A!;:B7!L;=7H;A!A7=>C4AD>=C;:B7A!>!A7=>D>:D>=C;:B7A!

7A! ;D>:A7H;J87! =7;84O;=!6:!7AB6C4>!C7! S7=B484C;C!L=7?4>! ;8! C7A7>! D>:D7LD4>:;8P! 78! D6;8!

S>=<;=T;!L;=B7!C7!6:!D>:A7H>!=7L=>C6DB4?>!<]A!;<L84>[gR!

!

(:! 6:;! L;=7H;! A7=>C4AD>=C;:B7! D6;:C>! 7A! 78! E><J=7! K647:! 7A! A7=>L>A4B4?>P! 8;!

6B484O;D4M:! C7! B@D:4D;A! C7! =7L=>C6DD4M:! ;A4AB4C;! 7?4B;! 8;! A7=>D>:?7=A4M:! C7! 8;! <6H7=!

;6:K67! :>! E;I! 6:;:4<4C;C! 7:! D6;:B>! ;! K6@! B@D:4D;! C7J7! 7<L87;=A7i! 4:A7<4:;D4M:!

4:B=;6B7=4:;!>! S7D6:C;D4M:! *#'<*1$,! D>:!<4D=>4:I7DD4M:!7AL7=<]B4D;R!(8!6A>!C7!;856:;!

C7! 7AB;A! C>A! B@D:4D;A! C7J7! 7AB;=! 5;=;:B4O;C>! L>=! 8>A! L=>J87<;A! C7! S7=B484C;C! K67!

L67C7:! B7:7=! 8>A! E><J=7A! A7=>L>A4B4?>A! L67A! c7AB]! D><L=>J;C;! 8;! ;8B7=;D4M:! 7:! 8;!

L=>C6DD4M:!C7!7AL7=<;!A;:>!I!C7!D;84C;C!:>=<;8d[YR!

!

!)4P!L>=!78!D>:B=;=4>P!7:!8;!L;=7H;!A7=>C4AD>=C;:B7!7A!8;!<6H7=!K647:!7A!A7=>L>A4B4?;P!8;!

6B484O;D4M:!C7!8;A!B@D:4D;A!C7!=7L=>C6DD4M:!;A4AB4C;!A7!D>:A4C7=;!D><>!6:;!>LD4M:!L67A!

8;A!<6H7=7A!D>:!0"1!K67!C7A7;:!K67C;=A7!7<J;=;O;C;A!B47:7:!;!A6!C4AL>A4D4M:!>B=>A!

C>A! L=>D7C4<47:B>A! L;=;! 4:B7:B;=! D;6A;=! C7! <;:7=;! #%15$%&! I! ".9,#1E#"%' 78!

7<J;=;O>R!(8!L=4<7=>! D>:A4AB7!7:!K67! 8;!L;=7H;!L67C7!<;:B7:7=! =78;D4>:7A! A7N6;87A!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!![Z!0@;A7!$=;:D4AD>!07=5;=;P!F*4>@B4D;!I!=7L=>C6DD4M:!;A4AB4C;!7:!L;=7H;A!D>:!0"1GP!>LRD4BRP!LR![YhR![g! -><4A4M:! ,A7A>=;! A>J=7! 2@D:4D;A! C7! &7L=>C6DD4M:! 16<;:;! ,A4AB4C;! 7:! -;B;86^;P! 674#*4%.' ("'8"9$,(544*/#';.*.1*(%'0'KG:P!>LRD4BRP!LR!hP!cD><>!D6;8K647=!7:S7=<7C;C!;A>D4;C;!;!6:!=47A5>!L7=4:;B;8P!78!D>:A7H>! L=7D>:D7LD4>:;8! 7A! 4<L=7AD4:C4J87R! +;A! <6H7=7A! 4:S7DB;C;A! L>=! 78! 0"1! C7J7:! L8;:4S4D;=! A6!57AB;D4M!I!C7J7:!7AB;=!4:S>=<;C;A!C7!8;A!L>A4J87A!D><L84D;D4>:7A!K67!L67C;:!A6=54=dR!![Y!$=;:D4AD>!07=5;=;P!F*4>@B4D;!I!=7L=>C6DD4M:!E6<;:;!;A4AB4C;!7:!L;=7H;A!D>:!0"1GP!>LRD4BRP!LR![YhR!

Page 22: VIH y Acceso a los tratamientos de reproducción humana asistida [HIV and Access to Human Assisted Reproduction Treatments]

[[!

D>:!L=7A7=?;B4?>! A4:!7AL7=<4D4C;!I! ?;D4;=!L>AB7=4>=<7:B7!78! D>:B7:4C>! A7<4:;8!7:! 8;!

?;54:;b! 78! A756:C>!7A!>JB7:7=! 78! A7<7:!L>=!<;AB6=J;D4M:!7! 4:I7DB;=8>! 7:! 8;! ?;54:;P!

<7C4;:B7! H7=4:5;R! ,<J>A! L=>D7C4<47:B>! A>:! B@D:4D;A! C7! 4:A7<4:;D4M:! <6I! A4<L87A!

K67! L=7B7:C7:! 7?4B;=! 8;! 7ND7A4?;! <7C4D;84O;D4M:! C78! L=>D7A>R! #>! >JAB;:B7P! C4?7=A>A!

7AB6C4>A!C7<67AB=;:!K67!8;!S7=B484C;C!C7!8;A!<6H7=7A!D>:!0"1!L67C7!A7=!<7:>=!L67A!8;!

