Real-world exploration of men's involvement in contraception: an observational study in a convenience sample

Background: Dependable male contraceptive options are restricted to vasectomy and condoms, with 30% of couples using male contraception. We need to update the understanding of current European and Belgian trends in couple and male contraception due to ongoing changes in practices. Methods: Between July and September 2023, 1200 men consented to participate in a phase 4, survey-based study focusing on three primary themes: the discussion, the responsibility and the utilization of male contraception in couple. Results: Five hundred and ninety-four patients responded to the study (49.5%). The findings indicated that men in Central Europe were more inclined to engage in discussions about contraception compared to their counterparts in Southern Europe. Men in the 18–25 age bracket participated more in decision-making processes. The interest diminished with age. Men possessing higher education were more inclined to engage in discussions about contraception and to share responsibilities with their spouses. Regarding participation in contraception, vasectomy was widely recognized, with approximately 75% of men expressing willingness to utilize this treatment. Condom utilization often declines with age, but vasectomy prevalence rises. Conclusions: The research underscores the necessity for enhanced knowledge and education regarding male contraception. Facilitating educated decision-making and equitable distribution of contraception is essential, particularly with the advent of novel male contraceptive techniques.

Male contraception; Vasectomy; Phase 4 study; Discussion; Responsibility

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