1 00:00:01,200 --> 00:00:03,480 Speaker 1: My name is Lily Maddon and I'm a proud Arunda 2 00:00:03,720 --> 00:00:08,520 Speaker 1: Bunjelung Calcottin woman from Gadighl Country. The Daily oz acknowledges 3 00:00:08,600 --> 00:00:10,760 Speaker 1: that this podcast is recorded on the lands of the 4 00:00:10,760 --> 00:00:14,320 Speaker 1: Gadighl people and pays respect to all Aboriginal and Torres 5 00:00:14,360 --> 00:00:17,279 Speaker 1: Strait Island and nations. We pay our respects to the 6 00:00:17,280 --> 00:00:20,079 Speaker 1: first peoples of these countries, both past and present. 7 00:00:25,000 --> 00:00:27,960 Speaker 2: Hello and welcome to the Daily os. It's Sam. Welcome 8 00:00:27,960 --> 00:00:30,160 Speaker 2: to tda's summer series. I hope you're having a nice 9 00:00:30,200 --> 00:00:32,479 Speaker 2: couple of weeks over summer, whether you're working, taking some 10 00:00:32,560 --> 00:00:35,200 Speaker 2: time off, headed to a music festival, or just you know, 11 00:00:35,360 --> 00:00:38,440 Speaker 2: hanging out with family and friends. This week, we're going 12 00:00:38,520 --> 00:00:41,360 Speaker 2: to share more of our favorite deep dives from twenty 13 00:00:41,440 --> 00:00:44,559 Speaker 2: twenty three, from some of our most popular interviews to 14 00:00:44,640 --> 00:00:47,320 Speaker 2: some stories you might have missed. I guess we're trying 15 00:00:47,360 --> 00:00:49,879 Speaker 2: to keep your company here over the summer. We'll be 16 00:00:49,960 --> 00:00:53,880 Speaker 2: back to some regular programming next week. Until then, here 17 00:00:54,000 --> 00:00:57,960 Speaker 2: is our summer series. The oral contraceptive pill was first 18 00:00:58,000 --> 00:01:01,080 Speaker 2: introduced in May of nineteen fifty, although it was only 19 00:01:01,120 --> 00:01:04,080 Speaker 2: available in Australia from nineteen sixty one. And that was 20 00:01:04,120 --> 00:01:07,640 Speaker 2: only to married women. We're now sixty two years later, 21 00:01:07,880 --> 00:01:11,679 Speaker 2: and while female contraceptives have become more varied and more accessible, 22 00:01:12,000 --> 00:01:15,560 Speaker 2: there's still no oral contraception option for men. But a 23 00:01:15,560 --> 00:01:18,920 Speaker 2: successful trial in mice means that could change. 24 00:01:19,480 --> 00:01:23,039 Speaker 3: Where are things at in terms of male contraception generally, 25 00:01:23,080 --> 00:01:25,000 Speaker 3: I feel like it's not something we hear about very 26 00:01:25,040 --> 00:01:25,640 Speaker 3: often at all. 27 00:01:25,959 --> 00:01:29,160 Speaker 2: Well, put it this way, of all the contraceptives currently 28 00:01:29,200 --> 00:01:32,240 Speaker 2: in existence, only two of male use, and we're talking 29 00:01:32,280 --> 00:01:34,200 Speaker 2: there about vasectomes and condoms. 30 00:01:34,280 --> 00:01:36,640 Speaker 4: That doesn't surprise me. There have been clinical. 31 00:01:36,240 --> 00:01:39,760 Speaker 2: Trials of hormonal contraceptive pills with around a ninety four 32 00:01:39,800 --> 00:01:42,320 Speaker 2: percent success rate, but some of those trials have been 33 00:01:42,360 --> 00:01:46,280 Speaker 2: abandoned because men were experiencing adverse side effects. We're talking 34 00:01:46,319 --> 00:01:49,400 Speaker 2: about things like acne, mood swings, or depression. 