The study analyzed the relationship between fertility intention and contraceptive use among women in Nigeria’s Federal Capital territory, Abuja. It also examined the relationship between HIV status and fertility intention and compared patterns of contraceptive use and fertility intentions between HIV positive and HIV negative women. This was with a view to identifying the dynamics of fertility decision making and contraceptive use among women living with HIV in the study area. The study concluded that being HIV positive had no dampening effect on childbearing desires. Hence, programmes and policies aimed at strengthening mother-to-child transmission should encourage contraceptive use among HIV positive women.