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Male hormonal contraception: a safe option?
Melanie J Walton1, Richard A A Anderson2
1a The University of Edinburgh, Centre for Reproductive Biology, The Queen's Medical Research Institute, 47 Little France Crescent, Edinburgh EH16 4TJ, UK. m.walton@ed.ac.uk.
Expert Review of Endocrinology & Metabolism
|February 13, 2019
Summary
Hormonal male contraception, using testosterone and progestogen, is under investigation. Larger studies are now assessing the safety and potential health benefits of these regimens for men.
Area of Science:
- Reproductive Endocrinology
- Pharmacology
- Men's Health
Background:
- Hormonal male contraception typically involves testosterone, often combined with a progestogen.
- Testosterone has a well-established safety profile for treating male hypogonadism.
- Previous contraceptive studies were small-scale, limiting safety assessments.
Purpose of the Study:
- To review the safety considerations of hormonal male contraception for healthy individuals.
- To highlight the evolving landscape of male contraceptive research with larger studies.
- To explore potential health benefits beyond contraception.
Main Methods:
- Review of existing literature on hormonal male contraception.
- Analysis of safety data from ongoing large-scale clinical trials.
- Investigation into the impact on cardiovascular, prostate, bone, and psychological health.
Main Results:
- Larger studies are now providing more comprehensive safety data.
- Cardiovascular and prostate health are key areas of focus.
- Bone health, body composition, and psychological effects are also important considerations.
Conclusions:
- Increased pharmaceutical industry involvement is accelerating data generation.
- Emerging data will offer insights into both contraceptive efficacy and general male health.
- Potential health benefits of selective androgen action warrant further investigation.
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