35 00:01:49,840 --> 00:01:52,480 Speaker 3: If only this was filmed and you could see my 36 00:01:52,520 --> 00:01:54,880 Speaker 3: reaction there, and I'm sure the reaction of any other 37 00:01:54,920 --> 00:01:59,160 Speaker 3: woman listening to this who has experienced the fun of 38 00:01:59,200 --> 00:02:02,400 Speaker 3: being on a constiou st pill. It seems like that 39 00:02:02,520 --> 00:02:04,760 Speaker 3: is something that is just by and by of being 40 00:02:04,800 --> 00:02:07,240 Speaker 3: on the pill. Why did they stop those clinical trials 41 00:02:07,320 --> 00:02:09,560 Speaker 3: for men experiencing those very same things. 42 00:02:09,760 --> 00:02:12,000 Speaker 2: Well, I think you're right, but the side effects argument 43 00:02:12,040 --> 00:02:15,120 Speaker 2: has come up again and again. For example, in twenty sixteen, 44 00:02:15,200 --> 00:02:17,200 Speaker 2: there was a lot of coverage about the fact that 45 00:02:17,280 --> 00:02:20,120 Speaker 2: a trial of a male hormonal contraception, which had been 46 00:02:20,120 --> 00:02:23,320 Speaker 2: commissioned by the World Health Organization was dropped because of 47 00:02:23,320 --> 00:02:27,799 Speaker 2: side effects. Fifty percent of people experienced acne, many experienced 48 00:02:27,800 --> 00:02:32,040 Speaker 2: some emotional disorders, thirty eight percent experienced and increased libido. 49 00:02:32,760 --> 00:02:34,960 Speaker 2: But you're right. You only have to read the information 50 00:02:35,000 --> 00:02:37,720 Speaker 2: sheet that comes with female hormonal contraceptives. 51 00:02:37,800 --> 00:02:42,880 Speaker 4: It's long, Well, it's very long. It's like a full 52 00:02:42,919 --> 00:02:43,600 Speaker 4: on document. 53 00:02:43,720 --> 00:02:46,600 Speaker 2: Yeah, and there's a litany of warnings things like acne 54 00:02:46,600 --> 00:02:49,720 Speaker 2: and mood swings. Sure, the same as the male side effects, 55 00:02:49,760 --> 00:02:52,840 Speaker 2: but also for an increased risk of blood clots, deposed 56 00:02:52,840 --> 00:02:53,360 Speaker 2: blood clots. 57 00:02:53,440 --> 00:02:56,240 Speaker 3: When we were all talking about a possible harm caused 58 00:02:56,240 --> 00:02:59,040 Speaker 3: by the astrosenica vaccine and the government was announcing who 59 00:02:59,040 --> 00:03:00,880 Speaker 3: could get and who could have, I think there were 60 00:03:00,880 --> 00:03:02,639 Speaker 3: a lot of women who were looking at that and 61 00:03:02,760 --> 00:03:06,160 Speaker 3: just acknowledging the fact that the oral contraceptive also carries 62 00:03:06,240 --> 00:03:09,079 Speaker 3: risks for blood clotting. But that's just part of the 63 00:03:09,160 --> 00:03:11,880 Speaker 3: risk that we accept it's not wanting to have children. 64 00:03:11,919 --> 00:03:13,680 Speaker 2: It's part of the booklet. And that's all to say 65 00:03:13,680 --> 00:03:17,119 Speaker 2: that hormonal birth control is definitely not perfect for men 66 00:03:17,200 --> 00:03:17,760 Speaker 2: or for women. 67 00:03:18,280 --> 00:03:21,040 Speaker 3: It's not, and there is a lot of variation out 68 00:03:21,080 --> 00:03:24,000 Speaker 3: there for women, especially in what they can access for 69 00:03:24,160 --> 00:03:28,079 Speaker 3: birth control. There's non hormonal forms of female birth control 70 00:03:28,120 --> 00:03:31,400 Speaker 3: things like some IUDs. I'm not saying they're perfect either, 71 00:03:31,520 --> 00:03:34,480 Speaker 3: but there actually are options for what women can access today, 72 00:03:34,639 --> 00:03:35,960 Speaker 3: unlike men exactly. 73 00:03:36,040 --> 00:03:39,240 Speaker 4: And that's why this team of scientists have worked to 74 00:03:39,280 --> 00:03:43,520 Speaker 4: develop an on demand non hormonal birth control for men. Okay, wait, 75 00:03:43,560 --> 00:03:44,640 Speaker 4: take me through what that means. 