Screening and prevention are two major weapons in the fight against AI
DS. Procreation of couples where the spouse is seropositive poses a se
rious ethical social and epidemiolomical problem. We have consequently
established a list of the current biological data concerning HIV in t
he sperm at the level of non germinal cells, seminal plasma and sperma
tozoa and of the clinical data on the transmission of the virus during
sexual intercourse and insemination. Finally, we have presented the r
esults of the research on predictible factors of the infectiousness of
sperm. After this analasis, we consider the possibilities open to the
medical corps: dissuasion, ovulation monitoring, insemination with th
e husband sperm, IVF and insemination with hope to be able to particip
ate in the debate which must lead to a clear concerted and coherent po
sition on the part of the medical corps, at least on a national level.