Whether gender equality in family planning creates wider gender equality is questionable. Does gender equality emerge by including men in family planning, previously a predominantly female domain (the reproductive sphere), without changing gender structure? For example, what has actually changed? Presumably if the men wanted a say in how many or few children they had before they would have been listened to. Another question is whether the negotiation decisions, and outcomes, equal?  Gender equality requires changing what gender means; and how women, men, and sexuality are experienced. Can we talk about gender equality when socially constructed gender roles remain prevalent? Moreover is there a spillover effect? If there is not then women are simply ceding control over one area without a gain elsewhere; hardly good for equality. Gender equality is a right; therefore universal and it should count everywhere not just in the reproductive sphere.