76 00:03:44,920 --> 00:03:47,280 Speaker 2: So first I need to point out that this has 77 00:03:47,320 --> 00:03:50,200 Speaker 2: been really successful with mice, but it hasn't been tested 78 00:03:50,240 --> 00:03:52,240 Speaker 2: on humans yet, so there is a long way to 79 00:03:52,280 --> 00:03:54,600 Speaker 2: go and have that as the big grain of salt 80 00:03:54,640 --> 00:03:56,960 Speaker 2: that you listen to all of this, but I'll explain 81 00:03:57,000 --> 00:03:59,960 Speaker 2: how it works. One of the challenges with developing new 82 00:04:00,080 --> 00:04:03,480 Speaker 2: contraceptives for men is that after puberty, a man produces 83 00:04:03,520 --> 00:04:06,400 Speaker 2: about a thousand sperm a second, and that is a 84 00:04:06,440 --> 00:04:11,120 Speaker 2: lot to stop from reaching fertilization. This new contraception, instead 85 00:04:11,120 --> 00:04:14,560 Speaker 2: of trying to reduce sperm production, basically stops the sperm 86 00:04:14,600 --> 00:04:18,800 Speaker 2: from swimming. Now, in mammals, sperm is stored in a 87 00:04:18,839 --> 00:04:23,160 Speaker 2: dormant state, but during ejaculation, an enzyme is stimulated. It's 88 00:04:23,200 --> 00:04:24,840 Speaker 2: got a long name, so we're just going to call 89 00:04:24,880 --> 00:04:28,840 Speaker 2: it sac. And the scientists realize that this enzyme was 90 00:04:28,880 --> 00:04:32,839 Speaker 2: a key part of fertilization, so they identified a potential 91 00:04:32,920 --> 00:04:35,800 Speaker 2: inhibitor of that enzyme and went on to give that 92 00:04:35,839 --> 00:04:39,039 Speaker 2: inhibitor to male mice. They found that it rapidly and 93 00:04:39,200 --> 00:04:42,600 Speaker 2: temporarily renders mice infertile. Do you want to see a 94 00:04:42,680 --> 00:04:43,880 Speaker 2: video of what it looks like. 95 00:04:45,400 --> 00:04:46,080 Speaker 4: A choice here? 96 00:04:46,240 --> 00:04:51,080 Speaker 3: Yeah, I'm seeing a sperm swimming real quick, Michael Phelps 97 00:04:51,080 --> 00:04:52,680 Speaker 3: a sperm. 98 00:04:52,720 --> 00:04:55,960 Speaker 2: So on the left side of the video is sperm 99 00:04:56,000 --> 00:04:58,040 Speaker 2: as it usually is, which is doing the worm. 100 00:04:59,040 --> 00:05:02,120 Speaker 4: It's just faced. Go on for gold, and then on 101 00:05:02,160 --> 00:05:04,880 Speaker 4: the right it's finished. Yes. On the right is what 102 00:05:04,960 --> 00:05:09,080 Speaker 4: happens when the sperm has an inhibitor. Okay, so it's 103 00:05:09,120 --> 00:05:12,480 Speaker 4: a very subdued sperm, very chilled out sperm. 104 00:05:12,920 --> 00:05:16,280 Speaker 2: So basically the scientists are saying that they could potentially 105 00:05:16,320 --> 00:05:19,599 Speaker 2: take that inhibitor to make an oral contraceptive pill that 106 00:05:19,640 --> 00:05:22,800 Speaker 2: could be taken just before sex. And would prevent pregnancy 107 00:05:22,839 --> 00:05:25,120 Speaker 2: for a short time. That's why we're calling it an 108 00:05:25,160 --> 00:05:26,479 Speaker 2: on demand contraception. 109 00:05:27,920 --> 00:05:29,360 Speaker 4: We'll be back right after this. 110 00:05:32,279 --> 00:05:35,400 Speaker 3: Okay, So you're saying that this contraception has worked well 111 00:05:35,440 --> 00:05:37,440 Speaker 3: in mice, but I know you said it's still a 112 00:05:37,440 --> 00:05:40,320 Speaker 3: while off until it's available. Do we have any indication 113 00:05:40,480 --> 00:05:43,880 Speaker 3: yet about whether this will actually be successful in humans. 