Advertisement

Post-abortion contraception, an opportunity for male partners and male contraception

  • Brian T. Nguyen
    Correspondence
    Corresponding author.
    Affiliations
    Section of Family Planning, Department of Obstetrics & Gynecology, Keck School of Medicine of the University of Southern California, Los Angeles, CA, United States

    The Lundquist Institute at Harbor-UCLA Medical Center, Torrance, CA, United States
    Search for articles by this author
  • Tamar L. Jacobsohn
    Affiliations
    Contraceptive Development Program, Eunice Kennedy Shriver National Institute of Child Health and Human Development, NIH, Bethesda, MD, United States
    Search for articles by this author

      Abstract

      Objectives

      Men who accompany their female partners at the time of an abortion represent a unique population who may be amenable to receiving postabortion contraceptive services. We sought to examine their interest in receiving both counseling and contraception when available.

      Study design

      We analyzed a subset of survey data on the experience of accompanying male partners at the time of an abortion at two urban family planning clinics. We examined their beliefs about shared contraceptive responsibility, attitudes towards participating in contraceptive counseling, and willingness to use novel male contraceptives. We conducted bivariate analyses and logistic regressions for sociodemographic and reproductive factors linked to these outcomes.

      Results

      Of 210 male partners surveyed at the time of an abortion, nearly three-quarters characterized preventing unwanted pregnancy as a shared responsibility, believed in the importance of attending contraceptive counseling with their female partner, and reported willingness to use novel male contraceptives. Contraceptive method used when discovering the pregnancy was neither linked to men's attitudes towards counseling nor interest in using novel male contraceptives. Individuals between the ages of 25 to 34 (aOR: 2.69; 95%CI: 1.32–5.48), those with a college education (aOR: 5.49; 95%CI: 1.31–22.94), and those who had never experienced abortion (aOR: 2.21; 95%CI: 1.08–4.55) exhibited greater interest in using novel male contraceptives. Black respondents (aOR: 2.33; 95%CI: 1.01–5.38) exhibited greater interest in receiving contraceptive counseling with their partner and a counselor following the abortion.

      Conclusion

      For male partners, abortion may be an opportunity to engage men in contraceptive counseling and when available, offer new male contraceptives.

