ABSTRACT
Introduction:
The use antiretroviral reduces the sexual transmission of HIV, expanding interventions for serodiscordant couples.
Objective:
This article aims to review the use of antiretroviral and other prevention interventions among serodiscordant couples and to analyze its use in Brazil.
Methods:
A retrospective review was performed through the MEDLINE database and bases included in the Biblioteca Virtual em Saúde.
Results:
The articles recovered exhibit four main strategies: (1) condom; (2) reduction of risks in sexual practices; (3) use of antiretrovirals, particularly early initiation of antiretroviral therapy (TASP) and pre-exposure prophylaxis (PrEP); (4) risk reduction in reproduction.
Discussion:
TASP is highly effective in reducing sexual transmission, PrEP was tested in serodiscordant couples and both reduce the sexual transmission risk in different sexual practices, enabling individualized prevention strategies.
Conclusions:
When used in combination, antiretrovirals and sexual practices with condoms offer greater efficacy than any single strategy. The combined use of new and old strategies allows us to build a prevention policy for all.
Keywords:
Acquired immunodeficiency syndrome; Health care; Sexuality; HIV seroposivity; Health services; Health public policy