The Safeness of IUDs HIV-positive Women
1. Women infected with the most common form of HIV may safely use the intrauterine device (IUD) for contraception, provided they see a doctor regularly, new study findings suggest.
2. World Health Organization guidelines currently state that, in general, HIV-infected women should avoid IUDs. “Those guidelines were essentially made on theoretical concerns, and there are really very little data on what contraceptive is appropriate for HIV-infected women,” said the lead author Dr. Charles S. Morrison in North Carolina.
3. Morrison and colleagues gathered information on IUD-related complications at 1, 4 and 24 months after placement of the deice in 636 women living in Nairobi, Kenya. Of these women, 156 had HIV infection. Participating physicians did not know the patients’ HIV status. There was “l(fā)ittle difference in any side effects in HIV-infected women compared with HIV-uninfected women, suggesting that the IUD is likely an appropriate method for HIV-infected women,” Morrison said. “This is an important issue, because there are now 16 million women living with HIV and a lot of them have a critical need for contraception,” he added.
4. The researchers did find that women with infections such as gonorrhea or chlamydia at the study’s outset were at increased risk of IUD complications, confirming current guidelines suggesting that women with sexually transmitted diseases not use IUDs.
5. In addition, there was no difference in the amount of virus the HIV-positive women were releasing from their cervix, or shedding, at the beginning of the study compared with 4 months after the IUD was inserted, the researchers reported in the August issue of the British Journal of Obstetrics and Gynaecology. Conversely, some studies have shown a relationship between increased cervical HIV shedding and the use of oral contraceptives.
6. “What this study suggests is that you need to avoid IUD use in women with a cervical infection but not women with HIV infection,” Morrison said with cervical infections are at increased risk of complications; women with HIV infection are not.
練習(xí)：
1.Paragraph 2 _____
2.Paragraph 3 _____
3.Paragraph 4 _____
4.Paragraph 6 _____
A. Morrison’s Survey and Findings
B. Comments on Current Guidelines
C. The Relations of Sexually Transmitted Diseases to IUD Complications
D. The Concrete Contents of Current Guidelines
E. A Conclusion of Morrion’s Study
F. The Relationship Between Cervical HIV Shedding and Using IUDs
5.According to current guidelines, women should not use IUDs _____.
6.Current guidelines barely recommend _____.
7.From both current guidelines and the new study we may conclude _____.
8.The new study maintains that the IUD is a safe contraceptive method for HIV-infected women _____.
A. what contraceptive is good for HIV-infected women
B. if they go to see the doctor at regular intervals
C. what a relationship between increased cervical HIV shedding and the use of oral contraceptives
D. that sexually transmitted diseases may increase the risk of IUD complications
E. if they are HIV carriers
F. that taking oral contraceptives is much safer than using IUDs for HIV-infected women
1. Women infected with the most common form of HIV may safely use the intrauterine device (IUD) for contraception, provided they see a doctor regularly, new study findings suggest.
2. World Health Organization guidelines currently state that, in general, HIV-infected women should avoid IUDs. “Those guidelines were essentially made on theoretical concerns, and there are really very little data on what contraceptive is appropriate for HIV-infected women,” said the lead author Dr. Charles S. Morrison in North Carolina.
3. Morrison and colleagues gathered information on IUD-related complications at 1, 4 and 24 months after placement of the deice in 636 women living in Nairobi, Kenya. Of these women, 156 had HIV infection. Participating physicians did not know the patients’ HIV status. There was “l(fā)ittle difference in any side effects in HIV-infected women compared with HIV-uninfected women, suggesting that the IUD is likely an appropriate method for HIV-infected women,” Morrison said. “This is an important issue, because there are now 16 million women living with HIV and a lot of them have a critical need for contraception,” he added.
4. The researchers did find that women with infections such as gonorrhea or chlamydia at the study’s outset were at increased risk of IUD complications, confirming current guidelines suggesting that women with sexually transmitted diseases not use IUDs.
5. In addition, there was no difference in the amount of virus the HIV-positive women were releasing from their cervix, or shedding, at the beginning of the study compared with 4 months after the IUD was inserted, the researchers reported in the August issue of the British Journal of Obstetrics and Gynaecology. Conversely, some studies have shown a relationship between increased cervical HIV shedding and the use of oral contraceptives.
6. “What this study suggests is that you need to avoid IUD use in women with a cervical infection but not women with HIV infection,” Morrison said with cervical infections are at increased risk of complications; women with HIV infection are not.
練習(xí)：
1.Paragraph 2 _____
2.Paragraph 3 _____
3.Paragraph 4 _____
4.Paragraph 6 _____
A. Morrison’s Survey and Findings
B. Comments on Current Guidelines
C. The Relations of Sexually Transmitted Diseases to IUD Complications
D. The Concrete Contents of Current Guidelines
E. A Conclusion of Morrion’s Study
F. The Relationship Between Cervical HIV Shedding and Using IUDs
5.According to current guidelines, women should not use IUDs _____.
6.Current guidelines barely recommend _____.
7.From both current guidelines and the new study we may conclude _____.
8.The new study maintains that the IUD is a safe contraceptive method for HIV-infected women _____.
A. what contraceptive is good for HIV-infected women
B. if they go to see the doctor at regular intervals
C. what a relationship between increased cervical HIV shedding and the use of oral contraceptives
D. that sexually transmitted diseases may increase the risk of IUD complications
E. if they are HIV carriers
F. that taking oral contraceptives is much safer than using IUDs for HIV-infected women