7:S7=<7C;C!L>C=T;!C7B7=4>=;=!;:B4D4L;C;<7:B7!8;!D;84C;C!>?>D4B;=4;b!>!78!?4=6A!L>C=T;!

c;8B7=;=! 8;! L8;D7:B;! ;8! 4:B7=S7=4=! 7:! 8;! B=;:AS7=7:D4;! C7! :6B=47:B7A! 7A7:D4;87A! ;! A6!

B=;?@Ad! >! c4:S864=! C4=7DB;<7:B7! 7:! 78! C7A;==>88>! ;:M<;8>! C78! 7<J=4M:db! >! 78! ?4=6A!

L>C=T;! B7:7=! 6:;! ;DD4M:! C787B@=7;! A>J=7! 78! B4<>! S7B;8b! >! c78! <;I>=! =47A5>! C7!

4:S7DD4>:7A! C7! 8;!<;C=7! ;6<7:B;! 8;A! L>A4J484C;C7A! C7! D><L=><7B7=! 8;! S7=B484C;Cd[hR!

(AB7! C@S4D4B! C7! S7=B484C;C! D>:887?;! K67! 8;A! <6H7=7A! A7=>L>A4B4?;A! B;<J4@:! B7:5;:!

C7=7DE>!;!B7:7=!5;=;:B4O;C;!I!;!L>C7=!E;D7=!7S7DB4?;!8;!>LD4M:!C7!6B484O;=!8;A!B@D:4D;A!

C7!=7L=>C6DD4M:!E6<;:;!;A4AB4C;R!

!

)M8>!7:!78!D;A>!C7!K67!;<J>A!<47<J=>A!C7!8;!L;=7H;!7AB@:!4:S7DB;C>A!I!7:!B=;B;<47:B>!

;:B4==7B=>?4=;8! 7S7DB4?>P! I! :>! A7! L8;:B77! =47A5>! C7! =74:S7DD4M:P! L>C=T;! ;D7LB;=A7! 8;A!

=78;D4>:7A!A7N6;87A!A4:!L=>B7DD4M:R!)4P!L>=!78!D>:B=;=4>P!7N4AB7!C4DE>!=47A5>P!7:B>:D7A!8;!

L;=7H;!L>C=T;!>!J47:!<;:B7:7=!=78;D4>:7A!A7N6;87A!D>:!L=7A7=?;B4?>!A4:!7AL7=<4D4C;!I!

?;D4;=!L>AB7=4>=<7:B7!78!D>:B7:4C>!A7<4:;8!7:!8;!?;54:;P!>!J47:!4:I7DB;=!7:!8;!?;54:;!78!

A7<7:!>JB7:4C>!<7C4;:B7!<;AB6=J;D4M:R!(:!7AB>A!D;A>A!C7!L;=7H;A!A7=>D>:D>=C;:B7A!

B;<J4@:!C7J7!5;=;:B4O;=A7!78! ;DD7A>!;! 8;A! B@D:4D;A!C7! =7L=>C6DD4M:!E6<;:;!;A4AB4C;!

L67AP!B;8!I!D><>!A7!E;!A7^;8;C>!<]A!;==4J;P!7A!L>A4J87!K67!78!7AB6C4>!C7!S7=B484C;C!887?7!

;!7<4B4=!6:!C4;5:MAB4D>!C7!4:S7=B484C;CR!

!

+;A!L7=A>:;A!D>:!0"1P!I;!S>=<7:!L;=7H;A!A7=>D>:D>=C;:B7A!>!A7=>C4AD>=C;:B7AP!B47:7:!

K67!B7:7=!5;=;:B4O;C>!78!;DD7A>!;!8>A!<4A<>A!C7=7DE>AP!J47:7A!I!A7=?4D4>A!K67!78!=7AB>!

C7!D46C;C;:>AP!I!:>!L67C7:!A7=!7ND864C>A!C7!8>A!<4A<>A!;B7:C47:C>!;!=;O>:7A!K67!:>!

A>:!A6S4D47:B7A!:4!=;O>:;J87A!;!8;!E>=;!C7!H6AB4S4D;=!78!B=;B>!C4S7=7:D4;C>R!,ATP!A6!;DD7A>!

;! 8;A! B@D:4D;A!C7! =7L=>C6DD4M:!E6<;:;!;A4AB4C;!C7J7!5;=;:B4O;=A7!7:! D>:C4D4>:7A!C7!

456;8C;C!=7AL7DB>!;8!=7AB>!C7!L7=A>:;A!I;!K67!8;A!L7=A>:;A!D>:!0"1!D6<L87:!D>:!B>C>A!

!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!![h!"J4C7<R!

Page 23: VIH y Acceso a los tratamientos de reproducción humana asistida [HIV and Access to Human Assisted Reproduction Treatments]

[V!

I!D;C;!6:>!C7!8>A!=7K64A4B>A!K67!A7!7N457!7:!8;!8754A8;D4M:!L67A!L67C7:!8875;=!;!B7:7=!

6:!C4;5:MAB4D>!C7!7AB7=484C;C!I!8;A!B@D:4D;A!7AB]:!4:C4D;C;A!D8T:4D;<7:B7!I!A>:!7S4D;D7AP!

7S7DB4?;A! I! A756=;A! ;! 8;! E>=;! C7! 7?4B;=! 8;! B=;:A<4A4M:! ?7=B4D;8! I! C7! D>:A7564=! 6:!

7<J;=;O>R!

!

