Manual for Male Circumcision under Local Anaesthesia

Male circumcision under local anaesthesia
Version 3.1 (Dec09)
For example, if you had unprotected sex in May and were tested in
June, you may want to be tested again in August.
• A positive HIV test means you have been infected with HIV. It
does not mean you have AIDS, and it does not tell us when you
were infected or when you will get sick.
• A negative HIV test means you have not been infected with HIV or
were infected too recently for the test to detect your infection.
(Share information on how to remain HIV-negative).
• If you are ill with signs and symptoms of HIV infection, medical
staff will recommend an HIV test in order to determine the best
way of treating and helping you.
• [Only relevant if the country has adopted a national policy of
provider-initiated testing and counselling at all contacts with
health-care services]: It is the policy of our country to routinely
offer an HIV test for all people who come to health care services,
even if it is for reasons not linked to HIV infection. This policy has
been adopted to encourage more and more people to know their
HIV status. Those who are infected with HIV will then be able to
take better care of themselves, their partners and their family
members For those who are not infected, a negative test will be a
strong motivation to remain free from HIV infection and can
reinforce good practices that reduce the risk of infection.
• Here is how the testing works at our facility. (Describe the testing
process at your clinic. Emphasize the confidentiality of test
results).
Medicines
• In this facility, medicines are available to slow down the
progression of HIV infection to AIDS and therefore prolong life.
The medicines are safe to take.
Discuss the medicines that are available in your country for people
who test positive and how to get them.
Contraception for men
• Two methods of male contraception are available in this clinic: a
temporary method (male condoms) and a permanent method
(male sterilization or vasectomy).
• The male condom is suitable for those wanting to space
pregnancies, to protect themselves against STIs and HIV, and to
preserve their future fertility. In fact, the condom is the only method
that both prevents pregnancy and provides protection against HIV
and other sexually transmitted infections.
• Vasectomy is a surgical procedure, in which the tubes (vas
deferens) that transport sperm cells from the testes to the penis
are cut and tied off (show drawing of male reproductive system to
illustrate vasectomy). Vasectomy is a permanent method of
contraception, and should be used only by men who are very sure
that they do not want to have more children. You will still need to
Educating and Counselling Clients and Obtaining Informed Consent Chapter 3-17