Early intervention for HIV infection in a gynecologic setting

A model of care is proposed to address issues of early HIV intervention with both primary and secondary prevention within a gynecologic setting. In such sites, a concentration of women at high risk for HIV may be identified because of STDs, abnormal Pap smears, or unintended pregnancies. For those women found to be infected, continued care in the gynecologic setting may be more likely to address, in a comprehensive manner, important issues surrounding contraception, childbearing, and condom use, as well as specific gynecologic complaints. Monitoring of immune status and appropriate use of antiretroviral and other prophylactic therapies can easily be incorporated. Development of linkages with infectious disease providers will allow consultation when needed and smooth transition into specialized HIV care with progression of infection.