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The Pharmaceutical Journal
Vol 271 No 7270 p488
11 October 2003

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Related websites
European College of Neuropsychopharmacology congress (www.ecnp.nl)
ANZAC Research Institute (www.anzac.edu.au)


Promising male hormone contraceptive

Results of an Australian study of a male hormonal contraceptive tested in 55 couples report no pregnancies over 12 months.

“This is the first time a reversible male contraceptive, that will suppress sperm production reliably and reversibly, has been fully tested by couples,” said principal investigator, Professor David Handelsman of the ANZAC Research Institute, Australia.

Male partners received the progestin DMPA by injection every three months. This turns off the brain signals that stimulate sperm production. As this also turns off testosterone production temporarily, the men were given a hormonal implant to replace testosterone every four months.

At the beginning of the study, hormone doses were adjusted to ensure that testosterone levels stayed normal.

The researchers saw no serious side effects over the 12-month period, allowing larger trials to proceed.

“This shows the way for a final product to be a single injection containing testosterone and a progestin which will easily be given by doctors on a three to four monthly basis and still maintain male sexual health,” Professor Handelsman said. The researchers say that collaboration between two large international companies is now under way to develop such a product.

The study was funded by an American family planning agency and carried out at the ANZAC Research Institute in New South Wales and Prince Henry’s Institute in Victoria. There were two phases of the trial. In the first phase 95 per cent of men showed enough sperm suppression to enter the second phase — the 12-month effectiveness period.

The researchers add that studies from both developing and developed countries show that women who are in stable relationships are happy to trust men to use a contraceptive.

The Journal attended the European College of Neuropsychopharmacology congress courtesy of Eli Lilly


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