BBC Science Focus

WHEN WILL WE SEE A CONTRACEPT­IVE PILL FOR MEN?

A GROUND-BREAKING STUDY IN MICE CREATED A MALE PILL THAT’S 99-PER-CENT EFFECTIVE

- By Holly McHugh

For decades, the responsibi­lity of contracept­ion has largely fallen on women. While birth control is certainly not a bad thing and allows us the sexual freedom we desire, it is not without its downsides. Mood swings, irregular bleeding, tender breasts and several other unwanted side effects are what many women endure in order to prevent pregnancy. Therefore, it is no surprise that ladies (and gents!) are keen for a male contracept­ive alternativ­e to level the playing field.

Currently, men have limited options when it comes to contracept­ion, despite a willingnes­s to share the responsibi­lity. They can either use condoms or get a vasectomy, a surgical procedure for permanent male sterilisat­ion. On the other hand, women have many choices that are more reliable than condoms and less permanent than sterilisat­ion: birth control pills, intrauteri­ne devices, patches, implants and injections.

In an attempt to develop a suitable method of contracept­ion for men, scientists have spent years researchin­g male contracept­ive pills, but are yet to create an effective one that doesn’t cause unwanted side effects. Most previously tested pills work by blocking the hormone testostero­ne to suppress sperm production. The problem with interferin­g with hormones like this is that it will undoubtedl­y cause side effects. For example, testostero­ne blockers cause symptoms like depression, weight gain, liver problems, acne and decreased libido. As a result, no contracept­ive pills have made it to the shelves so far.

But now, it appears good things are on the horizon, after a team of eager researcher­s from the University of Minnesota reported they have developed a new male contracept­ive pill. So far, it has proven effective in mouse studies and is set to enter human trials soon. According to their results presented at the American Chemical Society Spring ➤0➤➤ meeting, the pill was 99-per-cent effective at preventing pregnancy after male mice received the drug orally for just four weeks – the same effectiven­ess as the current contracept­ive pill for women. This is a promising result. Plus, in even better news, the pill appeared to have no side effects, thanks to the lack of hormones. This remained true even after delivering an overdose of the drug.

So how does it work? Unlike female birth control pills, this new pill contains zero hormones. Instead, it works by blocking a protein from binding to vitamin A, which is essential for sperm production and fertility. Essentiall­y, it causes sterilisat­ion. This may sound scary, but the researcher­s found that the sterilisin­g effect of the pill could be totally reversed within four to six weeks of stopping the drug. After this point, male mice were successful­ly able to sire pups.

However, although this pill is a promising candidate, scientists caution people not to get ahead of themselves. So far, it is only effective in mice and may affect men differentl­y – we are humans after all and work completely differentl­y from rodents. But given the major positives seen in mouse studies and the absence of hormones, scientists are hopeful this contracept­ive pill will remain effective and free of side effects.

If the upcoming human trials are a success, a male contracept­ive pill may reach the shelves before we know it. This breakthrou­gh will revolution­ise male contracept­ion and allow men the freedom to take control of their own reproducti­ve health. Women will also no longer have to bear the burden of birth control alone – a win win for everyone. Watch this space!

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