Women living with HIV/AIDS (WLHA) in Indonesia face a lot of stigma in their communities, even in healthcare settings. Because of this, their desire to have biological children is suppressed. However, some positive changes to the desire to have children may be apparent with the introduction of antiretroviral therapy (ART). Fertility desires may also have implications for unprotected sexual intercourse. To date, there is limited knowledge about the fertility desires of WLHA receiving HIV care in Yogyakarta, Indonesia. Hence, the present study explores the extent of this fertility desire and its associated factors among WLHA in Yogyakarta, Indonesia. Using a crosssectional quantitative research design, 303 WLHA who are receiving ART, were obtained via convenience sampling in five districts in Yogyakarta between March and August 2019. WLHA with a hysterectomy and permanent contraception were excluded. Data were collected using a questionnaire and analyzed using descriptives, chi-square, and logistic regression. Just over half of the WLHA (50.8%) wanted to have at least one biological child without gender preferences. Bivariate correlations showed that younger age, formal employment, and not having a living biological child correlated with greater fertility desire (p<.05). A logistic regression further indicated that age (35 years or younger)(p<.001; AOR: 3.33; 95% CI: 2.00 to 5.53) and being childless (p<.001; AOR:.13; 95%CI:.52 to .33) were the most influential factors associated with the fertility desire among WLHA in Yogyakarta. We found that the WLHA, who were receiving ART in Yogyakarta, wanted to have their biological children. Since fertility concerns are an integral part of HIV patients' care, health workers can help the groups of WLHA who desire to have biological children make the right reproductive decisions by letting them know the benefits and risks of childbirth and measures to prevent HIV from spreading.
Female ; Fertility ; Health Services ; HIV Infections

ABSTRACT The symptoms of recurrent oral herpes infection may vary, from mild discomfort to life threatening. Dentists are more likely to be consulted in this oral infection, hence the ability to diagnose and treat this disease is mandatory. This article described manifestation and therapy of recurrent oral herpes infection. In the first case, a 41-year-old woman came with a complaint of painful sore mouth in her lower gingiva. She experienced canker sores for two to three times a year on the tongue, lips and palate. Laboratory results showed positive IgM anti HSV-2, which matched with the primary herpes infection. However, based on the history and clinical manifestations, she was diagnosed with recurrent intra oral herpes infection. In the second case, a 70-year-old man came with a very painful canker sores in his entire mouth. The patient had to be hospitalised for three days and received analgesic, antibiotic and gel containing triamcinolone. After hospitalisation, canker sores did not heal. Extraorally, we found a crust in the vermillion border of the upper lip and intraorally, we found multiple ulceration of keratinised and non-keratinised mucosa. The use of topical steroid in this patient may aggravated ulceration due to its ability to cause rapid spreading of the virus. The first patient was given chlorhexidine gluconate 0.2% and the second patient was prescribed with doxycycline rinse. Both patients received multivitamin containing zinc. Complete history taking, objective and adjunctive examination played a role in establishing the diagnosis and treatment of recurrent oral herpes infections.
Stomatitis, Herpetic