Male hormonal contraception: effects of injections of testosterone undecanoate and depot medroxyprogesterone acetate at eight-week intervals in chinese men

J Clin Endocrinol Metab. 2004 May;89(5):2254-62. doi: 10.1210/jc.2003-031307.

Abstract

Surveys indicate that one form of acceptable male hormonal contraception would consist of injections given at 2- to 3-month intervals. This report describes a study of depot medroxyprogesterone acetate (DMPA) and testosterone undecanoate (TU) injected at 8-wk intervals for suppression of spermatogenesis in healthy Chinese men. After screening, 30 healthy volunteers were enrolled and randomly assigned to one of three dose groups (n = 10/group): 1000 mg TU (group A); 1000 mg TU plus 150 mg DMPA (group B); 1000 mg TU plus 300 mg DMPA (group C). All doses were given as im injections at 8-wk intervals. The study consisted of an 8-wk control (baseline) period, a 24-wk treatment period, and a 24-wk recovery period. Consistent azoospermia or severe oligozoospermia was achieved and maintained in all volunteers during the treatment period, except for two men in the TU-alone group who experienced a rebound in sperm concentrations. An 8-wk regimen of TU plus DMPA at both tested combination doses effectively suppressed spermatogenesis to azoospermia in Chinese men. All volunteers tolerated the injections; no serious adverse effects were reported. The lower-dose combination is recommended for further testing in an expanded clinical trial or contraceptive efficacy study.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Asian People*
  • Contraceptive Agents, Male / administration & dosage*
  • Contraceptive Agents, Male / adverse effects
  • Delayed-Action Preparations
  • Dose-Response Relationship, Drug
  • Drug Administration Schedule
  • Drug Therapy, Combination
  • Gonadal Steroid Hormones / blood
  • Hematocrit
  • Hemoglobins / analysis
  • Humans
  • Injections, Intramuscular
  • Lipids / blood
  • Male
  • Medroxyprogesterone Acetate / administration & dosage*
  • Medroxyprogesterone Acetate / adverse effects
  • Sperm Count
  • Spermatogenesis / drug effects*
  • Testosterone / administration & dosage*
  • Testosterone / adverse effects
  • Testosterone / analogs & derivatives*
  • Treatment Outcome

Substances

  • Contraceptive Agents, Male
  • Delayed-Action Preparations
  • Gonadal Steroid Hormones
  • Hemoglobins
  • Lipids
  • Testosterone
  • Medroxyprogesterone Acetate
  • testosterone undecanoate