I am a woman living with HIV, but I am a woman first. As a woman, I have similar hopes, dreams and desires as women who are not HIV positive, including having a family. Twenty years ago when I was first diagnosed, people living with HIV were discouraged from having children due to lack of methods to prevent our children from becoming infected with HIV. Today, highly effective methods are available which, when taken correctly, can reduce the risk of HIV transmission to an infant to almost zero. Yet, despite volumes of medical evidence and thousands of children born HIV free globally, people living with HIV face judgement and condemnation when we choose to have children.