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Male contraceptive pill prototype stops sperm swimming

Scientists have developed a prototype for a non-hormonal male contraceptive pill which actively prevents sperm cells from being able to swim.

When it comes to contraception, the burden of responsibility has traditionally been put on the woman in the equation, particularly when talking about means of chemical prevention.

Scientists are working to create alternatives that can be taken by men to temporarily limit fertility, however, expanding options beyond just condoms or a vasectomy. One prototype pill is showing early promise.

Published in the journal Nature Communications, a proof-of-concept study using mice showed that a single dose of the drug โ€˜TDI-11861โ€™ completely immobilised sperm before, during, and after mating. How romantic.

In all, cell movement remained stunted for three hours before wearing off entirely, spurring real optimism among andrologists that we may have discovered the first truly reversible, easy-to-use contraceptive that shifts the initiative to men.

Now, itโ€™s worth noting that this isnโ€™t the very first breakthrough in non-permanent prevention for men, but it is potentially the most convenient. In Spring 2022, the American Chemical Society showed off a molecule called YCT529 which caused significant reduction in sperm count a month after use.

Unlike the latest option, however, the method required a month of pre-treatment before full effectiveness, and also a steady recovery period to full fertility over a matter of weeks. This doesnโ€™t allow for the same level of spontaneity provided by existing female contraceptives โ€“ and (hopefully) TDI-11861 in the near future.

Immediately active after ingestion, like most over the counter pharmacological options, this drug reportedly causes no hormone deficiency side effects. This is because instead of targeting testosterone, scientists found a way of influencing spermโ€™s cellular signalling protein called soluble adenylyl cyclase or sAC.

โ€˜The approach described here, to knock out key enzyme in sperm that is critical for sperm movement, is a really novel idea. The fact that it is able to act, and be reversed, so quickly is really quite exciting,โ€™ says Professor Allan Pacey of the University of Sheffield.

A disparate group of researchers is looking at a different pathway to temporarily paralyse sperm by blocking a protein on the surface of cells, suggesting this could be the way forward for male contraception โ€“ though, obviously, not for protection against sexually transmitted diseases.

In order to get through logistical red tape, the next vital stage in the enzymeโ€™s development is passing human trials. Given the proof-of-concept study has just been completed, that probably wonโ€™t occur in the foreseeable future.

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