/>=!Q8B4<>P!8;!+7I!WUX\Z!4:D86I7!7:!A6!C4AL>A4D4M:!;C4D4>:;8!K64:B;!6:;!5;=;:BT;!C7!:>!

C4AD=4<4:;D4M:! L;=;! 8;A! L7=A>:;A! D>:! C4AD;L;D4C;C! IP! 7:! <4! >L4:4M:P! 7AB;! L=7?4A4M:!

;S7DB;=T;! ;! 8;A! L7=A>:;A! D>:!0"1! L67A! ;8! S4:;84O;=! 8;! GGG' +,#C"$"#4*%' .,>$"' KG:L)G?;' 0'

?"$"4-,.':52%#,.P!D787J=;C;!7:!e4:7J=;!7:B=7!8>A!CT;A![f!I![Z!C7!H684>!C7![\\[!J;H>!

8>A! ;6AL4D4>A! C7! 8;! %=5;:4O;D4M:! C7! #;D4>:7A! 3:4C;AP! A7! =7?4A;=>:! 8;A! C4=7DB=4D7A!

4:B7=:;D4>:;87A!A>J=7!8;!<;B7=4;!K67!S67=>:!;L=>J;C;A!7:!WhhZV\R!+;!C4=7DB=4O!:Q<7=>!

f! A7^;8;! K67! c8>A! (AB;C>A! C7J7=]:! L=><685;=! >! S>=B;87D7=! 87I7A! ;:B4C4AD=4<4:;B>=4;A!

K67! L=>B7H;:! ;! 8>A! 5=6L>A! ?68:7=;J87AP! 8;A! L7=A>:;A! D>:! 0"1! I! 8;A! L7=A>:;A! D>:!

C4AD;L;D4C;C7A! C7! A6S=4=! C4AD=4<4:;D4M:! B;:B>! 7:! 78! ]<J4B>! LQJ84D>! D><>! L=4?;C>b!

5;=;:B4O;=! 8;! L=4?;D4C;C! I! D>:S4C7:D4;84C;C! I! 8>A! L=4:D4L4>A! @B4D>A! 7:! 8;! 4:?7AB45;D4M:!

D47:BTS4D;! A>J=7! A7=7A! E6<;:>Ab! E;D7=! E4:D;L4@! 7:! 8;! 7C6D;D4M:! I! D>:D484;D4M:b! I!

7AB;J87D7=! =7D6=A>A! ;C<4:4AB=;B4?>A! I! D4?487A! =]L4C>A! I! 7S7DB4?>AdR! (:! =78;D4M:! D>:! 78!

;A6:B>! K67! D>:D47=:7! ;! 7AB7! 4:S>=<7P! 7AB;! C4=7DB=4O! 4<L84D;! K67! 8>A! (AB;C>A! C7J;:!

C4DB;=!>! =7?4A;=! A6A! 87I7A!;:B4C4AD=4<4:;B>=4;A!L;=;!K67!@AB;A!L=>B7H;:!;! 8;A!L7=A>:;A!

A4:B><]B4D;A!I!;A4:B><]B4D;A!D>:!0"1P!;!8;A!L7=A>:;A!D>:!)4C;P!;!;K6788;A!L7=A>:;A!C7!

8;A!K67!A7!A>AL7DE;!A6!A7=>L>A4B4?4C;C!I!;!;K6788>A!5=6L>A!K67P!A4:!A7=!C7!=47A5>P!A>:!

<]A!?68:7=;J87A!;8!0"1!>!;8!)4C;!`<6H7=7AP!:4^>AP!E><>A7N6;87AP!4:<45=;:B7AP!L7=A>:;A!

K67! ?4?7:! L>=! C7J;H>! C78! 6<J=;8! C7! 8;! L>J=7O;P! L7=A>:;A! C7AL8;O;C;AP! L=7A>AP!

B=;J;H;C>=7A!A7N6;87AP!6A6;=4>A!C7!C=>5;A!L;=7:B7=;87AaR!(:!A756:C>!865;=P!A7!A7^;8;!;!

8>A!(AB;C>A!78!C7J7=!C7!C4DB;=!>!=7?4A;=!8;A!87I7A!C7!C4AD;L;D4C;C!L;=;!4:D864=!78!0"1!I!78!

)4C;!7:! A6!C7S4:4D4M:!C7!C4AD;L;D4C;CR!/>=!Q8B4<>P! 8;A! 87I7A! ;:B4C4AD=4<4:;B>=4;A! I! 8;A!

87I7A! C7! C4AD;L;D4C;C! C7J7=T;:! D6J=4=! :>! AM8>! ;AL7DB>A! =78;B4?>A! ;8! D64C;C>!<@C4D>!

A4:>!B;<J4@:!;!8;!A756=4C;C!A>D4;8P!8;A!L=7AB;D4>:7A!C7!J47:7AB;=P!8;!=7L=>C6DD4M:!I!8>A!

C7=7DE>A! A7N6;87AP! 78! 7<L87>P! 8;! 7C6D;D4M:P! 78! C7L>=B7P! 78! ;8>H;<47:B>P! 78! ;DD7A>! ;8!

!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!V\!J&'KG:L)G?;'0'&,.'?"$"4-,.':52%#,.R'?*$"41$*4".'G#1"$#%4*,#%&".P!%S4D4:;!C78!,8B>!-><4A4>:;C>!C7!8;A!#;D4>:7A!3:4C;A!L;=;!8>A!.7=7DE>A!16<;:>A!I!/=>5=;<;!->:H6:B>!C7!8;A!#;D4>:7A!3:4C;A!A>J=7!78!0"1!I!78!)".,R!.>D6<7:B>!C4AL>:4J87!7:!EBBLiXXC;B;X6:;4CAR>=5XL6JX&7L>=BX[\\YXHD8W[f[l4:Bl564C784:7Al7ARLCS!!

