DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20162622

Men’s perspectives of male hormonal contraception

Alison L. Lloyd, Jackie Waterfield

Abstract


Background: In recent years there have been great developmental advances in male hormonal contraception (MHC). Despite this, research relating to men’s perspectives of MHC is sparse and is usually based on questionnaires completed as part of clinical trials. This study explored men’s perspectives of MHC, specifically how they were formed and what factors might be influencing them.

Methods: This qualitative study used semi-structured interviews with 10 heterosexual men aged between 18 and 44 within the UK. Using a philosophical standpoint of social constructionism, data were analysed employing a modified grounded theory method. Joint analysis and reflexivity were applied to reduce bias and ensure rigour in the analytical process.

Results: Four principal higher order themes emerged from the data: Sexual health and trust within a sexual relationship; Choice; Change; and Health. This paper presents the findings from the first two. Participants believed that MHC use would be affected by issues such as individual sexual relationships, sexual health, and trust. Issues relating to efficacy, contraceptive choice, age, knowledge and methods of administration were seen as core issues relating to the decision to take a MHC drug.

Conclusions: This study was successful in its aim, finding that overall MHC would be well received by men and that their perspectives were not that different from attitudes towards female hormone contraception. It also identified potential barriers based on the concerns that men have for themselves and for society were an MHC to become available.


Full Text:

PDF

References


Benagiano G, Bastianelli C, Farris M. Contraception: A social revolution. European Journal of Contraception and Reproductive Health Care. 2007;12(1):3-12.

Nieschlag E. Clinical trials in male hormonal contraception. Contraception. 2010;82:457-70.

Mathew V, Bentwal B. Male contraception. Indian Journal of Endocrinology and Metabolism. 2012;16(6):910-7.

Anderson RA, Baird DT. Male contraception. Endocrine Reviews. 2002;23:735-62.

Welford C, Murphy K, Casey D. Demystifying nursing research terminology: Part 1. Nurse Researcher. 2011;18(4):38-43.

Mason J. Qualitative researching. 2nd ed. London: SAGE Publications; 2005.

Guest G, Bunce A, Johnson L. How many interviews are enough? An experiment with data saturation and variability. Field Methods. 2006;18(1):59-82.

Mommers E, Kersemaekers WM, Elliesen J, Kepers M, Apter D, Behre et al. Male hormonal contraception: a double blind, placebo controlled study. Journal of Clinical Endocrinology and Metabolism. 2008;93(7):2572-80.

Sim J, Wright C. Research in healthcare: concepts designs and methods. Stanley Thornes, Cheltenham. 2000.

Strauss AL, Corbin J. Basics of qualitative research: Techniques and procedures for developing grounded theory. 3rd ed. London. Sage Publications; 2008.

Glaser BG. The constant comparative method of qualitative analysis. Social Problems. 1965;12(4):436-45.

Dey I. Qualitative data analysis: A user friendly guide for social scientists. London: Routledge. 1993.

Angen MJ. Evaluating interpretive inquiry: reviewing the validity debate and opening the dialogue. Qualitative Health Research. 2000;10:373-95.

Johnson R, Waterfield J. Making words count: the value of qualitative research. Physiotherapy research International. 2004;9:121-31.

Eberhardt J, van Werschet A, Meikle N. Attitudes towards the male contraceptive pill in men and women in casual and stable sexual relationships. Journal of Family Planning and Reproductive Healthcare. 2009;35(3):161-5.

Flood M. Lust, trust and latex: why young heterosexual men do not use condoms. Culture, Health and Sexuality. 2003;5(4):353-69.

Corbett M, Dickson-Gómez J, Hilario H, Weeks M. R. A little thing called love: condom use in high-risk primary heterosexual relationships. Perspectives on Sexual and Reproductive Health. 2009;41(4):218-24.

Prata N, Vahidnia F, Fraser A. Gender and relationship differences in condom use among 15-24-year olds in Angola. International Family Planning Perspectives. 2005;31(4):192-9.

Walker S. Attitudes to a male contraceptive pill in a group of contraceptive users in the UK. Journal of Men’s Health. 2011;8(4):267-73.

Meriggiola MC, Cerpolini S, Bremner WJ, Mbizvo MT, Vogelsong KM, Martorana G, et al. Acceptability of an injectable male contraceptive regimen of norethisterone enanthate and testosterone undecanoate for men. Human Reproduction. 2006;21(8):2033-40.

Martin CW, Anderson RA, Cheng L, Ho PC, van der Spuy Z, Smith, et al. Potential impact of hormonal male contraception: cross-cultural implications for development of novel preparations. Human Reproduction. 2000;15(3):637-45.

Ringheim K. Evidence for the acceptability of an injectable hormonal method for men. Family Planning Perspectives. 1995;27(3):123-8.

Department of Health. The National Strategy for Sexual Health and HIV. London. Department of Health, HMSO.2001.

Campo-Engelstein L. Raging hormones, domestic incompetence, and contraceptive indifference: narratives contributing to the perception that women do not trust men to use contraception. Culture, Health and Sexuality. 2013;15(3):283-95.

Darroch JE. Forum: The pill and men’s involvement in contraception. Family Planning Perspectives. 2000;32(2):1.

Glasier AF, Anakwe R, Everington D, Martin CW, va der Spuy Z, Cheng L, et al. Would women trust their partners to use the male pill? Human Reproduction. 2000;14:646-9.