this post was submitted on 31 Dec 2023
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It's not really that the regulators have become more strict. Most of the female birth control options would likely be approved today. The issue with male birth control is more the way they assess whether a medication is 'worth it' to take.
For women the risk and side effects of birth control are weighted against being pregnant. Since being pregnant is really dangerous, the side effects can be more severe. For example, hormonal bc causes a slight risk of a stroke, however being pregnant causes this risk to go up more. Therefore the risk of the bc is acceptable.
For men there is no such medical benefit to bc, therefore it must have very very little to no side effects to be approved.
So it has to do with threshold and relative risk/loss analysis?