Birth control remains a contentious issue in our society, and it’s worth noting that the most effective contraceptive methods were not legalized for unmarried individuals until 1972. Historically, the burden of contraception has predominantly fallen on women. While options like condoms and spermicide exist, they often require prior planning or purchase. Long-term contraceptive methods such as diaphragms, birth control pills, and hormonal implants have primarily been the responsibility of women, leaving men with limited alternatives.
It wasn’t until 1965 that widespread access to women’s birth control became legal in the U.S., following the repeal of an outdated law that made it illegal to sell or advertise birth control — and even to send related information through the mail. This historical context highlights the antiquated, patriarchal approach to contraception in the U.S.
However, there’s exciting news on the horizon! A groundbreaking male contraceptive method has recently received the prestigious James Dyson Award for Engineering. This innovation shifts the responsibility of contraception to men. Developed by engineering student Mia-Laura Becker, this method, named COSO, presents a non-invasive, ultrasound-based male contraceptive that is completely reversible.
The COSO device features a small ultrasound machine filled with a predetermined amount of water, tailored to the user’s testicle size. After an initial consultation with a doctor, users can take the device home for their own use. They heat the water to a specific temperature, which temporarily halts sperm production. This “ball bath” lasts for a set duration, also determined in consultation with a healthcare provider, leading to sperm-free results. The effects can persist for up to six months, and while this technology is new, ultrasound’s application in male contraception has been explored for over four decades and appears to be safe.
Interestingly, the main challenge with male ultrasound contraception has been not its functionality, but rather encouraging men to schedule consultations to receive the device — something women have been doing for years to access approved contraceptives. Perhaps the novelty of a “ball bath” will entice more men to seek out this option.
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In summary, the COSO device represents a significant advancement in male contraception, offering a simple yet effective method that empowers men to take responsibility for their reproductive health. As this technology gains traction, it could revolutionize the landscape of contraception, making it more equitable.