Page 24: VIH y Acceso a los tratamientos de reproducción humana asistida [HIV and Access to Human Assisted Reproduction Treatments]

[U!

B=;:AL>=B7! I! ;! >B=>A! A7=?4D4>AP! I! C7J7=T;:! 86DE;=! L>=! ;B;H;=! B;:B>! 8;! C4AD=4<4:;D4M:!

C4=7DB;!D><>!8;!4:C4=7DB;VWR!

!

(AB;!C4=7DB=4O!7AB]!<;=D;:C>P!7:!C7S4:4B4?;P!6:!L8;:!C7!B=;J;H>!7:!B=7A!]<J4B>A!L;=;!K67!

8;A! L7=A>:;A! D>:! 0"1! :>! A6S=;:! C4AD=4<4:;D4M:! ;856:;i! 78! L=4<7=>! A7=]! 78! ]<J4B>!

57:7=;8!C7!8;!456;8C;C!I!:>!C4AD=4<4:;D4M:!I;!K67!A7^;8;!;!8>A!(AB;C>A!8;!>J845;D4M:!C7!

6A;=!78!.7=7DE>!;:B4C4AD=4<4:;B>=4>!L;=;!L=>B757=!B;:B>!8;A!L7=A>:;A!D>:!0"1!D6;:B>!;!

8>A! 5=6L>A! ?68:7=;J87A! C7! A6S=4=! D6;8K647=! B4L>! C7! C4AD=4<4:;D4M:P! I;! A7;! C4=7DB;! >!

4:C4=7DB;b! 78! A756:C>! A7=]! 78! ]<J4B>! C7! 8;! C4AD;L;D4C;C! I;! K67! ;J>5;! L>=! 8;!

D>:A4C7=;D4M:!C7!8;A!L7=A>:;A!D>:!0"1!D><>!L7=A>:;A!D>:!C4AD;L;D4C;C!L>=!=;OM:!C7!

A6!7AB;C>!A7=>8M54D>b!78!B7=D7=>!A7=]!78!]<J4B>!C7!8;A!L>8TB4D;A!LQJ84D;A!I;!K67!A7^;8;!8;!

:7D7A4C;C!C7!B=;AD7:C7=!78!<>C78>!<@C4D>!I!7:D;<4:;=A7!E;D4;!6:!<>C78>!A>D4;8!K67!

4:D86I;!:>! AM8>! 8;!;B7:D4M:! A;:4B;=4;! A4:>! B;<J4@:!;K6788;A!L=7AB;D4>:7A! A>D4;87A!K67!

;I6C;:!;!8;A!L7=A>:;A!;!=7;84O;=!L87:;<7:B7!A6A!C7=7DE>AV[R!

!

,6:K67!8;!+7I!WUXYZ!:>!E;D7!=7S7=7:D4;!7NL=7A;P!L7=>!78!0"1!I!78!)4C;P!7:!L;=B4D68;=P!I!

78! 7AB;C>! C7! A;86CP! 7:! 57:7=;8P! A7! 4:D86I7:! 7:! 7A;! D8]6A68;! ;J47=B;! K67! 4:D>=L>=;! 78!

;=BTD68>!WU!C7!8;!->:AB4B6D4M:!D6;:C>!A7^;8;!K67!c8>A!7AL;^>87A!A>:!456;87A!;:B7!8;!87IP!

A4:!K67!L67C;!L=7?;87D7=!C4AD=4<4:;D4M:!;856:;!L>=! =;OM:!C7!:;D4<47:B>P! =;O;P! A7N>P!

=78454M:P!>L4:4M:!>!D6;8K647=!>B=;!D>:C4D4M:!>!D4=D6:AB;:D4;!L7=A>:;8!>!A>D4;8dR!(:!7AB7!

<4A<>!A7:B4C>!A7!E;!L=>:6:D4;C>!8;!-><4A4M:!C7!.7=7DE>A!16<;:>A!C7!8;A!#;D4>:7A!

3:4C;A!7:!C4?7=A;A!=7A>86D4>:7A!C7AC7!78!;^>!Whhf!D6;:C>!E;!4:B7=L=7B;C>!8;A!:>=<;A!

K67!D>:S>=<;:!78!D67=L>!C78!.7=7DE>!":B7=:;D4>:;8!C7!8>A!.7=7DE>A!16<;:>AR!,ATP!8;!

-><4A4M:! E;! A7^;8;C>P! L=4<7=>P! K67! 78! .7=7DE>! ":B7=:;D4>:;8! C7! 8>A! .7=7DE>A!

16<;:>A!5;=;:B4O;!78!C7=7DE>!;!6:;!456;8!L=>B7DD4M:!;:B7!8;! 87I!I!78!C7=7DE>!;!8;!:>!

C4AD=4<4:;D4M:! L>=! <>B4?>A! C7! =;O;P! D>8>=P! L=>L47C;CP! :;D4<47:B>! 6! >B=>! 7AB;B6Ab!

A756:C>P!K67!78!0"1!I!78!)4C;!S>=<;:!L;=B7!C7!7A>A!7AB;B6AVVR!

!

