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Newer Contraception Tries to Engage Men
Newer birth control for men is beginning to fill the gap between the traditional condoms and sterilization.
One new technology involves inserting a hypodermic needle into the scrotum. It is said to decrease libido.
For men, contraception had remained fairly stagnant for the past century, primarily limited to condoms (85 percent effective when used correctly) and vasectomy, which is usually permanent. New methods are trying to move beyond centuries-old contraception applications, and some younger men say they are enthusiastic about the prospects.
But they want them to be safe.
“Contraceptives are necessary regardless of which partner is using them,” said Shane Sullivan, a senior at Colgate University in New York. But, “I’m adverse to solutions that may induce side effects.”
But as with contraception for women, methods free of side effects are hard to come by.
Nestorone-Testosterone is a hormonal birth control gel for men that’s been in the making for more than a decade. The gel is applied to the arms and shoulders every day and works to shut down hormones responsible for sperm production. But because it drops testosterone levels, reported side effects include a low libido or problems with ejaculation.
Meanwhile, scientists at the National Institutes of Health in Bethesda, Maryland have developed a daily birth control pill called DMAU. It lowers testosterone and sperm production, which decreases the likelihood of pregnancy, according to a study by the University of Washington Medical Center and at Harbor-UCLA Medical Center in Torrance, California.
All participants who tried DMAU noted some weight gain and a decrease of high-density lipoproteins (HDL, “good” cholesterol responsible for healthy cardiovascular functioning).
“Despite having low levels of circulating testosterone, very few subjects reported symptoms consistent with testosterone deficiency or excess,” said the study’s senior investigator, professor of medicine Stephanie Page at the University of Washington in Seattle.
“DMAU is a major step forward in the development of a once-daily ‘male pill,’” Page said. “Many men say they would prefer a daily pill as a reversible contraceptive, rather than long-acting injections or topical gels, which are also in development.”
Contraceptives such as Vasalgel block the vas deferens, or the tubes through which sperm travel, with the injection of a gel into the scrotum. The Indian developer of Vasalgel licensed it to non-profit company Parsemus Foundation in the U.S., which focuses its development on innovative but neglected pharmaceutical advances.
Vasalgel can last a few months to a few years. It has shown minimal adverse impacts and the developer calls it the “IUD for men” because it is non-hormonal.
Robert McLachlan, professor of men’s health at Monash University in Melbourne, found another injectable option for men. McLachlan designed an intramuscular shot delivered in the buttocks, increasing testosterone, which greatly reduces sperm production.
The most common side effects for the injectable hormonal contraceptive included acne, injection site pain, mood disorders, and an increased libido.
In a survey conducted with 134 young adults aged 18-27, of which 61 were male, their average likelihood of supporting male contraceptives was 8.6 on a scale from 1 to 10, (1 being the least likely and 10 being the most like to support.) Of all the respondents, 29 percent were quick to note that hormonal contraceptives for women already include the side effects that some of the newer drugs would present for men.
Brennan Sullivan, a 24-year-old research assistant from Johns Hopkins Medical Institutions (JHMI) noted the impact a male-dominated medical field has on women. He emphasized that “male contraceptives should not be seen as equivalent to female birth control,” and explained how many scientists have not considered these biological differences between men and women when developing medications.
Ahead of Food and Drug Administration approval for oral contraceptives for women in 1960, couples relied on withdrawal and condoms to prevent pregnancy. Soon, women on the early forms of the Pill began to complain of side effects that included hormone imbalance, weight gain, acne, and mood changes because of high estrogen levels. According to the Centers for Disease Control and Prevention, (CDC), nearly 30 percent of users stopped oral contraceptives, and dosage was modified to balance contraception with user tolerance.
Despite successful findings and trials, the pharmaceutical industry thinks there is a relatively small market for male contraceptives, so it may be a while before these drugs actually hit the shelves. McLachlan noted the industry was “involved in this research until about five years ago and both the big companies that were involved — one pulled out [of research] about a decade ago.”
“Seeing as they’re the same side effects as most female birth control options, it’s not too bad,” said Pavan Devraj, a sophomore at the University of Georgia.
Jameson Carter, a research assistant at the Library of Congress, also expressed support.
“I think this stuff has to start somewhere. I understand it won’t be as convenient as just using a condom, given the side effects. I’d try it.”
