Reproductive health refers to a state where an individual has a safe and satisfying sex life and a healthy capability to reproduce, as well as control over when to do so. It is a state of complete physical, mental and social well-being, and not merely the absence of disease or infirmity, in all matters related to the reproductive system and to its functions and processes. 1 Its determination benefits from a life-cycle approach involving an assessment of the factors that affect both women and men from infancy to old age. It also involves an understanding of how social and sexual behaviours and relationships affect health and create ill-health. 2