Cover image for A woman's guide to living with HIV infection
A woman's guide to living with HIV infection
Clark, Rebecca A., 1958-
Personal Author:
Publication Information:
Baltimore : Johns Hopkins University Press, [2004]

Physical Description:
xii, 314 pages : illustrations ; 23 cm.
Electronic Access:
Table of contents

Format :


Call Number
Material Type
Home Location
Item Holds
RC607.A26 C5685 2004 Adult Non-Fiction Central Closed Stacks

On Order



Written by three experts with extensive experience helping people with HIV/AIDS, A Woman's Guide to Living with HIV Infection is a medically informational, comprehensive, and deeply compassionate resource for women with HIV and their families and friends. While addressing the entire range of health and emotional issues faced by people with HIV, the authors cover topics of special interest to women -- gynecologic disorders, reproductive choices, contraception, and pregnancy.The authors offer clear advice on these and other crucial topics:•Testing for HIV and coping with the diagnosis•Finding a physician and preparing for the first visit•Recognizing symptoms and preventing complications•Understanding the latest treatment options, including new medical research and clinical trials•Coping with gynecological infections and STDs•Considering pregnancy and birth control•Assuring breast, bone, and heart health•Treating drug and alcohol dependence•Dealing with partner violence and abuseAlso included are lists of recommended books, support groups, Web sites, and other resources for people with HIV. The practical advice in this book can help the thousands of women diagnosed with HIV every year lead to fuller and healthier lives.

Author Notes

Rebecca A. Clark is an associate professor of medicine at Louisiana State University Health Sciences Center, maternal/child director of the HIV Outpatient Program of the Medical Center of Louisiana in New Orleans, and an instructor at Tulane University School of Public Health.

Reviews 1

Library Journal Review

Every year thousands of American women are diagnosed with HIV. Currently, a quarter of the 850,000 to 950,000 Americans with HIV or AIDS are women. Internist Clark, obstetrician/gynecologist Robert Maupin, and psychologist Jill Hayes Hammer merge their expert perspectives on living with HIV to produce a comprehensive, practical, yet consultable and reassuring guide. They address a multitude of topics in great detail that relate specifically to women with HIV/AIDS: adjusting to life with HIV; treating symptoms, complications, and the virus itself; sexual, contraceptive, and reproductive issues; and a variety of important related subjects. Appendix 1 is a sample tracking sheet for medications, tests, and vaccinations, and Appendix 2 lists resources for people with HIV. An excellent glossary is also provided. Although other books (e.g., Patricia A. Lather's Troubling the Angels; Dorie J. Gilbert and Ednita M. Wright's African American Women and HIV/AIDS: Critical Responses) address the issue of women and HIV/AIDS, most offer a sociopolitical perspective and are rather old. This is the most complete and up-to-date consumer guide available. Strongly recommended for all consumer health and most health sciences libraries.-Linda M.G. Katz, Drexel Univ. Health Sciences Libs., Philadelphia (c) Copyright 2010. Library Journals LLC, a wholly owned subsidiary of Media Source, Inc. No redistribution permitted.

