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Hormonal male contraception

Introduction Male contraception with exogenously administered hormones suppresses both luteinizing hormone and follicle stimulating hormone leading to low intratesticular testosterone concentration. This results in reversible suppression of spermatogenesis and marked decrease in sperm output in the...

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Published in:Andrology (Oxford) 2024-10, Vol.12 (7), p.1551-1557
Main Authors: Wang, Christina, Meriggiola, Maria Cristina, Behre, Hermann M., Page, Stephanie T.
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creator Wang, Christina
Meriggiola, Maria Cristina
Behre, Hermann M.
Page, Stephanie T.
description Introduction Male contraception with exogenously administered hormones suppresses both luteinizing hormone and follicle stimulating hormone leading to low intratesticular testosterone concentration. This results in reversible suppression of spermatogenesis and marked decrease in sperm output in the ejaculate and preventing pregnancy in the female partner. Prior Studies Studies of testosterone administered alone or in combination of another gonadotropin suppressive agent such as a progestin or gonadotropin releasing hormone (GnRH) analog showed decisively that the exogenous hormone administrations are effective in suppressing sperm output with few adverse events that are not anticipated. In contraceptive efficacy studies, testosterone alone or combined with a progestin are as effective in preventing pregnancies as female contraceptive methods. Conclusion Hormone combinations for male contraception are in late‐phase clinical trials and hold the promise of being the new, reversible contraception method for men in over half a century. Lessons learned from the male hormonal contraceptive development pave the way for new targeted approached to regulate male fertility.
doi_str_mv 10.1111/andr.13699
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This results in reversible suppression of spermatogenesis and marked decrease in sperm output in the ejaculate and preventing pregnancy in the female partner. Prior Studies Studies of testosterone administered alone or in combination of another gonadotropin suppressive agent such as a progestin or gonadotropin releasing hormone (GnRH) analog showed decisively that the exogenous hormone administrations are effective in suppressing sperm output with few adverse events that are not anticipated. In contraceptive efficacy studies, testosterone alone or combined with a progestin are as effective in preventing pregnancies as female contraceptive methods. Conclusion Hormone combinations for male contraception are in late‐phase clinical trials and hold the promise of being the new, reversible contraception method for men in over half a century. Lessons learned from the male hormonal contraceptive development pave the way for new targeted approached to regulate male fertility.</description><identifier>ISSN: 2047-2919</identifier><identifier>ISSN: 2047-2927</identifier><identifier>EISSN: 2047-2927</identifier><identifier>DOI: 10.1111/andr.13699</identifier><identifier>PMID: 39016284</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Birth control ; Contraceptive Agents, Hormonal - administration &amp; dosage ; Contraceptive Agents, Hormonal - adverse effects ; Contraceptive Agents, Male - administration &amp; dosage ; Contraceptive Agents, Male - pharmacology ; Female ; gonadotropin releasing hormone analogs ; Hormonal Contraception ; Humans ; Male ; modified androgens ; progestin ; Progestins - administration &amp; dosage ; Progestins - adverse effects ; Sperm ; Spermatogenesis - drug effects ; spermatogenesis suppression ; Testosterone</subject><ispartof>Andrology (Oxford), 2024-10, Vol.12 (7), p.1551-1557</ispartof><rights>2024 American Society of Andrology and European Academy of Andrology.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2469-b05f2d498e264ccd3814d1e7b0a0a7a9089905d844c7d4630e82166b131fe6b83</cites><orcidid>0000-0003-0061-9834</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39016284$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wang, Christina</creatorcontrib><creatorcontrib>Meriggiola, Maria Cristina</creatorcontrib><creatorcontrib>Behre, Hermann M.</creatorcontrib><creatorcontrib>Page, Stephanie T.</creatorcontrib><title>Hormonal male contraception</title><title>Andrology (Oxford)</title><addtitle>Andrology</addtitle><description>Introduction Male contraception with exogenously administered hormones suppresses both luteinizing hormone and follicle stimulating hormone leading to low intratesticular testosterone concentration. 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This results in reversible suppression of spermatogenesis and marked decrease in sperm output in the ejaculate and preventing pregnancy in the female partner. Prior Studies Studies of testosterone administered alone or in combination of another gonadotropin suppressive agent such as a progestin or gonadotropin releasing hormone (GnRH) analog showed decisively that the exogenous hormone administrations are effective in suppressing sperm output with few adverse events that are not anticipated. In contraceptive efficacy studies, testosterone alone or combined with a progestin are as effective in preventing pregnancies as female contraceptive methods. Conclusion Hormone combinations for male contraception are in late‐phase clinical trials and hold the promise of being the new, reversible contraception method for men in over half a century. Lessons learned from the male hormonal contraceptive development pave the way for new targeted approached to regulate male fertility.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>39016284</pmid><doi>10.1111/andr.13699</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-0061-9834</orcidid></addata></record>
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subjects Birth control
Contraceptive Agents, Hormonal - administration & dosage
Contraceptive Agents, Hormonal - adverse effects
Contraceptive Agents, Male - administration & dosage
Contraceptive Agents, Male - pharmacology
Female
gonadotropin releasing hormone analogs
Hormonal Contraception
Humans
Male
modified androgens
progestin
Progestins - administration & dosage
Progestins - adverse effects
Sperm
Spermatogenesis - drug effects
spermatogenesis suppression
Testosterone
title Hormonal male contraception
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