摘要In May 2024,the UK revised fertility law to permit HIV-positive individuals with an undetectable viral load to donate gametes,sparking global controversy.This bold legislative move aims to challenge existing stigmas and enhance reproductive rights.However,it also raises critical questions regarding long-term psychosocial health impacts on offspring and the necessity of comprehensive informed consent.The amendment highlights the need for clear legal frameworks addressing liability and compensation mechanisms,ensuring protection for all parties involved while promoting reproductive justice.Furthermore,the potential for'reproductive tourism'due to jurisdictional disparities necessitates cross-border mutual understandings and guidelines.Ensuring confidentiality and privacy in the context of HIV status disclosure poses additional challenges,requiring strict safeguards against breaches.Consequently,despite this reform being a commendable step towards destigmatising HIV,robust measures are essential for managing associated risks,safeguarding reproductive autonomy and fostering public trust.