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Male Birth control what do you think.

  MSNBC.com

Male birth control pill soon a reality
Implants, patches and creams also on the way
By John Schieszer
msnbc.com contributor

SEATTLE, Oct. 1 —  - Forty-year-old Scott Hardin says he’s glad that men may soon have a new choice when it comes to birth control. But, he adds, he would not even consider taking a male hormonal contraceptive. Hardin is like many men who are pleased to hear they may have a new option but are wary of taking any type of hormones.

“I would rather rely on a solution that doesn’t involving medicating myself and the problems women have had with hormone therapy doesn’t make me anxious to want to sign on to taking a hormone-type therapy,” says Hardin, who is single and a college administrator.

For the first time, a safe, effective and reversible hormonal male contraceptive appears to be within reach. Several formulations are expected to become commercially available within the near future. Men may soon have the options of a daily pill to be taken orally, a patch or gel to be applied to the skin, an injection given every three months or an implant placed under the skin every 12 months, according to Seattle researchers.

“It largely depends on how funding continues. The technology is there. We know how it would work,” says Dr. Andrea Coviello, who is helping to test several male contraceptives at the Population Center for Research in Reproduction at the University of Washington in Seattle.

Coviello and her colleagues have found that a male contraceptive that releases testosterone over three months is potentially a safe and practical method of contraception. The Seattle researchers have been testing a sustained-released, testosterone micro-capsule, which consists of a thick liquid administered by injection under the skin.

“I never had any real noticeable side effects. I didn’t notice any mood changes. I may have put on a little weight,” says Larry Setlow, a 39-year-old computer programmer with a small software company in Seattle. He has taken part in three male hormonal contraceptive clinical trials at the University of Washington and has received both pills and injections.

“They all worked really well and I was able to look at my lab results and see my sperm count drop to zero,” says Setlow.

Finally, it is the man's turn
Women have had the option of a safe, effective and reversible form of contraception since the development of the female oral contraceptive pill in the 1960s.

Female contraceptives use hormones, estrogens and progestins, to shut off the release of eggs to prevent pregnancy. Male hormonal contraceptives work pretty much the same way: hormones, such as testosterone and progestins, are used to turn off sperm production.

“It seemed like I was getting headaches and then there were times when I woke up sweating at night and I had to change my shirt. Other than that, I didn’t have any side effects,” says 45-year-old Quentin Brown, who lives in Los Angeles and has been a volunteer in a study of MHCs at Harbor-UCLA Medical Center in Torrance, Calif.

Brown has been taking hormonal contraceptives for more than a year. He reports no problems with weight gain or acne, two side effects that occurred in earlier versions of MHCs tested in the 1990s.

Brown, who is married and has three children, hopes his kids will one day be able to benefit from the new technology. His would like his son, who is now 17, to one day have the option of taking a male birth control pill. Brown believes many men will see “their pill” as a good idea and will want to use it.

“It is time for men to have some control. I think it would empower men and deter some women out there from their nefarious plans,” says Brown. “Some women are out there to use men to get pregnant. This could deter women from doing this. An athlete or a singer is someone who could be a target and they could put a stop to that.”

Studies conducted by the World Health Organization show that men from many countries around the world would welcome MHCs. The WHO has tested MHCs in hundreds of volunteers in various countries around the world and have not found it difficult to recruit volunteers for their studies. Researchers say many men are very willing to become involved in the studies and are anxious to see a male birth control pill on the market.
      
A range of choices
Over the past 5 years, researchers around the world have had a great deal of success with male contraceptive pills, patches, implants and creams that deliver various amounts of hormones. It is now believed that an MHC in the form of a daily pill could be available on the market within 5 to 7 years and implants could arrive even sooner.

“An injectible or an implant (similar to Norplant for women) will be the first to be approved. The big studies are now under way,” says Dr. Christina Wang, who is heading up the clinical trials of MHCs at Harbor-UCLA Medical Center.

She and her colleagues have found that a combination of progestin and androgen implants are safe, effective, inexpensive and entirely reversible.

The California researchers have tested several different products in hundreds of men and are also collaborating with investigators in China. A Chinese clinical trial is now under way at 10 different sites across China and includes 1,000 men. The Phase III trial involves a single injection given once every month. Wang hopes to start a similar trial in the United States within the next 2 years.

We are trying to find the best combination with the least amount of side effects and then the least amount of medication that may be required to get the maximum effects,” says Wang.

Wang adds that in some countries, a low-cost, reversible and long-acting form of an MHC could become commercially available within the next 3 years. However, she says it will probably be at least 5 years before one is approved by the U.S. Food and Drug Administration.

Interestingly, Wang says there is now greater interest in this technology than there ever was in the past and there is now more funding available worldwide than ever before.