!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!VW!0@;A7!'45678!,:578!&;<4=>!,?48@AP!F(8!0"1X)".,!I!78!L=4:D4L4>!C7!456;8C;CGP!>LRD4BRP!LR![hWR!V[!"J4C7<R!VV!"J4C7<P!LR![hVR!

Page 25: VIH y Acceso a los tratamientos de reproducción humana asistida [HIV and Access to Human Assisted Reproduction Treatments]

[f!

+;! =7<4A4M:! K67! E;D7! 8;! +7I! WUX\Z! ;! 8;! +7I! fWX\V! 7AB]! L7=L7B6;:C>! 6:! B=;B>!

C4AD=4<4:;B>=4>! E;D4;! 8;A! L7=A>:;A! D>:! 0"1! L67A! 8;! +7I! fWX\V! :>! D>:A4C7=;! ;! @AB;A!

D><>!L7=A>:;A!D>:!C4AD;L;D4C;C!L>=!78!A4<L87!E7DE>!C7!D>:S4=<;=A7!8;!L=7A7:D4;!C78!

0"1!7:!78!>=5;:4A<>!C7!6:;!L7=A>:;!A4:>!K67!=74B7=;!78!=7K64A4B>!C78!VVn!4:D864C>!7:!

8>A!&.!WhgWXhh!I!&.!WWZhX\[!L;=;! 8;!>JB7:D4M:!C7! 8;! D>:C4D4M:!C7!C4AD;L;D4B;C>P! 8>!

D6;8!C7L7:C7=]!C7!8;!?;8>=;D4M:!C7!8;A!;S7DD4>:7A!C4AD;L;D4B;:B7AR!+;!+7I!fWX\V!>8?4C;!

K67! 8;! A4<L87! L=7A7:D4;! C78! 0"1! 7:! 78! >=5;:4A<>! C7! 6:;! L7=A>:;! I;! 7A! 6:! <>B4?>!

A6S4D47:B7! L;=;! K67! 6:;! L7=A>:;! A7;! C4AD=4<4:;C;! A>D4;8<7:B7R! (:! 7AB7! A7:B4C>P!

E6J47=;!A4C>!>L>=B6:>!K67!7AB;!+7IP!A45647:C>!78!<>C78>!7AB;C>6:4C7:A7P!L=>B7547A7!;!

8;A!L7=A>:;A!D>:!0"1!L>=!78!E7DE>!C7!A7=!D>:A4C7=;C;A!A>D4;8<7:B7!6:;!L7=A>:;!D>:!

C4AD;L;D4C;CVUR! +;! ;2"$*4%#' Z*1-' ?*.%>*&*1*".' ;41! C7! Whh\! I! 8;! )7DD4M:! f\U! C7! 8;!

8"-%>*&*1%1*,#' ;41P! A75Q:! A7! E;! 4:B7=L=7B;C>! L>=! 8;! H6=4AL=6C7:D4;! :>=B7;<7=4D;:;VfP!

4:D86I7:! ;! 8;A! L7=A>:;A! D>:! 0"1! 7:B=7! 8;A! L7=A>:;A! D>:! C4AD;L;D4C;CP! D>:!

4:C7L7:C7:D4;! C7! 68B7=4>=7A! D>:A4C7=;D4>:7A! A>J=7! 7:S7=<7C;C7A! ;A>D4;C;AP! I;! K67!

c8>A! <4B>A! ;D6<68;C>A! L>=! 8;! A>D47C;C! I! 78! <47C>! E;D4;! 8;! C4AD;L;D4C;C! I! 8;!

7:S7=<7C;C!A>:!B;:!C4AD;L;D4B;:B7A!D><>!8;A!84<4B;D4>:7A!STA4D;AdR!->:!4:C7L7:C7:D4;!

C7!A4! 8;!L7=A>:;!7A!;A4:B><]B4D;P! 8;!L7=A>:;!E;!C7A;==>88;C>! 8>A!L=4<7=>A!AT:B><;A!>!

7AB]!7:! 8;! S;A7!)4C;P! 8;!C4AD;L;D4C;C! A7!L=>C6D7!:>! AM8>!L>=K67! 8;!L7=A>:;! B7:5;!6:!

C;^>! STA4D>! >! LATK64D>! K67! A6AB;:D4;8<7:B7! 84<4B7! 8;! =7;84O;D4M:! C7! 6:;! ;DB4?4C;C!

D>B4C4;:;P! >! L>=K67! E;I;! B7:4C>! 7A7! C;^>! STA4D>! >! LATK64D>P! A4:>! B;<J4@:! L>=K67! 8;!

L7=A>:;! 7A! D>:A4C7=;C;! L>=! >B=>A! D><>! A4! B6?47=;! 6:;! C4AD;L;D4C;CR! (AB>! 887?;=T;!

D>:A45>!6:!D>:D7LB>!;<L84>!C7!C4AD;L;D4C;C!I;!K67!cE;=T;!=7S7=7:D4;!;!6:;!A4B6;D4M:!

D;=;DB7=4O;C;!L>=!8;!84<4B;D4M:!>!4<L>A4J484C;C!C7!7H7=D4B;=!;C7D6;C;<7:B7!6:;!S6:D4M:!

D>=L>=;8! >! 6:;! L;=B7! C78! D67=L>P! >! C7! L>C7=! L7=D4J4=! ;C7D6;C;<7:B7! 8;! =7;84C;CP!

7<>D4>:7A!>!H64D4>AP!>!C7!L>C7=!L;=B4D4L;=!7:!8;!A>D47C;Cb!D><>!D>:A7D67:D4;!C7!6:;!

