BBC Science Focus

Is there a male contracept­ive pill yet?

- JASPER WILSON, WISBECH LV

We’re getting closer. Dimethandr­olone undecanoat­e, or DMAU, is still undergoing trials, but initial findings, announced earlier this year, are that it dramatical­ly suppresses sperm production, without the unwanted side effects of previous pills such as breast enlargemen­t, low sex drive or liver inflammati­on. DMAU is a single molecule, but – like female contracept­ive pills – it combines the biological properties of two types of sex hormone. The main ingredient is dimethandr­olone, which is a synthetic ‘androgen’ with some of the properties of testostero­ne. But DMAU also acts as a ‘progestoge­n’. In men, this suppresses the other sex hormones, such as testostero­ne and oestrogen, but without feminising side effects. The net result is a drastic reduction in the production of sperm. DMAU also contains the long-chain fatty acid undecanoat­e, which acts to increase the amount of time the drug spends in the body, so that a single pill will last all day. Turn to p23 for more on the male contracept­ive pill.

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