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A woman's guide to living with HIV infection
Clark, Rebecca A.
Adult Nonfiction RC607.A26 C5685 2004
Clark, Rebecca A.
Adult Nonfiction RC607.A26 C5685 2004
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| Contents | Page |
|---|---|
| Introduction: Women and the HIV/AIDS Epidemic | p. 1 |
| How to Read This Book | p. 3 |
| Part 1 - Adjusting to Life with HIV Infection | p. 7 |
| 1 - Testing for HIV | p. 9 |
| ELISA and Western Blot Testing | p. 9 |
| Other HIV Screening Tests | p. 11 |
| How Accurate Are the Tests? | p. 11 |
| Screening Test in Infants | p. 11 |
| Procedures for HIV Testing and Reporting | p. 12 |
| Feelings about a Positive Test | p. 14 |
| Who Should You Tell? | p. 15 |
| 2 - Finding a Primary Care Provider and Preparing for Your Visit | p. 21 |
| Finding a Primary Care Provider | p. 21 |
| What to Expect at the First Visit | p. 23 |
| What to Expect at Return Visits | p. 25 |
| How to Have the Most Productive Clinic Visit | p. 25 |
| 3 - HIV, the Immune System, and Monitoring Tests | p. 28 |
| CD4 Cell Count | p. 28 |
| Viral Load Tests | p. 29 |
| How HIV Spreads in the Body | p. 30 |
| The Effects of HIV Infection | p. 31 |
| The Progression from HIV Infection to AIDS | p. 33 |
| Part 2 - Meeting the Challenge of HIV Infection | p. 39 |
| 4 - Recognizing Symptoms and Preventing Complications | p. 41 |
| First HIV-Related Symptoms | p. 42 |
| Nongynecologic HIV-Related Symptoms | p. 42 |
| The Difference between HIV Infection and AIDS | p. 48 |
| AIDS-Defining Opportunistic Processes or Conditions | p. 48 |
| Preventing Complications | p. 56 |
| 5 - Hepatitis and the Liver | p. 60 |
| What Is Hepatitis? | p. 60 |
| How You Can Protect Your Liver | p. 61 |
| How Hepatitis Is Transmitted | p. 63 |
| Hepatitis B Infection | p. 63 |
| Hepatitis C Infection | p. 67 |
| 6 - Treatments for HIV | p. 72 |
| Antiretrovirals and Highly Active Antiretroviral Therapies: What Are They? | p. 73 |
| Important Things to Know When Starting Treatment | p. 74 |
| National Guidelines for Starting and Changing HIV Treatments in Nonpregnant People | p. 76 |
| HIV Treatment Names | p. 78 |
| Recommended HIV Treatment Regimens | p. 79 |
| HIV Treatment Side Effects | p. 89 |
| Taking HIV Treatments with Other Medications | p. 94 |
| HIV Treatments in Pregnancy | p. 96 |
| Do People Ever Stop Treatment? | p. 98 |
| What Can We Expect from the Future? | p. 98 |
| Part 3 - Sexual and Gynecologic Health | p. 101 |
| 7 - Protecting Yourself and Others | p. 103 |
| How HIV Is Transmitted | p. 103 |
| "Safe" Sex and "Safer" Sex | p. 105 |
| Unsafe Sex | p. 107 |
| Preventing HIV Transmission at Home | p. 109 |
| 8 - Gynecologic Infections and Sexually Transmitted Diseases | p. 112 |
| Vaginal Discharge | p. 112 |
| Pelvic Infections | p. 115 |
| Genital Ulcers (Sores) | p. 118 |
| 9 - Human Papillomavirus Infections, Genital Warts, and Abnormal Pap Smears | p. 123 |
| Human Papillomavirus Infections | p. 123 |
| Treatment for Genital Warts | p. 125 |
| How Often Should Women Have Pap Smears? | p. 125 |
| Abnormal Pap Smears, Colposcopy, and Treatment | p. 126 |
| Cervical Cancer | p. 128 |
