Overview

How does a couple’s approach to health and fertility shape the course of their family journey, and what role does intentional planning play in this process? This chapter examines the interplay between physical well-being, reproductive health, and the decisions couples make about when and how to expand their families. Family planning is not simply a medical or logistical concern; it is deeply intertwined with values, expectations, and the shared vision of the couple. Without open dialogue and informed choices, differences in fertility expectations or health challenges can create tension, disappointment, or unresolved grief.

Learners will study the fundamentals of reproductive health for both men and women, as well as common challenges such as infertility and the available medical and alternative paths, including IVF, surrogacy, and adoption. Attention will also be given to child spacing, the health implications of pregnancy readiness, and the importance of preconception care. The chapter emphasizes that family planning is not a one-time decision but an ongoing conversation requiring sensitivity, empathy, and flexibility. By the end of this chapter, participants will appreciate that managing health and fertility is not only about the ability to have children but also about fostering shared responsibility, emotional preparedness, and long-term well-being in marriage.

Objectives

By the end of this chapter, learners will be able to:

1. Define the role of reproductive health in family planning and marital preparedness.
2. Distinguish between different family planning methods and their implications for health and relationships.
3. Identify common fertility challenges and explain available options such as IVF, surrogacy, or adoption.
4. Explain the significance of preconception and prenatal health in shaping family outcomes.
5. Reflect on personal and shared expectations regarding fertility and assess how these influence their marital and family vision.

These learning outcomes provide the framework for all discussions, reflections, and exercises in this chapter.