The purpose of this study was to explore the degree of spousal communication regarding contraceptive use and desired family size and to determine the family planning practices pre and post intervention among selected couples in Barangay Poblacion. Lakewood. There were a total of 183 couples included in the study. Among them, 120 were users, 47 non users and previous users and 16 with pregnant women. The degree of spousal communication was categorized into three (30 as follows: category 1 consists of discussion, agreement and correct perception regarding the attitude of one's partner of the other regarding family planning issues, category 2 includes only discussion or discussion and correct perception but without agreement and category 3 which signifies no discussion at all has occurred or discussion but with wrong perception. To measure the degree of communication an interview guide was used pre and post intervention. The intervention employed was counseling. It is a face-to-face personal communication between the counselor and the couple to address their issues and concerns, and help them make an informed choice regarding family planning. The statistical tool used to answer the purpose of the study was Wilcoxon Signed Ranks Test. The findings revealed that among users the change on the degree of communication regarding contraceptive use from pre and post intervention was insignificant with a P-value of 0.157. This can be attributed to the fact that at the onset of the study the communication was already good. In contrast, among nonusers and previous users there was a significant change with a P-value of 0.038. Moreover, spousal communication regarding family size among the total of 183 couples including those with pregnant women, showed a marked change after the intervention with a P-value of 0.000. the number of couples who practice family planning increased from 120 to 135 among 167 couples at the end of the study with a P-value of 0.003 which indicates that the difference in number is significant. In summary, based on the results of the study counseling can enhance the degree of spousal communication with regards to family size among users, non users and previous users. It can also improve the degree of communication on contraceptive use among nonusers and previous users. A conclusion cannot be made however, on its effectiveness regarding communication about contraceptive use among users due to the insufficient sample of couples who were labeled under the last 2 categories as measured in this study, Further, counseling can increase family planning practice.