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Hormonal approaches to male contraception
Christina Wang1, Ronald S Swerdloff
1Division of Endocrinology, Department of Medicine, Harbor-UCLA Medical Center and Los Angeles Biomedical Research Institute, Torrance, California 90509, USA. wang@labiomed.org
Male hormonal contraception, using a combination of androgens and progestins, is an effective and reversible birth control option for men. Ongoing research aims to optimize these methods for widespread use.
Area of Science:
- Reproductive endocrinology
- Male contraception development
- Hormonal therapies
Background:
- Current male-controlled family planning methods like condoms and vasectomy have limitations.
- There is a need for additional male contraceptive options beyond condoms and vasectomy.
- Hormonal male contraceptives have shown efficacy, reversibility, and good tolerability in clinical trials.
Purpose of the Study:
- To review the efficacy and tolerability of hormonal male contraceptive methods.
- To discuss current research and future directions in male hormonal contraception.
- To explore the potential for widespread adoption of male hormonal contraceptives.
Main Methods:
- Review of clinical trials on hormonal male contraceptive methods.
- Analysis of the effectiveness of testosterone and progestin combinations.
- Examination of ongoing research into novel hormonal agents and delivery systems.
Main Results:
- Injectable testosterone alone demonstrates high success rates comparable to female contraceptives.
- Combining androgens with progestins significantly improves spermatogenesis suppression.
- Current studies focus on optimizing hormone combinations and delivery methods.
Conclusions:
- Male hormonal contraception, combining androgens and progestins, is effective, reversible, and well-tolerated for men in stable relationships.
- Industry partnerships are crucial for accelerating the marketing of male hormonal contraceptives.
- Research into selective receptor modulators aims to enhance efficacy and minimize side effects.
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