| Part 4 - Reproduction | p. 131 |
| 10 - Considering Pregnancy and Birth Control | p. 133 |
| Considering Pregnancy | p. 133 |
| When Only One of You Has HIV | p. 136 |
| When Both of You Have HIV | p. 139 |
| Timing Ovulation | p. 140 |
| Trouble Becoming Pregnant | p. 141 |
| Choosing among Birth Control Options | p. 142 |
| Reversible Birth Control Methods | p. 145 |
| Birth Control Methods and HIV Infection | p. 145 |
| 11 - Pregnancy | p. 150 |
| Pregnancy Testing | p. 150 |
| Effect of Pregnancy on HIV Infection | p. 150 |
| Effect of HIV on Pregnancy | p. 151 |
| Vaginal versus Cesarean Delivery | p. 154 |
| HIV Treatments during Pregnancy | p. 155 |
| What to Expect from Your Obstetrician Visits | p. 160 |
| 12 - Menstrual Periods | p. 163 |
| Understanding Menstrual Cycles | p. 163 |
| Premenstrual Syndrome | p. 167 |
| Menstrual Cramps and Pelvic Pain | p. 168 |
| Effect of HIV on Menstrual Cycles and Ovulation | p. 168 |
| Menopause | p. 169 |
| Part 5 - Taking Care of Yourself: Special Considerations | p. 175 |
| 13 - Breast Health, Bone Health, and Heart Health | p. 177 |
| Breast Health | p. 177 |
| Bone Health | p. 180 |
| Heart Health | p. 182 |
| 14 - Alcohol Dependence, Drug Addiction, and Treatment | p. 187 |
| Drug and Alcohol Dependence and Addiction | p. 187 |
| Commonly Used and Abused Substances | p. 189 |
| Drugs, Alcohol, and Pregnancy | p. 192 |
| Treatment for Drug or Alcohol Dependency | p. 192 |
| Treatment Goals | p. 197 |
| 15 - Intimate Partner Violence and Abuse | p. 199 |
| Who May Be an Abuser? | p. 202 |
| Why Do Women Stay with Abusers? | p. 202 |
| Considering the Children | p. 204 |
| What to Do If You Feel You Can't Leave | p. 205 |
| Making a Safety Plan and Packing Your Safety Kit | p. 206 |
| Planning an Escape | p. 207 |
| What You Should Know after Your Escape | p. 208 |
| 16 - Managing Your Feelings | p. 216 |
| Depression | p. 216 |
| Anxiety Disorders ("Nerve Problems") | p. 221 |
| Trouble Sleeping | p. 223 |
| 17 - Chronic Pain, Palliative Care, and Hospice | p. 226 |
| HIV and Pain | p. 226 |
| Categories of Physical Pain | p. 229 |
| Pain Severity, Drug Dosages, and Precautions | p. 231 |
| Headaches | p. 233 |
| Side Effects of NSAIDs and Opioids | p. 234 |
| Treating Pain in People Addicted to Drugs | p. 236 |
| Other Therapies for Pain | p. 237 |
| Palliative and Hospice Care | p. 238 |
| 18 - Planning for the Future | p. 241 |
| Thinking about the Future | p. 241 |
| Disability and Assistance Programs | p. 242 |
| Living Wills and Advance Directives (Wishes Regarding Resuscitation) | p. 244 |
| Wills and Guardianship | p. 245 |
| Taking Control | p. 246 |
| 19 - Research Studies and Clinical Trials | p. 248 |
| Why Volunteer for Research Studies? | p. 248 |
| Regulations That Protect You | p. 250 |
| What to Expect If You Volunteer for a Study | p. 251 |
| Understanding the Language of Research Studies | p. 255 |
| Appendix 1 - Sample Tracking Sheet for Medications, Tests, and Vaccinations | p. 261 |
| Appendix 2 - Resources for People with HIV | p. 262 |
| Glossary | p. 265 |
| Key References | p. 293 |
| Index | p. 303 |
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