Table of Contents

Introduction: Women and the HIV/AIDS Epidemicp. 1
How to Read This Bookp. 3
Part 1 Adjusting to Life with HIV Infectionp. 7
1 Testing for HIVp. 9
ELISA and Western Blot Testingp. 9
Other HIV Screening Testsp. 11
How Accurate Are the Tests?p. 11
Screening Test in Infantsp. 11
Procedures for HIV Testing and Reportingp. 12
Feelings about a Positive Testp. 14
Who Should You Tell?p. 15
2 Finding a Primary Care Provider and Preparing for Your Visitp. 21
Finding a Primary Care Providerp. 21
What to Expect at the First Visitp. 23
What to Expect at Return Visitsp. 25
How to Have the Most Productive Clinic Visitp. 25
3 HIV, the Immune System, and Monitoring Testsp. 28
CD4 Cell Countp. 28
Viral Load Testsp. 29
How HIV Spreads in the Bodyp. 30
The Effects of HIV Infectionp. 31
The Progression from HIV Infection to AIDSp. 33
Part 2 Meeting the Challenge of HIV Infectionp. 39
4 Recognizing Symptoms and Preventing Complicationsp. 41
First HIV-Related Symptomsp. 42
Nongynecologic HIV-Related Symptomsp. 42
The Difference between HIV Infection and AIDSp. 48
AIDS-Defining Opportunistic Processes or Conditionsp. 48
Preventing Complicationsp. 56
5 Hepatitis and the Liverp. 60
What Is Hepatitis?p. 60
How You Can Protect Your Liverp. 61
How Hepatitis Is Transmittedp. 63
Hepatitis B Infectionp. 63
Hepatitis C Infectionp. 67
6 Treatments for HIVp. 72
Antiretrovirals and Highly Active Antiretroviral Therapies: What Are They?p. 73
Important Things to Know When Starting Treatmentp. 74
National Guidelines for Starting and Changing HIV Treatments in Nonpregnant Peoplep. 76
HIV Treatment Namesp. 78
Recommended HIV Treatment Regimensp. 79
HIV Treatment Side Effectsp. 89
Taking HIV Treatments with Other Medicationsp. 94
HIV Treatments in Pregnancyp. 96
Do People Ever Stop Treatment?p. 98
What Can We Expect from the Future?p. 98
Part 3 Sexual and Gynecologic Healthp. 101
7 Protecting Yourself and Othersp. 103
How HIV Is Transmittedp. 103
"Safe" Sex and "Safer" Sexp. 105
Unsafe Sexp. 107
Preventing HIV Transmission at Homep. 109
8 Gynecologic Infections and Sexually Transmitted Diseasesp. 112
Vaginal Dischargep. 112
Pelvic Infectionsp. 115
Genital Ulcers (Sores)p. 118
9 Human Papillomavirus Infections, Genital Warts, and Abnormal Pap Smearsp. 123
Human Papillomavirus Infectionsp. 123
Treatment for Genital Wartsp. 125
How Often Should Women Have Pap Smears?p. 125
Abnormal Pap Smears, Colposcopy, and Treatmentp. 126
Cervical Cancerp. 128
Part 4 Reproductionp. 131
10 Considering Pregnancy and Birth Controlp. 133
Considering Pregnancyp. 133
When Only One of You Has HIVp. 136
When Both of You Have HIVp. 139
Timing Ovulationp. 140
Trouble Becoming Pregnantp. 141
Choosing among Birth Control Optionsp. 142
Reversible Birth Control Methodsp. 145
Birth Control Methods and HIV Infectionp. 145
11 Pregnancyp. 150
Pregnancy Testingp. 150
Effect of Pregnancy on HIV Infectionp. 150
Effect of HIV on Pregnancyp. 151
Vaginal versus Cesarean Deliveryp. 154
HIV Treatments during Pregnancyp. 155
What to Expect from Your Obstetrician Visitsp. 160
12 Menstrual Periodsp. 163
Understanding Menstrual Cyclesp. 163
Premenstrual Syndromep. 167
Menstrual Cramps and Pelvic Painp. 168
Effect of HIV on Menstrual Cycles and Ovulationp. 168
Menopausep. 169
Part 5 Taking Care of Yourself: Special Considerationsp. 175
13 Breast Health, Bone Health, and Heart Healthp. 177
Breast Healthp. 177
Bone Healthp. 180
Heart Healthp. 182
14 Alcohol Dependence, Drug Addiction, and Treatmentp. 187
Drug and Alcohol Dependence and Addictionp. 187
Commonly Used and Abused Substancesp. 189
Drugs, Alcohol, and Pregnancyp. 192
Treatment for Drug or Alcohol Dependencyp. 192
Treatment Goalsp. 197
15 Intimate Partner Violence and Abusep. 199
Who May Be an Abuser?p. 202
Why Do Women Stay with Abusers?p. 202
Considering the Childrenp. 204
What to Do If You Feel You Can't Leavep. 205
Making a Safety Plan and Packing Your Safety Kitp. 206
Planning an Escapep. 207
What You Should Know after Your Escapep. 208
16 Managing Your Feelingsp. 216
Depressionp. 216
Anxiety Disorders ("Nerve Problems")p. 221
Trouble Sleepingp. 223
17 Chronic Pain, Palliative Care, and Hospicep. 226
HIV and Painp. 226
Categories of Physical Painp. 229
Pain Severity, Drug Dosages, and Precautionsp. 231
Headachesp. 233
Side Effects of NSAIDs and Opioidsp. 234
Treating Pain in People Addicted to Drugsp. 236
Other Therapies for Painp. 237
Palliative and Hospice Carep. 238
18 Planning for the Futurep. 241
Thinking about the Futurep. 241
Disability and Assistance Programsp. 242
Living Wills and Advance Directives (Wishes Regarding Resuscitation)p. 244
Wills and Guardianshipp. 245
Taking Controlp. 246
19 Research Studies and Clinical Trialsp. 248
Why Volunteer for Research Studies?p. 248
Regulations That Protect Youp. 250
What to Expect If You Volunteer for a Studyp. 251
Understanding the Language of Research Studiesp. 255
Appendix 1 Sample Tracking Sheet for Medications, Tests, and Vaccinationsp. 261
Appendix 2 Resources for People with HIVp. 262
Glossaryp. 265
Key Referencesp. 293
Indexp. 303