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Male Contraception
Injection Shows Promise

NEW YORK (Reuters Health) - In a finding that may come as welcome news to women tired of being responsible for birth control, a new study shows that an experimental form of male contraception suppresses the production of sperm.

The regimen tested in the study includes a form of the male sex hormone testosterone, testosterone undecanoate, and norethisterone enanthate (NETE), a hormone used in some female contraceptives. Over the course of 24 weeks, all 28 healthy men in the study, who were aged 18 to 45, received a testosterone injection every 6 weeks. Half of the men were randomly selected to also receive NETE injections, while the other men took a placebo, or dummy pill, every day.

Men in both groups experienced a decline in sperm count, but the reductions were larger in the men taking both hormones, according to Dr. Eberhard Nieschlag and colleagues at the University of Munster in Germany. By the end of the study, sperm production had completely stopped in 13 of the 14 men receiving the hormone combination but in only 7 of the 14 taking testosterone alone. The findings are published in the Journal of Clinical Endocrinology and Metabolism.

Both sets of injections did cause some side effects, including mild acne and pain where the hormones had been injected. And several men taking testosterone and NETE experienced an increase in nighttime sweating. But none of the men dropped out of the study due to side effects, and none complained of changes in mood or sexual function, the report indicates.

However, the injections did affect cholesterol levels, raising LDL (''bad'') cholesterol and lowering HDL (''good'') cholesterol. Although the hormone combination had more pronounced effects on cholesterol than testosterone alone, cholesterol levels in all men stayed within the normal range, according to the researchers.

``In view of the excellent results and only minor side effects, the combination of testosterone undecanoate and NETE offers great potential for the development of a hormonal male contraceptive,'' the authors write.

SOURCE: Journal of Clinical Endocrinology and
Metabolism 2001;86:303-309.

Reference Source 89

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