      Implications

      As few men receive comprehensive contraceptive counseling, engaging men when they accompany their female partners to family planning clinics may be an additional strategy to prevent unwanted pregnancy.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Contraception
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Li VM
        • Heyrana KJ
        • Nguyen BT.
        Discrepant abortion reporting by interview methodology among men from the United States National Survey of Family Growth (2015-2017).
        Contraception. 2022; 112: 111-115
        • Jones RK
        • Jerman J.
        Population group abortion rates and lifetime incidence of abortion: United States, 2008–2014.
        Am J Public Health. 2017; 107: 1904-1909
        • American College of O, Gynecologists' Committee on Health Care for Underserved Women atCEEWG
        Access to postabortion contraception: ACOG Committee Opinion, Number 833.
        Obstet Gynecol. 2021; 138: e91-ee5
        • Becker S
        • Robinson JC.
        Reproductive health care: services oriented to couples.
        Int Gynecol Obst. 1998; 61: 275-281
        • Men Shostak A.
        Me, and abortion: on doing the right thing.
        Men and Masculinities. 2007; 10: 360-366
        • Kero A
        • Högberg U
        • Lalos A.
        Contraceptive risk-taking in women and men facing legal abortion.
        The Eur J Contracept Reproduc Health Care. 2001; 6: 205-218
        • Roe AH
        • Bartz D.
        Society of family planning clinical recommendations: contraception after surgical abortion.
        Contraception. 2019; 99: 2-9
        • Gonzales-Huaman P
        • Fernandez-Chinguel JE
        • Taype-Rondan A.
        Peri-abortion contraceptive counseling: a systematic review of randomized controlled trials.
        PLoS One. 2021; 16e0260794
        • Zhu JL
        • Zhang W-H
        • Cheng Y
        • et al.
        Impact of post-abortion family planning services on contraceptive use and abortion rate among young women in China: a cluster randomised trial.
        The Eur J Contracept Reproduc Health Care. 2009; 14: 46-54
        • Altshuler AL
        • Nguyen BT
        • Riley HEM
        • Tinsley ML
        • Tuncalp Ö.
        Male partners' involvement in abortion care: a mixed-methods systematic review.
        Perspect sex reprod health. 2016; 48: 209-219
        • Nguyen BT
        • Hebert LE
        • Newton SL
        • Gilliam ML.
        Supporting women at the time of abortion: a mixed-methods study of male partner experiences and perspectives.
        Perspect Sex Reprod Health. 2018; 50: 75-83
        • Jonas K
        • Kalichman M
        • Kalichman S
        • Morroni C
        • Mathews C.
        Factors affecting men's support for the use of the contraceptive implant by their female intimate partners.
        Contracept Reprod Med. 2020; 5: 36
        • Carvalho ML
        • Pirotta KC
        • Schor N.
        [Men participation in contraception according to women's perspective].
        Rev Saude Publica. 2001; 35: 23-31
        • Becker S
        • Bazant ES
        • Meyers C.
        Couples counseling at an abortion clinic: a pilot study.
        Contraception. 2008; 78: 424-431
        • Behre HM
        • Zitzmann M
        • Anderson RA
        • et al.
        Efficacy and Safety of an Injectable Combination Hormonal Contraceptive for Men.
        J Clin Endocrinol Metab. 2016; 101: 4779-4788
        • Mahabadi V
        • Amory JK
        • Swerdloff RS
        • et al.
        Combined transdermal testosterone gel and the progestin nestorone suppresses serum gonadotropins in men.
        J Clin Endocrinol Metab. 2009; 94: 2313-2320
        • Thirumalai A
        • Ceponis J
        • Amory JK
        • et al.
        Effects of 28 days of oral dimethandrolone undecanoate in healthy men: a prototype male pill.
        J Clin Endocrinol Metab. 2019; 104: 423-432
        • Wu S
        • Yuen F
        • Swerdloff RS
        • et al.
        Safety and pharmacokinetics of single-dose novel oral androgen 11beta-Methyl-19-nortestosterone-17beta-dodecylcarbonate in men.
        J Clin Endocrinol Metab. 2019; 104: 629-638
        • Nguyen BT
        • Yuen F
        • Farrant M
        • et al.
        Acceptability of the oral hormonal male contraceptive prototype, 11beta-methyl-19-nortestosterone dodecylcarbonate (11beta-MNTDC), in a 28-day placebo-controlled trial.
        Contraception. 2021; 104: 531-537
        • Meriggiola MC
        • Cerpolini S
        • Bremner WJ
        • et al.
        Acceptability of an injectable male contraceptive regimen of norethisterone enanthate and testosterone undecanoate for men.
        Human Reproduc. 2006; 21: 2033-2040
        • Nguyen BT
        • Farrant MT
        • Anawalt BD
        • et al.
        Acceptability of oral dimethandrolone undecanoate in a 28-day placebo-controlled trial of a hormonal male contraceptive prototype.
        Contraception. 2020; 102: 52-57
        • Roth MY
        • Shih G
        • Ilani N
        • et al.
        Acceptability of a transdermal gel-based male hormonal contraceptive in a randomized controlled trial.
        Contraception. 2014; 90: 407-412
        • Jones RK.
        Reported contraceptive use in the month of becoming pregnant among U.S. abortion patients in 2000 and 2014.
        Contraception. 2018; 97: 309-312
        • Newton SL
        • Hebert LE
        • Nguyen BT
        • Gilliam ML.
        Negotiating masculinity in a women's space: findings from a qualitative study of male partners accompanying women at the time of abortion.
        Men and Masculinities. 2020; 23: 65-82
        • Marcell AV
        • Gibbs SE
        • Choiriyyah I
        • et al.
        National needs of family planning among US men aged 15 to 44 years.
        Am J Public Health. 2016; 106: 733-739
        • Nguyen BT
        • Long M
        • Petrosyan N
        • Grundy D
        • Mahoney B
        • Heyrana KJ.
        Access to male sexual and reproductive health services in publicly funded California clinics in 2018.
        Contraception. 2021; 104: 165-169
        • Borrero S
        • Farkas A
        • Dehlendorf C
        • Rocca CH.
        Racial and ethnic differences in men's knowledge and attitudes about contraception.
        Contraception. 2013; 88: 532-538
        • Kavanaugh ML
        • Lindberg LD
        • Frost J.
        Factors influencing partners' involvement in women's contraceptive services.
        Contraception. 2012; 85: 83-90
        • Kraft JM
        • Harvey SM
        • Hatfield-Timajchy K
        • et al.
        Pregnancy motivations and contraceptive use: hers, his, or theirs?.
        Womens Health Issues. 2010; 20: 234-241
        • Campbell AD
        • Turok DK
        • White K.
        Fertility intentions and perspectives on contraceptive involvement among low-income men aged 25 to 55.
        Perspect on Sex Reproduc Health. 2019; 51: 125-133
        • James-Hawkins L
        • Dalessandro C
        • Sennott C.
        Conflicting contraceptive norms for men: equal responsibility versus women's bodily autonomy. Culture.
        Health & Sex. 2019; 21: 263-277
        • Rothstein AA.
        Adolescent males, fatherhood, and abortion.
        J Youth and Adolescence. 1978; 7: 203-214
        • Reich J
        • Brindis C.
        Conceiving risk and responsibility: a qualitative examination of men's experiences of unintended pregnancy and abortion.
        Int J of Men's Health. 2006; 5: 133-152
        • Nguyen BT
        • Brown AL
        • Jones F
        • et al.
        I'm not going to be a guinea pig:" Medical mistrust as a barrier to male contraception for Black American men in Los Angeles.
        CA. Contraception. 2021; 104: 361-366
        • Nguyen BT
        • Zaller N.
        Pharmacy provision of emergency contraception to men: a survey of pharmacist attitudes in Rhode Island.
        J Am Pharm Assoc. 2010; 50: 17-23
        • Schrager SM
        • Olson J
        • Beharry M
        • et al.
        Young men and the morning after: a missed opportunity for emergency contraception provision?.
        J Family Planning and Reproduc Health Care. 2015; 41: 33