Family planning choices in couples using contraception without knowing they are infertile: should newly-wed men undergo a routine spermiogram?

• Published in: Urologia internationalis Vol. 88; no. 2; p. 183
• Main Authors: Kiran, Hakan, Arikan, Deniz Cemgil, Coskun, Ayhan, Kaplanoglu, Mustafa, Kiran, Gurkan, Ozdemir, Ozgur, Cetin, M Turan
• Format: Journal Article
• Language: English
• Published: Switzerland 01.01.2012
• Subjects: Adult; Contraception - statistics & numerical data; Contraception Behavior - statistics & numerical data; Counseling; Cross-Sectional Studies; Family Planning Services - statistics & numerical data; Female; Fertility; Humans; Infertility, Male - diagnosis; Infertility, Male - pathology; Infertility, Male - physiopathology; Infertility, Male - psychology; Male; Predictive Value of Tests; Semen Analysis; Sperm Count; Sperm Motility; Spermatozoa - pathology; Spouses - psychology; Spouses - statistics & numerical data; Time Factors
• ISSN: 1423-0399
• DOI: 10.1159/000333116

Newly-weds choose to use contraception either to spend the first years of their marriage more freely, because of economic reasons or because of the increase in working career women. We studied the reasons for infertility and the rate of contraception use in the first years of marriage among couples with primary infertility and evaluated the use of a spermiogram as a screening test in newly-wed men. In this cross-sectional study, 302 couples with primary infertility who were treated at our infertility clinic were included in the study. The couples were divided into 2 groups: group 1 (infertile couples who have used contraception) consisted of 67 couples and group 2 (infertile couples who did not use contraception) consisted of 235 couples. Sixty-seven (22.5%) infertile couples stated that they had used no contraception in the first years of their marriage. In group 1, 35.8% of couples were diagnosed as having unexplained infertility, while 28.4% of them had male factor, 31.3% female factor and 4.5% a combination of male and female factor infertility. Sixteen men with male factor infertility used coitus interruptus (3-36 months) or condoms (6-12 months) unnecessarily. Infertility counseling in the early days of marriage and a spermiogram performed at that time could be beneficial for the newly-wed couples even if they do not want a child at the time. To perform a spermiogram as a screening test in all newly-wed men should be discussed.