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Wednesday, 3 April 2019

A Birth Control Pill for Men Is One Step Closer

Comment: What could possibly go wrong?

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Singularity Hub

Women have long borne the brunt of contraception responsibilities, but this may be shifting in coming years. A new trial published in the Journal of Clinical Endocrinology and Metabolism details strides made by researchers in developing a male version of the birth control pill, bringing it within reach of the long-sought-after FDA approval.

Like the female equivalent, a male oral contraceptive works by tweaking the body’s hormones to temporarily suppress fertility. In women, this involves introducing synthetic estrogen and/or progestin, which mimics progesterone, a hormone released in large amounts during pregnancy. When introduced into the female body, the pill stops ovulation, prevents sperm from entering the cervix, and thins the uterine lining, making implantation of a fertilized egg far less likely.

In men, the idea is to stop the production of sperm, which relies on both progesterone and androgens like testosterone.

The researchers developed 11-beta-MNTDC, a chemical cocktail that can mimic specific androgens and progesterone. These synthetic versions are agonists, meaning they can bind to the same receptors as natural chemicals, but they produce a different response from the body.

When introduced into men, 11-beta-MNTDC fills cells’ androgen and progesterone receptors, blocking the natural versions from being used and suppressing production of hormones necessary for sperm production, while allowing for the rest of the body to function normally.

In March the researchers presented the results of a 28-day trial during which they tested 11-beta-MNTDC on 40 healthy men. 10 of these men were given a placebo, while the other 30 were given varying doses of the drug. They found that the participants’ androgen levels fell more the higher the dose, with the average non-placebo participant levels falling below the limits of fertility.

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