Eli5 why are there so many female birth control options for females but only condoms and vasectomies for men?

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Was in a discussion about this over dinner last night. My GF has like a dozen options: from pills, to implants and patches. I can either wear a condom or have surgery. I feel like there is always some male pill on the horizon that never manages to come. Why is it so hard to develop something for men but so easy for women?

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Anonymous 0 Comments

From a legal perspective, in the US, for FDA approval a drug has to show the majority of side effects are less potent than the risk of not using the medication.

So for women, with the health risk being pregnancy, the allowance for side effects is higher. For men, there are no health risks, technically speaking; so the allowances for side effects are basically zero. Even things like mood swings, lower hormone levels, etc. are unacceptable to meet the criteria.

It isn’t necessary nefarious, just the way the approval system is arranged. Globally, I cannot speak outside the USA, so I honestly don’t know if it is similar reasons or a completely different one all together.

EDIT: I was unaware it was causing suicide in the trial studies.

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