But will men take it? Some say yes, some say only if their partners make them, and other say they would never even consider it.
© 2008 msnbc.com

URL: http://www.msnbc.msn.com/id/3543478/
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© 2008 MSNBC.com
2 Responses
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1208977 tn?1265924153
I just can't believe that this hasn't already become available. The technology has been there but the market has not. As the article points out, men won't take it. As one man said in the article: “I would rather rely on a solution that doesn’t involving medicating myself and the problems women have had with hormone therapy doesn’t make me anxious to want to sign on to taking a hormone-type therapy,” That is the most selfish thing I have heard, I mean at least he was honest but come on. Every man out there has a woman that means a lot to them in their life. Whether it is your wife, mother, daughter, sister or friend... these men are willing to let us take the bullet for them. Not noble at all. Also as the article states, it is safer for men than it is women. So it makes his comment even more selfish. It really makes me angry, I can't help but be filed with rage when I hear stuff like this. These are the same men that turn around and say that women trap them into having a child, well here is your chance to take control... just like the article states. But no, men would rather sit and complain then take responsibility and try something to help the women in their lives that they love.

I also found the second article to be very interesting. I hate the thought of pathetic women out there tricking men into being pregnant I was a little surprised by the survey that found a whopping 41% of women that admitted to doing that. That is pure evil and just as selfish as men refusing to take a birth control. There are so many children in the world suffering. Some without food and water, women out there with 5, 6,7,10 children and on welfare. First off how stupid those women are for not protecting themselves but you got to stop and wonder if having an option for both women and men would help reduce that issue. We are already overpopulating this planet, we don't all have to have a ton of kids.

I am not saying that only men should have this burden, please understand that. I do find that if it is safer for men than more men should have that responsibility than women but it should be somewhat equal. For example, for those that are in a committed relationship or married and aren't ready for children, you could make a resolution. The male goes on birth control for two years and then goes off and the women starts for two years and so on. This way not one partner is carrying the entire burden. Make it 50/50. I just think they need to make it available as a start, its about time!
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Avatar universal
Do Women Really Want a Male
Birth Control Pill?
By Glenn Sacks


Women have long lamented the unequal burden they shoulder in the area of contraception. Today researchers are reportedly moving closer to perfecting a male contraceptive that is free of side effects, easy to take, and reversible. But do women really want a male birth control pill?

Power is the reward which comes with responsibility. For example, during the Cold War Americans complained about the money and manpower spent protecting a reputedly ungrateful world from communism. Yet these sacrifices also helped give the United States great geopolitical power, with its attendant perks and privileges.

Similarly, while women legitimately complain that biology has condemned them to bear the burden of contraception, this burden also gives women control over one of the most important parts of any human being’s life--reproduction. The male birth control pill will shift much of that control from women to men. Is the following conversation far away?

Woman #1: “My [husband, boyfriend, significant other] is selfish. He's on the pill and won’t get off. I’ve asked him to stop taking it but he always says he’s not ready. He just won’t grow up. I don’t know what to do.”

Woman #2: “That’s what the pill has given men—a right to be perpetual adolescents. It’s given them veto power over women who want to have children.”

Despite the stigma that will develop against men who take the pill, the pill will be a success. While most women are responsible and want to have children with a willing, committed partner, studies show that lack of reproductive control can be a major problem for men today. For example, the National Scruples and Lies Survey 2004 polled 5,000 women in the United Kingdom for That’s Life! magazine. According to that survey, 42% of women claim they would lie about contraception in order to get pregnant, regardless of the wishes of their partners.

Jo Checkley, the editor of That’s Life!, is correct when she says “to deliberately get pregnant when your partner doesn’t want a baby is playing Russian roulette with other people’s lives."

According to research conducted by Joyce Abma of the National Center for Health Statistics and Linda Piccinino of Cornell University, over a million American births each year result from pregnancies which men did not intend.

The male pill will fill a genuine economic need. Child support levels are rising, generally comprising 15-25% of take-home pay for one child, in addition to add-ons for child care, health care, and other costs. There is also a trend towards extending child support obligations beyond the age of 18, and child support enforcement is increasingly wide-ranging and effective.

Moreover, most men realize that it’s difficult to remain a part of their children’s lives once the relationship with the children’s mother has broken down, particularly if the children were born outside of marriage. The pill will help ensure that men only have children in the context that’s best for men--a stable marriage.

The advent of the female birth control pill greatly aided women’s struggle for autonomy and fulfillment. The male birth control pill will also create great changes, but these changes will not be to some women’s liking. Be careful what you ask for—you might get it.



This column was first published in Newsday (4/11/05).
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