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The Bush administration's strategy does suggest condoms for "high risk" individuals like prostitutes, soldiers, drug users and "serodiscordant" couples.
Among couples living in the same household (married or not), 4.6 were serodiscordant, where one was HIV positive and the other was negative.
The Special Program of Assisted Reproduction was developed in 1996 to help serodiscordant couples conceive safely.
Older men in "serodiscordant" couples, in which one partner is H.I.V.-positive and the other is not, sometimes don't want to face reality, either.
One study of the effectiveness of ART in reducing heterosexual transmission of HIV involved analysis of 393 serodiscordant heterosexual couples from 1991-2003.
The institute also created the Special Program of Assisted Reproduction (SPAR), a program that assists serodiscordant couples successfully achieve pregnancy.
Sturmer M, Doerr HW, Berger A, Gale P. Is transmission of HIV in non-viraemic serodiscordant couples possible?
Research involving serodiscordant couples has offered insights into how the virus is passed and how individuals who are HIV positive may be able to reduce the risk of passing the virus to their partner.
This randomized, double-blind, placebo-controlled study operates at nine trial sites in Kenya and Uganda and will include 3,900 serodiscordant couples (couples in which one person is HIV-infected and the other is not).
Stable serodiscordant couples are the largest risk group for HIV infection in Africa, and this trial will provide important data on whether PrEP could be used to prevent new HIV infections among this population.
Pre-exposure prophylaxis is sometimes an option for HIV-negative persons who feel that they they are at increased risk of HIV infection, such as an HIV-negative person in a serodiscordant relationship with an HIV-positive partner.
Some of the activists have died, among them David Wojnarowicz and Phil Zwickler, who made "Fear of Disclosure," a tape about what they called serodiscordant dating: between a man who is H.I.V. positive and one who is negative.