Reproductive-age women living with HIV and their physicians inconsistently and inadequately discuss contraception, Reuters Health reports. Publishing their findings in The Journal of Family Planning and Reproductive Health Care, researchers examined the medical records of 128 women ages 16 to 49 who were treated for HIV at two clinics in Melbourne, Australia, between 2010 and 2012.

Clinicians discussed the women’s sexual activity in 54 percent of cases and relationship status in 76 percent of cases. Talks about contraception took place in less than a third of cases.

Women were 3.7 times more likely to talk about contraception if they discussed their sexual activity with their clinicians. Those who had a documented conversation about contraception were 1.8 times more likely to be taking contraception.