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Hormonal contraception for men: acceptability and effects on sexuality. World Health Organization Task Force on Psychosocial Research in Family Planning, Special Programme of Research, Development and Research Training in Human Reproduction.


 Describes the collaborative effort, begun in 1976 by the Task Force on Male Antifertility Methods and the Task Force on Psychosocial Research in Family Planning, to address the question of acceptability of new methods of male contraception and their impact on sexual functioning. 199 volunteers between the ages of 25 and 45 were solicited from 6 cultural settings to test contraceptive drugs. All received incentive payments although the method of recruitment varied from country to country. Data were collected by means of pretested questionnaires administered by local interviewers. The contraceptive drugs tested were oral or injectable experimental hormonal methods. 2 classes of behavioral variables were analyzed: 1) measures of sexuality; and 2) measures of beliefs about and acceptability of contraceptives. Substantive results of the data must be interpreted with caution, owing to the small size of the sample. This consideration notwithstanding, the general consistency of the findings and their statistical significance warrant some tentative conclusions. Acceptability of the hormonal approach to male fertility regulation was relatively high at all centers at the beginning of the trial and remained so or increased during the treatment and recovery phases. Maintenance of enthusiasm for the new method was independent of incentives and was inversely related to the degree of adverse impact on sexual functioning, to the extent that no bad effects were experienced. While it is hazardous to predict actual expected usage on the basis of stated intent in the absence of direct data, this study suggests that a significant number of men (even if not the entire 76% claiming definite or possible intent to use such a method in the future) would use male hormonal contraceptives if they were made available.