C7S4D47:D4;P!>!C7!8;!D>:AB=6DD4M:!C78!7:B>=:>!A>D4;8P!>!C7!8;!4:B7=;DD4M:!C7!;<J>AdVZR!+;!

C4AD;L;D4C;CP! 8;! ?68:7=;J484C;C! I! 8;! 7ND86A4M:! K67! A6S=7:! 7AB;A! L7=A>:;AP! :>! A7!

D>:AB=6I7!AM8>!7:B>=:>!;!8;A!7:S7=<7C;C7A!C4AD;L;D4B;:B7A!A4:>!K67!7:!4::6<7=;J87A!

>D;A4>:7A!C4DE;!C4AD;L;D4C;CP!?68:7=;J484C;C!I!7ND86A4M:!7A!C7!D;=]DB7=!A>D4;8!;8!7AB;=!

!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!VU!&;S;78!C7!,ATA!"1'%&**P!),>$"'&%';44".*>*&*(%('=#*<"$.%&'"#'"&'?"$"4-,P!.Is4:A>:P!';C=4CP![\\gP!LR!fVR!Vf!.R2R!.4DsA>:P!:GKO';G?)'%#('1-"'M%ZP!,C4:7!C7!e=6IB7=P!#7k!t>=sP![\\WR!VZ!&;S;78!C7!,ATA!"1'%&**P!),>$"'&%';44".*>*&*(%('=#*<"$.%&'"#'"&'?"$"4-,P!>LRD4BRP!LR!fUR!

Page 26: VIH y Acceso a los tratamientos de reproducción humana asistida [HIV and Access to Human Assisted Reproduction Treatments]

[Z!

;8>H;C;! 7:! 8;!<7:B7! 7! 4<;54:;=4>! C7! 8;A! L7=A>:;AR! +;A! C7A?7:B;H;A! K67! L=7A7:B;:! 8;!

L7=A>:;A!D>:!0"1!B47:7:!A6!>=457:!7:!A6A!C4S4D68B;C7A!L7=A>:;87AP!L7=>!B;<J4@:!I!A>J=7!

B>C>!7:!8>A!>JAB]D68>A!I!D>:C4D4>:7A!84<4B;B4?;A!K67!7:!8;!L=>L4;!A>D47C;C!A7!>L>:7:!;!

8;!L87:;!L;=B4D4L;D4M:!C7!7AB>A!D46C;C;:>AVgR!

!

+;! D>:A4C7=;D4M:! C7! 8;A! L7=A>:;A! D>:! 0"1! D><>! L7=A>:;A! D>:! C4AD;L;D4C;C! 87A!

L7=<4B4=T;!;DD7C7=!;!6:;!A7=47!C7!5;=;:BT;A!A6L87<7:B;=4;A!L;=;!?4?4=!D>:!L87:4B6C!C7!

C7=7DE>A!>!L;=;!L;=B4D4L;=!7:!456;8C;C!C7!D>:C4D4>:7A!K67!78!=7AB>!C7!D46C;C;:>A!7:!8;!

?4C;!7D>:M<4D;P!A>D4;8!I!D68B6=;8!C78!L;TAR!+;A!L7=A>:;A!D>:!0"1!C7J7:!A7=!D>:A4C7=;C;A!

D><>! L7=A>:;A! D>:! C4AD;L;D4C;C! ;B7:C47:C>! 7ND86A4?;<7:B7! ;! A6! 7AB;C>! A7=>8M54D>!

D>:!78!S4:!C7!K67!L67C;:!6B484O;=!8>A!4:AB=6<7:B>A!875;87A!K67!L=>L>=D4>:;!78!.7=7DE>!

L;=;! 86DE;=! D>:B=;! 8;! C4AD=4<4:;D4M:! I! 7AB45<;B4O;D4M:! K67! A6S=7:P! 7:! 7AL7D4;8P! 8;!

H6AB4D4;!5=;B64B;P!8;!4:?7=A4M:!C7!8;!D;=5;!C7!8;!L=67J;P!8;!;DD7A4J484C;C!6:4?7=A;8VY!I!8>A!

;H6AB7A! =;O>:;J87A! K67! C7J;:! E;D7=A7! L;=;! K67! ;K6@88;! A7;! =7;8! I! 7S7DB4?;VhR! #>! A7!

B=;B;! B;:B>! C7! ;DD7C7=! ;! D47=B;A! L=7AB;D4>:7A! A>D4;87A! `L7:A4>:7A! D>:B=4J6B4?;A! >! :>!

D>:B=4J6B4?;Aa!D><>!C7!;DD7C7=!;!8>A!<7C4>A!C7!L=>B7DD4M:!7AL7DTS4D>A!L;=;!E;D7=!?;87=!

A6!C7=7DE>A!D><>!D46C;C;:>AU\R!(:!=7;84C;CP!8;!;DD7A4J484C;C!7A!6:;!D>:C4D4M:!.*#"'[5%'

#,#! L;=;! K67! B>C;A! 8;A! L7=A>:;AP! A4:! 7ND7LD4M:P! L67C;:! 887?;=! ;! D;J>! 6:;! ?4C;!

;6BM:><;!I!L;=B4D4L;=!7:!8;!?4C;!A>D4;8UWR!(:!7AB7!A7:B4C>P!8;!;DD7A4J484C;C!5;=;:B4O;!K67!

1,(%.! 8;A! L7=A>:;A! L67C;:! C4AS=6B;=! C7! A6A! C7=7DE>AP! 4:C7L7:C47:B7<7:B7! C7! A6A!

