Saharnaz Nedjat - School of Public Health and Institute of Public Health Research, Tehran University of Medical Sciences, Tehran, Iran
Babak Moazen - Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
Farimah Rezaei - Obstetrics and Gynecologist, Shahid Beheshti Hospital, Isfahan University of Medical Sciences, Isfahan, Iran
Shayesteh Hajizadeh - Department of Midwifery and Reproductive Health, Nursing and Midwifery School, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Reza Majdzadeh - School of Public Health and Institute of Public Health Research, Tehran University of Medical Sciences, Tehran, Iran
Hamid Reza Setayesh - Regional Support Team for the Middle East and North Africa (RST-MENA), Cairo, Egypt
Minoo Mohraz - Iranian Research Center for HIV and AIDS, Tehran University of Medical Sciences, Tehran, Iran
Mohammad Mehdi Gooya - Centre for Infectious Disease Control, Ministry of Health and Medical Education, Tehran, Iran

Background People Living with HIV (PLHIV) are highly stigmatized and consequently hard-to-access by researchers and importantly, public health outreach in Iran, possibly due to the existing socio-cultural situation in this country. The present study aimed to evaluate the sexual and reproductive health needs of PLHIV in Tehran, the capital of Iran.   Methods As a mixed-method descriptive study, this project was conducted in ۲۰۱۲ in Tehran, Iran. In this study, we evaluated and discussed socio-demographic characteristics, family and social support, sexual behaviors, fertility desires and needs, PMTCT services, contraceptive methods, unintended pregnancy and safe abortion, and Pap smear tests among ۴۰۰ participants referring to the behavioral disorders consulting centers.   Results Of the sample ۲۴۰ (۶۰%) were male and ۱۶۰ (۴۰%) were female. About ۵۰% of women and ۴۰% of men were ۲۵-۳۴ years old. More than ۶۰% of men and ۹۶% of women were married, while more than ۵۰% of the participants had HIV-positive spouses at the time of study. According to the results, fertility desire was observed among more than ۳۰% of female and ۴۰% of male participants. Results of the in-depth interviews indicate that the participants are not satisfied with most of the existing services offered to address their sexual and reproductive health needs.   Conclusion Despite the availability of services, most of sexual and reproductive health needs of the PLHIV are overlooked by the health system in Iran. Paying attention to sexual and reproductive health needs of PLHIV in Iran not only protects their right to live long and healthy lives, but also may prevent the transmission of HIV from the patients to others within the community.

Sexual Behavior, Reproductive Health, HIV, Multimethodology, Iran