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Why gender is a barrier to contraception advice.


 In the UK, the Contraceptive Education Service is attempting to place contraception services on the health care agenda for all health providers dealing with heterosexual and bisexual men. Contraceptive education can prompt men to take more responsibility for contraception. Recent surveys indicate that the taking of sexual histories varies not only from clinic to clinic but also among various practitioners working in the same clinic. An observational study revealed that contraceptive information was not displayed in a third of general practitioners' offices and 10% of family planning and sexual health clinics. While good reasons may exist for keeping the information under the counter, clients have expressed a desire for printed information that they can take home to read. Sexual health clinics (formerly called "genito-urinary" clinics) are being targeted as one of the best places to reach sexually active men. Currently inequalities exist between what female and male patients are asked. For example, men are not asked how many unwanted pregnancies they have caused. Nurses have a special role in health education because they are perceived to be more approachable than physicians. While nurses discuss condom use whenever they have the opportunity, most feel that schools are the best place for sexual health education. The nurses also felt that, whereas most men have no need for information about oral contraceptive usage, information on emergency contraception may prove valuable. One clinic is using new forms to take sexual histories and prompt providers to cover topics such as safer sex and risk reduction.