D;=;DB7=TAB4D;A!L7=A>:;87A!>!A6A!D4=D6:AB;:D4;A!A>D4;87AR!+;!;DD7A4J484C;C!A7!?4:D68;P!L>=!

8>! B;:B>P! D>:! 8;! 456;8C;C! S>=<;8! K67! L7=<4B7! =7D>:>D7=! ;! B>C;A! 8;A! L7=A>:;A! 8>A!

<4A<>A! C7=7DE>AR! +;! ;DD7A4J484C;C! A7! D>:?47=B7! C7! 7AB;! S>=<;! 7:! c6:;! D>:C4D4M:!

4:786C4J87!L;=;!78!7H7=D4D4>!C7!8>A!C7=7DE>A!S6:C;<7:B;87AP!8>!K67!L7=<4B7!D>:A4C7=;=8;!

!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!Vg!0@;A7!'45678!,:578!&;<4=>!,?48@AP!F(8!0"1X)".,!I!78!L=4:D4L4>!C7!456;8C;CGP!>LRD4BRP!LR![hfR!VY! +;!;DD7A4J484C;C!A7!C7S4:7!7:!78!;=BTD68>![RD! +7I!fWX[\\V!D><>!c8;!D>:C4D4M:!K67!C7J7:!D6<L84=! 8>A!7:B>=:>AP!L=>D7A>AP!J47:7AP!L=>C6DB>A!I!A7=?4D4>AP!;AT!D><>!8>A!>JH7B>A!>!4:AB=6<7:B>AP!E7==;<47:B;A!I!C4AL>A4B4?>AP!L;=;!A7=!D><L=7A4J87AP!6B484O;J87A!I!L=;DB4D;J87A!L>=!B>C;A! 8;A!L7=A>:;A!7:!D>:C4D4>:7A!C7!A756=4C;C!I!D><>C4C;C!I!C7!8;!S>=<;!<]A!;6BM:><;!I!:;B6=;8!L>A4J87dR Vh! +>A! ;H6AB7A! =;O>:;J87A! A>:P! A75Q:! 78! ;=BTD68>! gRD! +7I! fWX[\\VP! c8;A! <7C4C;A! C7! ;C7D6;D4M:! C78!;<J47:B7!STA4D>P!A>D4;8!I!;DB4B6C4:;8!;!8;A!:7D7A4C;C7A!7AL7DTS4D;A!C7!8;A!L7=A>:;A!D>:!C4AD;L;D4C;C!K67P!C7! S>=<;!7S4D;O! I! L=]DB4D;! I! A4:! K67! A6L>:5;!6:;! D;=5;! C7AL=>L>=D4>:;C;P! S;D484B7:! 8;! ;DD7A4J484C;C!>!L;=B4D4L;D4M:! C7! 6:;! L7=A>:;! D>:! C4AD;L;D4C;C! 7:! 456;8C;C! C7! D>:C4D4>:7A! K67! 78! =7AB>! C7! 8>A!D46C;C;:>AdR U\!0@;A7!'45678!,:578!&;<4=>!,?48@AP!F(8!0"1X)".,!I!78!L=4:D4L4>!C7!456;8C;CGP!>LRD4BRP!LR!V\fR!!UW!&;S;78!C7!,ATA!"1'%&**P!),>$"'&%';44".*>*&*(%('=#*<"$.%&'"#'"&'?"$"4-,P!>LRD4BRP!LR!ZZR!

Page 27: VIH y Acceso a los tratamientos de reproducción humana asistida [HIV and Access to Human Assisted Reproduction Treatments]

[g!

D><>!6:!=;A5>!C7!A6!D>:B7:4C>!7A7:D4;8dU[R!-6;:C>!A7!D>:AB;B;!K67!C4DE>!;DD7A>!456;8!

:>! 7AB]! 5;=;:B4O;C>! ;! B>C;A! 8;A! L7=A>:;AP! 7:B=;:! 7:! H675>! 8>A! ;H6AB7A! =;O>:;J87AP!

<7C4;:B7!8>A!D6;87A!A7!J6AD;!;8D;:O;=!8;!456;8C;C!<;B7=4;8!L67A!A7!B=;B;!C7!c<7C4C;A!

;C>LB;C;A! ;! S4:! C7! ;C;LB;=! 7:! 7:B>=:>P! 8>A! J47:7A! I! A7=?4D4>A! ;! 8;A! 7AL7DTS4D;A!

:7D7A4C;C7A! C7! D47=B;A! L7=A>:;AP! K67! L>=! C4S7=7:B7A! D;6A;AP! A7! 7:D67:B=;:! 7:! 6:;!

A4B6;D4M:!7AL7D4;8R!(AB;A!<7C4C;A!B47:C7:!;!S;D484B;=!8;!L;=B4D4L;D4M:!C7!C4DE;A!L7=A>:;A!

7:!456;8C;C!C7!D>:C4D4>:7A!K67!78!=7AB>dUVR!

!

+;!S4=<;!78!V\!C7!<;=O>![\\g!I!L>AB7=4>=!=;B4S4D;D4M:!78![V!C7!:>?47<J=7!C7![\\g!L>=!

L;=B7!C7!(AL;^;!C7!8;!+,#<"#4*/#'G#1"$#%4*,#%&'.,>$"'&,.'?"$"4-,.'("'&%.'@"$.,#%.'4,#'

?*.4%9%4*(%(P! ;C>LB;C;! 7:! 78! A7:>! C7! #;D4>:7A! 3:4C;A! 7:! [\\ZP! A6L>:7! 6:;! 5=;:!

