This document analyzes how historical medical conspiracies and abuse have led to increased HIV/AIDS rates in African American women using birth control. It discusses how medical experiments without consent on slaves and efforts to curb the black population through birth control promoted distrust in healthcare. Certain birth controls can increase HIV risk through side effects like bleeding and immune suppression. Lack of education on risks and follow-up care when side effects occur further endangers women. Addressing medical racism and improving access to community-based care and education are needed.