How Can I Discuss Reproductive Health with My Patients?

Use this tool to guide reproductive health discussions with your patients with HIV.

HIV-specific counseling


  • Role of antiretroviral therapy (ART) and maintaining a durably controlled viral load (viral load remains undetectable for at least 6 months after their first undetectable test result) in:
    • Optimizing health
    • Preventing sexual and perinatal HIV transmission
    • Disclosure of HIV status
    • Partner’s HIV status and HIV treatment (ART) or prevention options (including condoms, pre-exposure prophylaxis, non-occupational post-exposure prophylaxis)
Discuss optimizing general health prior to conception


  • Screening and treatment of both partners for sexually transmitted infections
  • Treatment and management of other acute or chronic conditions
  • Screening, referrals, and resources for mental health and for substance or alcohol use
  • Screening, referrals, and resources for intimate partner violence
  • Recommended immunizations

Discuss as needed:

  • Achieving and maintaining a healthy activity level, weight, and diet
  • Stopping smoking and avoiding second-hand smoke
  • Taking multivitamins with 400 mcg of folic acid daily (for individuals who can become pregnant)
Discuss additional conception options

Review: Reproductive intentions and planning.
Ask: Are you thinking about becoming pregnant (or having a child) in the next year?