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This paper studies the response of fertility to the HIV/AIDS epidemic in sub-Saharan Africa. The author use repeated cross sections of the Demographic and Health Surveys for 12 countries in sub-Saharan Africa to examine this question empirically. Using individual birth histories from these data, the author constructed estimates of the regional total fertility rate over time. In a difference-in-differences approach, The author compared regional HIV prevalence to changes in total fertility rates from the 1980s to the present. The authors results suggest that HIV/AIDS had very little impact on fertility, both overall and in a sample of HIV-negative women.