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Firstly I would like to ask if there is any correlation between HIV and infertility. I have very regular cycles and ovulate on my own, do u think i have a hostile womb or i must have my NK cells checked

My name is Busisiwe i am 37yrs from South Africa.I have been classified as a Secondary Infertility and we are a Serodiscordant couple. I was diagnosed in 2002, I conceived naturally in 2004 and took ARV's for mother to child prevention, my boy is healthy and negative and have never been on any ARV treatment since the birth of my son and my CD4 count has been consistently between 600 and 800 over the years. I have been actively trying to conveive for the past five years. I have two failed IVFs and three failed IUI and one miscarriage. None of the fertility specialitst have given a proper diagonis other than Unexplained infertility. These are my recent hormone testing results: E2 - 154 pmol/L FSH - 9.0 U/L LH - 4.0 U/L AMH - 2.56ng/ML, RUBELLA - POSITIVE - 339.5 IU/ML RPR (VDRL) - NEGATIVE PROLACTIN - 6.7 ng/ML CD4 - 824 The last sperm wash results are as follows: FRESH SPERM WASHED SPERM COUNT (10/ML) 37 40 MOTILITY 65% 80% FORWARD MOVEMENT 2+ 3

Hello Busisiwe from South Africa,

There is no correlation between HIV and infertility that I know of.

Good Luck,

Dr. Edward J. Ramirez, M.D., FACOG
Executive Medical Director
The Fertility and Gynecology Center
Monterey Bay IVF Program

Monterey, California, U.S.A.

for additional information check out my blog at check me out on twitter with me at @montereybayivf and facebook @montereybayivf.  I now provide personalized fee for service consultations/advice/direction via email and payable via Pay Pal.  If interested, contact me via my email at  This service will allow you to have your own personal on-demand infertility expert


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Edward Joseph Ramirez, MD, FACOG


I am a specialist in infertility and advanced gynecological care. I can answer questions about infertility, gynecology related ills, menopause...virtually anything that affects women's health. PLEASE tell me where you are writing from as I am always interested.


I have been practicing as an Ob/Gyn and Infertility Specialist for over 23 years. Gynecology, advanced laparoscopic surgery, basic infertility, IUI's, IVF, reproductive surgery, and ovulation induction are all areas of my expertise. I am Board Certified. I have been doing In Vitro Fertilization in my clinic for 19 years.

American College of OB/GYN, American Board of Obstetrics and Gynecology, American Society of Reproductive Medicine, California Medical Association, American Association of Gynecologic Laparoscopists, Fellow of The American College of Obstetricians & Gynecologists

American Journal of Obstetrics and Gynecology, Wall Street Journal, Monterey Herald, SERMO, Women's Health and Fertility Blog

Medical Degree from Stanford University, Residency at Tripler Army Medical Center, Reproductive Training at Pacific Fertility Center, San Francisco

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