Twenty WWE completed interviews (median age 23 years; range 18-43 years). Key themes included: 1) WWE perceive that SRH counseling from neurologists, especially during adolescence and young adulthood, often either did not occur, was limited in scope, was confusing, or contained misinformation. Participants describe poor counseling about contraception, fertility, folic acid, and teratogenic medications, which impacted their reproductive decision-making; 2) WWE report fragmented care between their neurologist and other SRH providers; 3) WWE prefer that their neurologists, rather than other healthcare professionals, initiate routine comprehensive discussions about SRH; 4) SRH counseling should begin in adolescence and include private confidential discussions between neurologists and WWE; and 5) Successful SRH conversations between neurologists and WWE involve detailed information and support for the patient’s reproductive goals.