<s>[INST] A 25-year-old HIV positive woman, started antiretroviral therapy (ART) at a CD4+ count of 250 cells/μL. Since then, she has been considered adherent to treatment and has shown an undetectable viral load for the past year. Her HIV viral load is <20 copies/mL and she has a current CD4+ count of 850 cells/μL. She is contemplating starting a family. She is currently cohabiting with her HIV negative male partner and has been on contraception for the past 4 years. The partner would like to have a child and is willing to undergo necessary testing and precautions.

**Question:** What are the available options for this HIV positive woman to reduce the risk of HIV transmission to her partner and have a child?

**Options:**

1. Pre-exposure prophylaxis (PrEP) for the HIV negative partner.
2. Self insemination at home with partner's sperm sample.
3. Intrauterine insemination with partner's sperm sample in a clinical setting.
4. In vitro fertilization (IVF) with partner's sperm and using the woman's egg.
5. Repeated attempts at timed intercourse with the HIV positive woman taking her medication as usual.
6. HIV negative partner acting as a sperm donor at a fertility clinic.
7. Artificial insemination with donor sperm from an unknown donor.

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