By analysing the practices and representations of those who prescribe contraceptive methods, this article examines the contrast between France and England when it comes to prescribing masculine contraception methods. This research is based on an institutional and historical comparative study and semi-structured interviews carried out with practitioners in both countries. While all the medical staff in charge of prescribing contraceptive methods share gendered representations of contraceptive responsibilities, these gendered representations have a different impact on the professional practices of contraceptive prescription in each country, depending on the institutional framework of the medical profession. Indeed, while English prescribers are more inclined to recommend masculine methods due to a strict protocol framing their practices, such methods are only offered rarely and somewhat randomly by French prescribers.