This joint scientific statement from the International Federation of Fertility Societies (IFFS) and International Society of Andrology (ISA) evaluates the three core pillars of Sexual and Reproductive Health (SRH)—sexuality, infertility, and contraception—with a focus on equitable, evidence-based, couple-centered care across diverse geographies and socioeconomic contexts.
The statement advocates for a biopsychosocial approach to SRH, calling for integrated male and female infertility evaluation, expanded male contraceptive options, medically assisted reproduction access, fertility preservation strategies, and socio-culturally sensitive contraceptive counseling to address global unmet needs.
As a consensus/position statement rather than an original research study, it lacks primary data, quantitative outcomes, or comparative effectiveness evidence; recommendations may not account for region-specific resource constraints in sufficient detail.
Clinicians should adopt a couple-centered, multidisciplinary approach to SRH that integrates sexual function, infertility workup for both partners, and contraceptive counseling tailored to sociocultural context. Policymakers and practitioners are urged to expand access to infertility evaluation and comprehensive contraceptive services as a public health priority.
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