Some men see birth control as an opportunity to be equally accountable for contraception.
“Men should absolutely engage in the same difficult choices that women do if they choose to engage in sexual activity,” said Mishka Naiker, 22 and a recent graduate from the University of Alabama. “Women are biologically more responsible for the existence and welfare of a child, even though the creation of a fetus takes both a man and a woman. That is the only time the responsibility is honestly 50/50.”
Wazir Hossain, a 24-year-old recent graduate from the University of Georgia, agrees and says it’s great for men to “have some form of control over the outcome of a situation and hold themselves accountable.”
Computer programmer Kaden Weaver, 23, expressed concerned about potential side effects.
“I am fully supportive of male contraceptive options similar to birth control, but… I feel as though things with these side effects don’t belong in the human body. ”
That attitude is not embraced in all parts of the world. The responsibility for family planning routinely falls to women, and contraception is not accessible to an estimated 214 million women in developing countries, according to a report by the Guttmacher Institute.
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Lily Meskers faced an unexpected choice in the lead-up to the first major election she can vote in.
The 19-year-old University of Montana sprinter was among college athletes in the state who received an inquiry from Montana Together asking if she was interested in a name, image and likeness deal to support Sen. Jon Tester, a three-term Democrat seeking re-election. The group, which is not affiliated with the Tester campaign, offered from $400 to $2,400 to athletes willing to produce video endorsements.
Meskers, who is from Colorado but registered to vote in Montana, decided against the deal because she disagrees with Tester's votes on legislation involving transgender athletes in sports.
"I was like, OK, I believe that this is a political move to try to gain back some voters that he might have lost," Meskers said. "And me being a female student-athlete myself, I was not going to give my endorsement to someone who I felt didn't have the same support for me."
Professional athletes such as LeBron James, Colin Kaepernick and Stephen Curry have taken high-profile stances on hot-button topics and political campaigns in recent years, but college athletes are far less outspoken — even if money is available, according to experts in the NIL field. Being outwardly political can reflect on their school or endanger potential endorsement deals from brands that don't want controversy. It can certainly establish a public image for an athlete — for better or for worse — or lead to tensions with teammates and coaches who might not feel the same way.
There are examples of political activism by college athletes: A Texas Tech kicker revealed his support for former President Donald Trump on a shirt under his uniform at a game last week and a handful of Nebraska athletes a few days ago teamed up in a campaign ad against an abortion measure on the Tuesday's ballot.
Still, such steps are considered rare.
"It can be viewed as risky and there may be people telling them just don't even take that chance because they haven't made it yet," said Lauren Walsh, who started a sports branding agency 15 years ago. She said there is often too much to lose for themselves, their handlers and in some cases, their families.
"And these individuals still have to figure out what they're going to do with the rest of their lives, even those that do end up getting drafted," she added.
College coaches are not always as reticent. Auburn men's basketball coach Bruce Pearl has used social media to make it clear he does not support Kamala Harris, Trump's Democratic opponent in next week's presidential election. Oklahoma State football coach Mike Gundy once caused a stir with a star player for wearing a shirt promoting a far-right news outlet.
Blake Lawrence, co-founder of the NIL platform Opendorse, noted that this is the first presidential election in the NIL era, which began in July 2021. He said athletes are flocking to opportunities to help increase voter turnout in the 18-to-24 age demographic, adding that one of his company's partners has had 86 athletes post social media messages encouraging turnout through the first half of the week.
He said athletes are shying away from endorsing specific candidates or causes that are considered partisan.
"Student-athletes are, for the most part, still developing their confidence in endorsing any type of product or service," he said. "So if they are hesitant to put their weight behind supporting a local restaurant or an e-commerce product, then they are certainly going to be hesitant to use their social channels in a political way."
Giving athletes a voice
Many college athletes have opted to focus on drumming up turnout in a non-partisan manner or simply using their platforms to take stands that are not directly political in nature. Some of those efforts can be found in battleground states.
A progressive group called NextGen America said it had signed players in Arizona, Michigan, Nevada, New Hampshire, Pennsylvania and Virginia to encourage voting among young people. Another organization, The Team, said it prepped 27 college athletes in Pennsylvania, North Carolina, Arizona and Michigan to lead volunteer voter participation opportunities for students. The organization also said it got more than 625 coaches to sign a nonpartisan pledge to get their athletes registered to vote.
