Page 12 - ESHRE2019

Goals for male adolescents’ SRH care
Prevent
• Sexually transmitted infections (STIs) & human immunodeficiency virus (HIV)
• Unintended pregnancy
• Reproductive health cancers Promote
• Sexual health & development
• Healthy relationships & behavior • Reproductive life plan
• Preconception care
Reduce
• Sexual problems, infertility Increase
• Quality of life & lifespan
Men’s overall health
Pregnancy prevention / Contraception
Puberty & Development
SRH
Drug use
STD / HIV
Men in need of preconception care (MINPC)
National Survey of Family Growth
Preconception care defined: To optimize health before conception & reduce adverse maternal & infant outcomes, which may include assistive reproductive technology MINPC defined: Men with future intentions to have child(ren) & able to have children (self & partner), regardless of sexual experience
• Majority of U.S. aged 15-29 are in need of preconception care
Choiriyyah I, Sonenstein FL, Astone NM, Pleck JH, Dariotis JK, Marcell AV. Matern Child Health J. 2015.
Preconception health / Reproductive capacity
Mental health
Relationships & Sexuality
Marcell et al. Am J Prev Med. 2015.
Sexually active in last year
Sexually experienced but not in last year
Never had sex
Had sex with men only
Age
Overall
Married
Cohabiting
Not in a union
Not in a union
Not in a union
Not in a union
group
%
%
%
%
%
%
%
15-19
92
-
89
93
95
92
54
20-24
87
80
73
91
87
94
25-29
74
64
63
86
81
94
24
30-34 35-39 40-44
52
44 26 11
50
69
63
59
32 16
27 12
49 31
48 32
10
7