Contraceptive drugs akin to the pill for women aren't available for men. But the court's decision could speed their development.
Daitch says men need to think carefully before undergoing a vasectomy. The procedure, while quick and more than 99 percent effective, is considered a permanent form of birth control. A vasectomy can sometimes be reversed, but that involves a more complicated surgery and it doesn’t always work. It’s also expensive—around $5,000 to $15,000, according to the Urology Care Foundation—and not typically covered by insurance.
Reversible forms of male birth control are still experimental, but are getting closer to reality. Scientists have been trying to develop a male analogue to the pill for decades, but a major challenge has been finding something that is effective without too many negative side effects—a problem that has plagued women’s hormonal birth control, and is a barrier for some people who either cannot or choose not to use it.
One candidate being developed by researchers at the National Institutes of Health and the nonprofit Population Council is a hormonal gel that contains a synthetic progestin called Nestorone, which blocks natural testosterone and reduces sperm count. The gel also contains a replacement testosterone to help maintain normal sex drive and regulate other functions. Nestorone is already approved for use in Annovera, a vaginal ring for women.
The research team’s goal is to get sperm counts below 1 million per milliliter of semen, because previous studies have suggested that pregnancies are unlikely to occur at that level. involving more than 400 couples. Mitchell Creinin, the director of family planning at UC Davis Health, one of the trial sites, says the gel appears extremely promising; so far, it’s making sperm counts plummet and is preventing pregnancy. Men have been very enthusiastic about using it, he says.
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