114 00:05:44,279 --> 00:05:46,800 Speaker 2: Well, the next episode tests it on rabbits before we 115 00:05:46,839 --> 00:05:49,960 Speaker 2: get to humans, and researchers say they are optimistic. They 116 00:05:50,040 --> 00:05:53,760 Speaker 2: actually say the human reproductive systems are even more suitable 117 00:05:53,800 --> 00:05:56,279 Speaker 2: for this type of drug than mice. And the reason 118 00:05:56,360 --> 00:05:58,920 Speaker 2: there is that female mice don't have a cervix like 119 00:05:59,040 --> 00:06:03,120 Speaker 2: humans to provide a barrier between the vagina and uterus. Basically, 120 00:06:03,160 --> 00:06:05,760 Speaker 2: in short, mice have less barriers on the way to 121 00:06:05,920 --> 00:06:08,960 Speaker 2: the journey of fertilization. So if this new drug does 122 00:06:08,960 --> 00:06:12,000 Speaker 2: work in mice, it's pretty good signs for human effectiveness. 123 00:06:12,200 --> 00:06:15,480 Speaker 3: Okay, So my natural next question, Sam, would you take 124 00:06:15,520 --> 00:06:16,480 Speaker 3: it absolutely? 125 00:06:16,880 --> 00:06:19,040 Speaker 4: I think that I've actually said this on the public 126 00:06:19,080 --> 00:06:23,400 Speaker 4: record before I'll search it and try to find it. 127 00:06:23,440 --> 00:06:27,120 Speaker 2: That I would have no problem. And I think that 128 00:06:27,800 --> 00:06:30,520 Speaker 2: there is a changing attitude amongst young men what do 129 00:06:30,560 --> 00:06:32,200 Speaker 2: you think your friends would do? I think they would 130 00:06:32,200 --> 00:06:32,720 Speaker 2: all take it. 131 00:06:32,880 --> 00:06:37,400 Speaker 3: Okay, friends of Sam right into us, even if you're 132 00:06:37,440 --> 00:06:38,440 Speaker 3: not Sam's friends. 133 00:06:38,960 --> 00:06:39,960 Speaker 4: We'd love to hear from you. 134 00:06:40,000 --> 00:06:42,919 Speaker 3: We're doing a poll at the moment to understand what 135 00:06:43,040 --> 00:06:46,479 Speaker 3: sentiments in our audience are about this issue, and we'd 136 00:06:46,480 --> 00:06:48,440 Speaker 3: love to hear from you. There is a link in 137 00:06:48,480 --> 00:06:50,080 Speaker 3: the show notes if you want to go fill it out. 138 00:06:50,080 --> 00:06:52,400 Speaker 3: It'll take you thirty seconds. And I think it's a 139 00:06:52,440 --> 00:06:53,560 Speaker 3: really interesting topic. 140 00:06:53,680 --> 00:06:55,440 Speaker 2: I'm having a look at some of the results now. 141 00:06:55,480 --> 00:06:57,800 Speaker 2: I feel like I'm calling an election, Zara, but I 142 00:06:57,839 --> 00:07:01,640 Speaker 2: am seeing an early trend towards a yes vote for 143 00:07:01,720 --> 00:07:04,680 Speaker 2: the question of would you trust a male contraceptive pill 144 00:07:04,680 --> 00:07:08,520 Speaker 2: if scientists confirmed its safety and effectiveness. The pole still open, 145 00:07:08,680 --> 00:07:11,240 Speaker 2: so if you're listening, have a vote and we'll check 146 00:07:11,240 --> 00:07:12,480 Speaker 2: in with the results tomorrow. 147 00:07:15,240 --> 00:07:17,000 Speaker 4: Thanks for joining us on the daily OS. 148 00:07:17,080 --> 00:07:19,240 Speaker 3: We'd love if you could give us a rating or 149 00:07:19,280 --> 00:07:22,240 Speaker 3: a review on whatever app you're using right now. It 150 00:07:22,320 --> 00:07:25,280 Speaker 3: helps new people find us and join the TDA community. 151 00:07:25,360 --> 00:07:34,600 Speaker 4: Have a great day,