The Team's executive director is Joe Kennedy, a former coach who coordinated championship visits and other sporting events at the White House during President Barack Obama's administration. In early October, it hosted a Zoom event during which panelists such as NCAA President Charlie Baker and WNBA players Nneka Ogwumike and Natasha Cloud gave college athletes advice about using their platforms on campus.
In its early days, The Team seized upon momentum from the record turnout seen in the 2020 election. The NCAA that year said Division I athletes could have Election Day off from practice and play to vote. Lisa Kay Solomon, founder of the All Vote No Play campaign, said even if the athletes don't immediately take stands on controversial issues, it's important for them to learn how.
"It is a lot to ask our young people to feel capable and confident on skills they've never had a chance to practice," Solomon said. "We have to model what it means to practice taking risks, practice standing up for yourself, practice pausing to think about what are the values that you care about — not what social media is feeding into your brain, but what do you care about and how do you express that? And how do you do it in a way that honors the kind of future that you want to be a part of?"
Shut up and play?
Two years ago, Tennessee-Martin quarterback Dresser Winn said he would support a candidate in a local district attorney general race in what experts said was very likely the first political NIL deal by a college athlete.
There have been very few since.
The public criticism and fallout for athletes who speak out on politics or social issue can be sharp. Kaepernick, the Super Bowl-winning quarterback of the San Francisco 49ers, hasn't played in an NFL game since January 2017, not long after he began kneeling during the national anthem at games.
Meskers, the Montana sprinter, said political endorsements through NIL deals could create problems for athletes and their schools.
"I just think that NIL is going to run into a lot of trouble and a lot of struggles if they continue to let athletes do political endorsements," she said. "I just think it's messy. But I stand by NIL as a whole. I think it's really hard as a student athlete to create a financial income and support yourself."
Walsh said it's easier for wealthy and veteran stars like James and Ogwumike to take stands. James, the Los Angeles Lakers star, started More Than a Vote — an organization with a mission to "educate, energize and protect Black voters" — in 2020. He has passed the leadership to Ogwumike, who just finished her 13th year in the WNBA and also is the president of the Women's National Basketball Players Association. More than a Vote is focused on women's rights and reproductive freedom this year.
"They have very established brands," Walsh said. "They know who they are and they know what their political stance is. They know that they have a really strong following that -- there's always going to be haters, but they're also always going to have that strong following of people who listen to everything that they have to say."
Andra Gillespie, an associate professor at Emory University who teaches African American politics, also said it is rare that a college athlete would make a significant impact with a political stand simply because they tend to have a more regional platform than national. Even celebrities like Taylor Swift and Eminem are better at increasing turnout than championing candidates.
"They are certainly very beneficial in helping to drive up turnout among their fans," Gillespie said. "The data is less conclusive about whether or not they're persuasive – are they the ones who are going to persuade you to vote for a particular candidate?"
Athletes as influencers
Still, campaigns know young voters are critical this election cycle, and athletes offer an effective and familiar voice to reach them.
Political and social topics are not often broached, but this week six Nebraska athletes — five softball players and a volleyball player — appeared in an ad paid for by the group Protect Women and Children involving two initiatives about abortion laws on Tuesday's ballot.
The female athletes backed Initiative 434, which would amend the state constitution to prohibit abortions after the first trimester, with exceptions. Star softball player Jordy Bahl said on social media that the athletes were not paid.
A University of Montana spokesperson said two athletes initially agreed to take part in the NIL deal backing Tester. The school said one withdrew and the other declined to be interviewed.
For Meskers, deciding against the offer boiled down to Tester twice voting against proposals to bar federal funds from going to schools that allow transgender athletes to play women's sports, a prominent GOP campaign topic. Tester's campaign said the proposals were amendments to government spending packages, and he didn't want to play a role in derailing them as government shutdowns loomed.
"As a former public school teacher and school board member, Jon Tester believes these decisions should be made at the local level," a Tester spokesperson said. "He has never voted to allow men to compete against women."
Meskers said she believes using influence as college athletes is good and she is in favor of NIL. She just doesn't think the two should mix specifically for supporting candidates.
"I think especially as student athletes, we do have such a big voice and we do have a platform to use," she said. "So I think if you're encouraging people to do their civic duties and get up and go (vote), I think that's a great thing."
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