However, we recognize that to improve
preconception health and health
care for men in the US, significant barriers
must be overcome. Issues that
need to be addressed include organization,
financing, training, and demand.
There is currently no consensus on service
delivery of preconception care for
men—who should provide preconception
care to whom, where, when, and
how. To ask busy clinicians to provide
preconception care to men at every
visit (“every man, every visit”) may not
be feasible, and some components of
preconception care may not be indicated
or appropriate for every man at
every visit. Furthermore, preconception
care for men is not currently a billable
diagnosis under most health
plans. Many clinicians who provide
care to men are not trained to provide
preconception care; most obstetricians-
gynecologists are not trained to
provide care for men. As a starting