Scottish Daily Mail

Male contracept­ive jab ‘as good as Pill’

- By Colin Fernandez Science Correspond­ent

A MALE contracept­ive jab that is as effective as the female birth control pill has been developed.

In tests, the injection reduced pregnancy rates in couples by 96 per cent – a similar level to the Pill. The hormone-based jab is designed to lower sperm counts by acting on the pituitary gland in the brain.

Over a year-long trial involving 320 men with initially normal sperm counts, only four pregnancie­s occurred among their partners.

However, although the jabs increased libido, some participan­ts reported side effects include depression and other mood disorders, muscle pain and acne, causing 20 to drop out of the trial.

Neverthele­ss it is the most promising human trial of a male contracept­ive to date. Dr Mario Festin, from the World Health Organisati­on in Geneva, Switzerlan­d, said: ‘The study found it is possible to have a hormonal contracept­ive for men that reduces the risk of unplanned pregnancie­s in the partners of men who use it. Our findings confirmed the efficacy of this contracept­ive method previously seen in small studies.’

The injections contained a long-acting form of progestoge­n, a hormone that has the effect of blocking sperm production, which is controlled by the pituitary gland.

Testostero­ne was added to counter-balance reductions in levels of the male hormone resulting from the treatment.

After an initial period, during which couples used both the injections and other birth control methods while their sperm counts fell, the men relied on the jabs alone. They were given injections every two months for up to a year. In 274 of the men, the sperm count was reduced to below one million per millilitre within 24 weeks.

A count of 15million to 20million is considered low, with counts of between 40million and 300million considered normal.

The results are reported in the Journal of Clinical Endocrinol­ogy & Metabolism.

Dr Festin said: ‘More research is needed to advance this concept to the point that it can be made widely available.’

Allan Pacey, professor of andrology at the University of Sheffield, said: ‘There is certainly an unmet need for an effective reversible contracept­ive for men, along the lines of the hormonal contracept­ive for women. However, none of the preparatio­ns that have been developed and tested to date have managed to become a commercial reality for one reason or another. In this latest study... they were able to suppress the production of sperm to a remarkable degree. As such, this contracept­ive was extremely effective and therefore certainly has promise.

‘However, the fact that so many side effects were observed is of concern. For a male contracept­ive to be accepted by men – or women – then it has to be well tolerated and not cause further problems.

‘But, it is noteworthy that 75 per cent of the men who took part in the trial would be willing to use this method of contracept­ion again. So perhaps the side-effects weren’t all that bad after all.’

Earlier this week it emerged that UK scientists are developing a male contracept­ive pill that they hope will work by temporaril­y ‘switching off’ the sperm’s ability to swim.

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