Background: Pregnancy among HIV positive women is an issue of public health importance because of poor maternal outcomes and paediatric HIV infections. The recent advances in Anti-Retroviral therapy and the focus on Prevention of Parent to Child Transmission (PPTCT) have radically changed HIV Positive Women__ampersandsign#39;s Fertility options. People with HIV infection may wish to plan pregnancy, limit their family, or avoid pregnancy. They may have a different outlook on future family planning but however, there is limited understanding of their reproductive needs. Objectives: 1. To determine the proportion of HIV positive women on ART using modern methods of contraception. 2. To assess the fertility desires and contraceptive choices and factors influencing these choices. Methods : ? Study Design: Cross-Sectional, descriptive study. ? Study Population: HIV positive women on antiretroviral therapy. ? Study Area: ART centre at CG Hospital Davangere. ? Study Period: 2 months (October 1st to 30th November 2012 ) ? Sample size: 150 HIV positive women. Statistical analysis: Percentage and chi-square Results: Use of any modern method of contraception was 52%. 48% of HIV positive women expressed a desire for a child in the future. Age, education status, parity and awareness about risk of transmission to baby had significant association with fertility desire (p__ampersandsignlt;0.05). Women in stage 1 or 2 and higher CD4 count had desire for children as they were medically better than those in stage 3 or 4 , lower CD4 count and on long ART duration who were generally ill. Conclusion : Health professionals should encourage HIV positive women__ampersandsign#39;s reproductive choices by increasing counselling by considering the factors influencing her desires This has to be followed by appropriate contraception provision at the time of HIV diagnosis and during follow up