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Despite promising products, no male hormonal contraceptives have reached the market

Despite media interest, progress in developing new reversible male contraception has been slow. Trials of a self-administered gel combination of testosterone and the progestogen Nestorone are underway, while novel long-acting steroids with both androgenic and progestogenic activity are also in early clinical trials. The non-hormonal approach offers certain advantages, with potential sites of action on spermatogenesis, sperm maturation in the epididymis or at the vas, but such products are only in preclinical testing. Surveys indicate willingness among men and their partners to use a new male method, but they are still waiting for that opportunity. See page 236

Women are underadvised and underinformed about interpregnancy intervals

Interpregnancy intervals (IPIs) are important in preventing adverse obstetric outcomes. But do women know what is the ideal length of IPI, and understand the consequences of a short IPI? Yang and colleagues undertook a prospective questionnaire-based study of 467 pregnant women (of whom 344 were pregnant following a live birth) at two hospitals in Sydney, Australia to find out. 20.9% had an IPI of <12 months, of whom only 7.5% believed this was ideal, while the remainder stated their ideal IPI was >12 months (52.3%) or they had no ideal IPI (40.3%). An IPI <12 months was associated with younger age but not ethnicity, relationship status, education, religion, parity or previous mode of delivery. Worryingly, less than half of the respondents reported receiving advice about IPI or postnatal contraception from a healthcare provider, and the authors recommend that this needs to be addressed. See page 249

Too few teenage mothers receive the postpartum contraception they want

Access to postpartum contraception is a challenge, particularly for vulnerable groups. Gallagher and colleagues evaluated the impact of antenatal contraceptive counselling and the provision of postpartum contraception for 118 first-time teenage mothers enrolled with a Family Nurse Partnership (FNP) programme in Scotland. Using self-administered questionnaires and interviews with FNP clients, 81% agreed that it was helpful …

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