MALE CONTRACEPTION UPDATE

September 2007
Volume 2, Issue 9

Sneak preview: IVD results

The Male Contraception Information Project just got word: Shepherd Medical Company will present 3-month and some 6-month results from the Intra Vas Device clinical trial showing "substantial equivalence to traditional vasectomy methods" at this week's Future of Male Contraception conference. Like with vasectomy, it takes a while for the sperm to clear out, but after 3 months, most men should have too few sperm getting around the plugs to be fertile. Stay tuned for a report of the full results after this week’s conference.

Read more:
How the Intra Vas Device works

Important conference just around the corner

It's coming up next week: the second-ever "Future of Male Contraception" conference will be this Thursday and Friday in Seattle, sponsored by the National Institutes of Health and other major research organizations. The attendee list is a who's who of male contraception research in the US, with participants also coming from Australia, Argentina, India, Europe, and the UK. Watch for press releases from MCIP later this week as breaking news is released.

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Hot tubs: How big a deal?

We know the wet heat method developed by Dr. Martha Voegeli provides contraception, but it requires bathing the testes for 45 minutes per day for 3 weeks to provide 6 months of contraception. What about plain old hot-tubbing? Can it cause problems for men trying to conceive, or is that an old wives' tale?

On September 18th the New York Times' science section took a look at the question. It cited a recent study from scientists at the University of California, San Francisco, showing that even once a week hot-tubbing had a serious effect on men trying to conceive. When men stopped their using hot tubs, their sperm bounced back: by 3-6 months they had five times as many active sperm. (Unless they were heavy smokers, in which case they had bigger problems!)

We're not recommending this for contraception; though it’s good to advise men trying to conceive that hot tubs are a fertility issue, wet heat needs to be used more regularly than this, and at higher temperatures, to be reliable as a contraceptive. However, for those trying not to conceive, it's one more piece of evidence that the heat effect is real and deserves more attention as a contraceptive. Some research continues to be conducted at UCLA, but nobody has funded the kind of big trial that would give us conclusive data. With a talk on the subject at next week's Future of Male Contraception conference, we hope that will change.

Read more:
Hot tubs hurt fertility, UCSF study

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Male Contraception Quarterly released

We at the International Male Contraception Coalition have released the second issue of a quarterly report for policymakers, featuring another 700 signatures from men and women around the world urging the development of new contraceptives for men. The report also summarizes the quarter’s most important science and policy news.

IMCC: Male Contraception Quarterly, Number 2

Letters written by men and women who recently participated in the survey at MaleContraceptives.org are highlighted in the Quarterly. We tried to give policymakers a sense of why men and women care so much about this issue by letting people tell their personal stories. Some of the stories are quite moving. The cumulative data from the survey will also be presented as a poster at the Future of Male Contraception conference in Seattle next week, where top researchers and policymakers will see it.

We encourage family planning providers to participate in the survey as well. Your perspective – as someone who helps hundreds of couples make decisions about family planning – is a particularly important one for policymakers to hear.

The Quarterly is under a Creative Commons Attribution license, so it can be freely reproduced and excerpted provided it is attributed to the IMCC. That means you can pass it along to anybody you want to convince that men and women really want new choices.

Read more:
Male Contraception Quarterly, Number 2

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Men's needs as health care patients

A study of how Danish men's and women's expectations of health care differ.

“These results call attention to the need for developing a better understanding of gender differences in patients’ health psychologies, where men more frequently seem to want the disease and health services to take up only a small part of their daily life and identity, while women more often seem to identify with the patient role and engage themselves more fully in all routines and the hospital setting as a whole. The development of more ‘male-sensitive’ health services should include the following principles:

  • Men often want to diminish the patient role and the impact of the disease in everyday life.
  • Men often want to maintain their identity as defined by their work and family, while treatment and relations with health services must remain a minor element and a means to an end.
  • Men often need to maintain autonomy and self-determination as patients and want advice rather than help.
  • Communication with the male patient should start in a matter-of-fact way concerned primarily with factual information.

These principles might contribute to the improvement of men's use of health services and health information, and men's benefit from treatment.”

Read more:
SA Madsen (2007) "Men's special needs and attitudes as patients." Journal of Men's Health & Gender 4(3): 361-2.

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Male contraception in the news

A lengthy look at the Scottish hormonal contraceptive study and the hurdles commercialization faces. "For Steven Driver, the decision to try out a new male pill was a simple one. His long-term girlfriend had struggled with the side-effects of her own contraceptives for 11 years and he felt it only right that he take his turn..."
A hard pill to swallow
The Scotsman, 16 September

Bayer's decision to quit male contraceptive research is described as a part of a strategic focus on high-profit areas: "Bayer's research efforts are focused on four areas that it views as having especially high growth potential: cancer treatment, cardiology, women's health care and diagnostic imaging (such as X-rays and MRIs). In an effort to make its research and development more fruitful, the company has initiated a process that determines whether projects are likely to be commercial as well as scientific successes. As a result, it has abandoned efforts to develop certain kinds of antibiotics and a male contraceptive."
Prescriptions for Growth
Barron's, 3 September

Attitudes towards male contraception among a more conservative than average group of young people, undergraduates at Utah State University (many of them married). Acknowledges the side effects women have from female contraceptives; many of the women's husbands are not eager to sign up for something similar, or think they would forget to take a daily method.
The future of male birth control
The Utah Statesman, 19 September

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Editors

Elaine Lissner, Director of the Male Contraception Information Project (MCIP)
Email: info@NewMaleContraception.org
MCIP is entirely nonprofit and works in three areas: raising public awareness of promising nonhormonal male contraceptives, advocating increased and expedited government research, and serving as a resource for journalists who wish to write about the subject.

Kirsten Thompson, Director of the Male Contraception Coalition (MCC)
Email: info@MaleContraceptives.org
The Coalition’s objectives are to speed the development of new male contraceptives through increased legislative and institutional support, to raise funds for applied male contraception research and development, and to educate the public about the work of the research community.