Attitudes toward male fertility control: Results of a multinational survey on four continents

Center for Epidemiology & Health Research Berlin, Berlin, Germany.
Human Reproduction (Impact Factor: 4.57). 03/2005; 20(2):549-56. DOI: 10.1093/humrep/deh574
Source: PubMed


Following extensive research activity to develop an effective agent to control male fertility, such a product may be available for use within approximately 5 years. However, little is known concerning contraceptive knowledge, desires and attitudes of men in different countries, and their acceptance of male fertility control (MFC).
A survey of >9000 males aged 18-50 years was performed in nine countries on four continents in 2002. The objective was to compare, on a cross-cultural basis, the knowledge, attitudes and acceptability of MFC among men and assess their willingness to use such a method.
Between 50 and 83% of the male respondents currently use contraceptive methods, and 55-81.5% reported that both partners participate in selecting the method of contraception employed. Overall acceptance of hormonal MFC was high (>55%), with 28.5-71.4% of survey participants of various nationalities expressing the willingness to use such a method.
While MFC appears to be well accepted overall, the willingness to use this type of contraception varies widely between differing population groups. The specific characteristics and profile of any MFC product will have to be carefully evaluated to accurately assess its acceptance, both by men and their female partners.

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    • "The last reasoning is based on the assumptions that (a) due to availability of safe and effective female contraceptives, male methods are unnecessary; (b) men are unwilling to take contraceptive pills or injections; and (c) men will not adhere to contraceptive drug regimens as careful as do women. These suppositions are in contrast to studies conducted in more than 9000 men in nine countries on four continents (Heinemann et al., 2005). In these studies, men of all nationalities and religions indicated a willingness to use a male contraceptive if a safe, effective product was available. "
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    • "One of the main challenges in the development of a male hormonal contraceptive is the need for parenteral administration of testosterone, which has been administered by intramuscular injections or transdermally in experimental contraceptive trials (Brady et al, 2006; Page et al, 2006). When surveyed, however, a majority of men state a preference for an oral form of contraceptive delivery (Martin et al, 2000; Weston et al, 2002; Heinemann et al, 2005). "
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    • "These results indicate a high degree of acceptance for this new form of male contraception. Most acceptability studies conducted to date have surveyed men about potential characteristics of a hypothetical hormonal contraceptive regimen (Hall, 1971; Balswick, 1972; Keith et al., 1975; Diller and Hembree, 1977; Gough, 1979; Martin et al., 2000; Heinemann et al., 2005a,b). In this study, we interviewed a population undergoing a clinical trial and therefore actually exposed to an experimental contraceptive regimen. "
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