>L>=B6:4C;C!L;=;! 8;A!L7=A>:;A!D>:!0"1!L67A!7:!C4DE>!B7NB>!A7!7:S=7:B;! 8;!C4?7=A4C;C!

S6:D4>:;8!B7:47:C>!7:!D67:B;!8;!4:S867:D4;!K67!B47:7:!8>A!S;DB>=7A!;<J47:B;87A!I;!K67!

AM8>!L=>?77=!B=;B;<47:B>!I!D64C;C>A!<@C4D>A!7A!6:!@N4B>!=78;B4?>!A4!A7!B47:7!7:!D67:B;!

8;!?68:7=;D4M:!C7!;856:>A!C7!A6A!C7=7DE>A!J]A4D>AR!)7!;J>5;!L>=!6:!D>:D7LB>!;<L84>!

C7!C4AD;L;D4C;CP!;B7:C47:C>!;8!<>C78>!A>D4;8!K67!B=;B;!C7!4<L>:7=R!.7AC7!7AB;!MLB4D;P!

8;!C4AD;L;D4C;C!7A!6:!D>:D7LB>!K67!=7A68B;!C7! 8;! 4:B7=;DD4M:!7:B=7! 8;A!L7=A>:;A!I! 8;A!

J;==7=;A!C7J4C;A!;!8;!;DB4B6C!I!;8!7:B>=:>!K67!7?4B;:!A6!L;=B4D4L;D4M:!L87:;!I!7S7DB4?;!

7:!8;!A>D47C;CP!7:!456;8C;C!C7!D>:C4D4>:7A!D>:!8>A!C7<]AR!#>!A7!C7J7!D>:A4C7=;=!;!8;!

C4AD;L;D4C;C! D><>! 6:! L=>J87<;! 4:C4?4C6;8P! C7! 8;! L7=A>:;P! A4:>! D><>! 6:! S7:M<7:>!

D><L87H>P! 4:B75=;C>! L>=! S;DB>=7A! A>D4;87AR! #>! A>:! 8;A! 84<4B;D4>:7A! 4:C4?4C6;87A! 8;A!

=;TD7A! C78! S7:M<7:>P! A4:>! 8;A! 84<4B;D4>:7A! C7! 8;! A>D47C;C! L;=;! L=7AB;=! A7=?4D4>A!

;L=>L4;C>A!I!L;=;!;A756=;=!;C7D6;C;<7:B7!K67! 8;A!:7D7A4C;C7A!C7! 8;A!L7=A>:;A!D>:!

C4AD;L;D4C;C!A7;:!B7:4C;A!7:!D67:B;!C7:B=>!C7!8;!>=5;:4O;D4M:!A>D4;8R!

!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!U[!"J4C7<P!LR!W\gR!UV!"J4C7<P!LR!gVR


TRATAMIENTOS PSICOLÓGICOS

TRATAMIENTOS PSICOLÓGICOS

Beneficios de los tratamientos de estética en la salud mental

Beneficios de los tratamientos de estética en la salud mental

Co-infection VIH/VHC: développement et mise en oeuvre d ...

Co-infection VIH/VHC: développement et mise en oeuvre d ...

el mundo del vih/sida para los niños y niñas afectados

el mundo del vih/sida para los niños y niñas afectados

INFECCIONES FUNGICAS por el vih

INFECCIONES FUNGICAS por el vih

Revisión asistida por ordenador de traducciones - DIGIBUG Principal

Revisión asistida por ordenador de traducciones - DIGIBUG Principal

La construcción de la idea de área a través de tratamientos cualitativos y cuantitativos: el caso de alumnos de bachillerato

La construcción de la idea de área a través de tratamientos cualitativos y cuantitativos: el caso de alumnos de bachillerato

VIH 2016–2021 - WHO | World Health Organization

VIH 2016–2021 - WHO | World Health Organization

CAPÍTULO VII -3. TRATAMIENTOS PRELIMINARES

CAPÍTULO VII -3. TRATAMIENTOS PRELIMINARES

La búsqueda de la eterna fertilidad: reproducción humana asistida

La búsqueda de la eterna fertilidad: reproducción humana asistida

VIH SIDA Autoguardado

VIH SIDA Autoguardado

Sección 411.) TRATAMIENTOS SUPERFICIALES ASFÁLTICOS

Sección 411.) TRATAMIENTOS SUPERFICIALES ASFÁLTICOS

Conseil prénatal du VIH orienté vers le couple - TEL - Thèses

Conseil prénatal du VIH orienté vers le couple - TEL - Thèses

La inteligencia emocional en personas que viven con VIH

La inteligencia emocional en personas que viven con VIH

Bulletin de Surveillance Epidemiologique VIH Sida numero 16 ...

Bulletin de Surveillance Epidemiologique VIH Sida numero 16 ...

Réimaginer des communautés? Le traitement précoce contre le VIH/sida en Côte d'Ivoire

Réimaginer des communautés? Le traitement précoce contre le VIH/sida en Côte d'Ivoire

CLASE 2 Tratamientos termicos

CLASE 2 Tratamientos termicos

Tratamientos termicos

Tratamientos termicos

TRATAMIENTOS TERMOQUIMICOS 2

TRATAMIENTOS TERMOQUIMICOS 2

Evaluación de las Funciones Ejecutivas en Personas con VIH Asintomático

Evaluación de las Funciones Ejecutivas en Personas con VIH Asintomático