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“The absence of the male capsule is defined by many financial brakes”

Posted Jan 20, 2023, 8:00 AM

“Name to develop male contraception: cease basking within the capsule! That is the title of a tribune-petition revealed in August 2022 within the newspaper Liberation, since signed by greater than 30,000 folks through the Change.org platform, and addressed to the Minister of Well being François Braun. A mobilization proves that there’s a lack of contraceptive strategies meant for males, at a time when a male capsule continues to be not out there in the marketplace.

Whereas she is internet hosting a convention on the topic on Friday January 20, on the event of a scientific symposium organized in Paris, Mireille Le Guen, demographer on the Nationwide Institute for Demographic Research and on the Catholic College of Louvain, specialist within the evolution of contraceptive practices, returns for Les Echos START to the assorted causes, particularly financial, which might clarify the imbalance between feminine and male contraception.

Les Echos START: Why is not there but a contraceptive capsule for males?

Mireille LeGuen: First, there are financial causes. For the reason that Nineteen Fifties and Nineteen Sixties and the event of the feminine capsule, analysis into new drug merchandise has turn out to be increasingly costly, as laws are extra demanding. However that doesn’t clarify every part: for a very long time, your complete analysis and growth coverage of the labs was to focus on the feminine capsule, in order that the funding can be decrease – since they had been solely updating the merchandise -, with a better advertising value. For them, the actual fact of growing a male methodology is dear, since new analysis must be undertaken.

To not point out the speculation that the distribution of a male capsule would cannibalize market share for feminine drugs. Pharmaceutical laboratories would then have little interest in it: it might not enhance their turnover, even when male drugs had been in excessive demand.

Are there different causes that may clarify the non-existence of a male capsule at current?

Additionally it is because of the feminization of the contraceptive query in our societies. As if this topic was just for girls.

However there’s but another excuse. When laboratories launched trials of latest strategies of male contraception, the risk-benefit stability didn’t encourage its growth. Let me clarify: when a girl turns into pregnant, the dangers are larger for her well being than when she makes use of a contraceptive capsule: the capsule due to this fact has extra advantages than dangers. It’s the reverse for males. Since they do not get pregnant, not taking any drugs in any respect is much less dangerous. This may push laboratories to not conduct analysis on this path.

By the way in which, has the demand for such a capsule ever been quantified?

Sure, however a very long time in the past. We should return to the Nineteen Seventies when in France, women and men had been requested in the event that they had been in favor of a male capsule. A majority answered within the affirmative. However the solutions weren’t very partaking since then, like at the moment, there was no methodology of this kind out there.

Aside from the capsule, the implementation of contraceptive alternate options for males comes up towards sure difficulties. The Andro-Swap, this ring which attaches to the penis and which matches up the testicles, for instance noticed its gross sales suspended by the Nationwide Medicines Security Company on the finish of 2021, when it was experiencing some success in accordance with the corporate. Why ?

The issue was that there have been no research that confirmed each the effectiveness and security of the Andro-Swap. And once more, the impediment is financial. There isn’t a public or personal funding to hold out double-blind medical analysis [manière d’éprouver l’efficacité d’un traitement, dans laquelle un ou plusieurs groupes de sujets reçoivent un traitement à titre expérimental, sans que ces sujets ou que les investigateurs eux-mêmes n’aient connaissance des groupes ayant reçu ou non le traitement, pour supprimer tout jugement a priori, NDLR] for such a methodology. All the problem for its designer is to seek out funding to conduct such a research, which could be very costly.

Do you are feeling a political will to help analysis funding for brand spanking new strategies of male contraception?

A brand new Inexperienced Quantity maybe? (laughs) Extra severely, in France, many initiatives are developed. We noticed it with hormone therapy, the Andro-Swap, and many others. The state already has lots to do to make these strategies out there.

After which there’s the query of the reimbursement of those strategies for the lads who use them. Nevertheless, we all know that we aren’t forward on the topic. We now have simply made up for the delay on the reimbursement of the condom, and even then solely partly. Emmanuel Macron introduced their full reimbursement in pharmacies for these beneath 26, however just for two manufacturers.

Can vasectomy be another?

Vasectomy, an operation that entails chopping and blocking the channels that transport sperm from the testicles, is reversible in 50% of circumstances. In different phrases, males who use it have a one in two probability of not having the ability to return. It’s due to this fact aimed extra at sufferers who’re sure that they now not need kids. If the vasectomy is reimbursed as much as 80% by Social Safety, it appears troublesome to entry in France. Specifically, as a result of many well being professionals are reluctant to carry out it. Add to that cumbersomeness, akin to the actual fact of getting a four-month reflection interval, and even that sure professionals require their sufferers to freeze their sperm, and you’ve got a panel of brakes… which should be reviewed.

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