Living with HIV positive does not take away the desire or the ability to have children. If a HIV positive woman wants to have children, she should consult an obstetrician and the HIV specialist to discuss about her health, about her habits, about her mental health and whatever medications she is taking and also the supplements. Advances in HIV treatment allow HIV positive women to have healthy pregnancies and healthy babies. With proper treatment and care, the chances that the child turn into HIV positive is less than 1 %. The best time for an HIV positive woman to become pregnant is when her viral load is less or very low or undetectable. Studies have shown that HIV positive woman undergoing a proper antiviral treatment with low viral load, at the time of conception. There is decreased chance of transmission from the other to the child. She should start folic acid 2 -3 months before pregnancy. She should have as good health, avoid smoking, drinking etc and take some tests for sexually transmitted infections and test for rubella infection so that if immunization is required, she can elk immunization also. The HIV infected partner should have a maximum viral suppression, the time of conception. If the male partners HIV negative, then pre exposure prophylaxis treatment if used consistently and correctly reduce the Risk of transmission of HIV from the female partner. The risk of passing HIV is limited in unprotected sex only at the time of the ovulation or the egg release from the ovary. Other option is womb insemination. The male partner ejaculates semen in a clean cup and then it is taken inside the syringe and inserted inside the vagina and the semen is deposited deep inside the vagina. Medically assisted intravaginal and intrauterine infection and also invitro fertilization can be considered
