Not every man wants to be a father and not every father wants more kids. Roughly half of all pregnancies in the United States are unintended. But when it comes to male birth control, none of the options are ideal and safe, reversible hormonal male contraception may be 10 years away.

Michael Skinner.
Skinner

But why has it taken this long? Why is there another decade to go? What barriers to male birth control still exist?

“Females only ovulate once per month, so it’s relatively easy to block with an endocrine approach,” Michael K. Skinner, director of the Center for Reproductive Biology at Washington State University told Fatherly. “Males produce millions of sperm daily…it’s difficult to design endocrine approach without shutting down all of male endocrinology.” In other words, in order to impact sperm production meaningfully, hormonal therapy would need to all but shutter the endocrine system—with serious side effects.

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