Guttmacher Institute outlines the changing sexual and reproductive health needs of people living with HIV as the disease has become a manageable chronic disease. Included is information on fertility issues and childbearing, prevention of unplanned pregnancy, and effective transmission prevention for discordant couples. The article also addresses common issues of discrimination and bias in medical and other settings (i.e. disclosure of HIV status without consent, coerced abortion and sterilization, and unwillingness to accept the sexuality of HIV positive people) that affect access to adequate sexual and reproductive health care. This article may be particularly useful to medical providers serving HIV positive people and to advocates seeking an understanding of common issues facing people living with HIV with regard to reproductive health.
The Center for HIV Law and Policy challenges barriers to the rights and health of people affected by HIV through legal advocacy, high-impact policy initiatives, and creation of cross-issue partnerships, networks, and resources. We support movement building that amplifies the power of individuals and communities to mobilize for change that is rooted in racial, gender, and economic justice.