Male Birth Control: What to Know About ‘The Pill’ for Men

It’s about time the birth control conversation included men in a bigger way. For decades, women have had dozens of options—pills, patches, IUDs, implants—while men have mostly been stuck with condoms or a vasectomy. But the world of male birth control could finally be changing. 

Scientists are making serious progress toward the first-ever birth control pill for men, and the early results are exciting. Whether you’re in a committed relationship or exploring your options for the future, we’re breaking it all down. 

Let’s dive into how the male birth control pill works, where it stands in clinical trials, and what it could mean for your health and future.

What Is Male Birth Control?

Let’s start with the basics. When we talk about male birth control, we’re referring to any method a man can use to prevent pregnancy. Right now, those options are limited: condoms, vasectomy, withdrawal, or abstinence. That’s not exactly a long list—especially compared to the many options available to women.

A male birth control pill would change the game. The idea is to offer men a daily oral contraceptive that’s effective, reversible, and safe. The newest research focuses on a nonhormonal pill called YCT-529, and it’s already being tested in human trials.

How Does the Male Birth Control Pill Work?

The idea of a pill that stops sperm from doing its job without messing with your hormones? It might sound too good to be true, but that’s exactly what scientists are working on.

YCT-529 works by targeting a protein essential for sperm production. It doesn’t mess with testosterone or block hormones the way female birth control often does. 

In animal studies, the drug was 99% effective in mice and also reduced sperm counts in male primates within two weeks. The best part? Fertility returned after stopping the medication, typically within 6 to 15 weeks, depending on the species.

For men who care about their hormonal health, that’s a major win. No dips in energy, no weight gain, no mood swings—just a targeted approach to preventing unplanned pregnancy.

Are Male Birth Control Pills Safe?

Any time you introduce a new drug, safety is the top concern. So far, YCT-529 seems promising on that front. The first human trial was completed in 2024, and it showed that the pill was safe and well tolerated in men. 

No serious side effects were reported, and researchers felt confident enough to greenlight a second human trial, which is already underway. The drug also passed safety tests in mice and non-human primates without affecting hormones or causing long-term complications.

While it’s still early, things are looking good. If larger trials continue to confirm these results, this male birth control pill could eventually be submitted for FDA approval.

Is the Pill More Effective Than Other Male Birth Control Methods?

Effectiveness is everything when it comes to birth control. Here’s how the male birth control pill stacks up against the current options available to men:

  • Condoms – About 85% effective with typical use. That leaves room for error, like slippage, breakage, or forgetting altogether.
  • Vasectomy – Over 99% effective, but it’s surgical, expensive to reverse, and not always reversible.
  • Withdrawal – Around 78% effective, and notoriously unreliable.

With a 99% effectiveness rate in animal trials, YCT-529 is on par with vasectomy, without the need for surgery. And because it’s reversible, it could offer the best of both worlds: peace of mind and flexibility.

Does Male Birth Control Affect Testosterone?

A lot of past male birth control research focused on manipulating testosterone, which often caused issues like depression, weight gain, fatigue, or reduced libido. YCT-529 is different. It’s nonhormonal, meaning it doesn’t touch your testosterone levels. 

Early trials show no impact on mood, energy, or sex drive. Better yet, fertility returns after stopping the pill. In mice, sperm production came back within 4 to 6 weeks. In primates, it took about 10 to 15 weeks. Human trials are ongoing, but this reversibility is a huge selling point.

At Victory Men’s Health, we believe no man should have to sacrifice his hormones to prevent pregnancy. This new pill could finally offer a responsible option without compromising performance, energy, or sex drive.

When Will Male Birth Control Be Available?

If you’re wondering when you’ll be able to pick up the male pill at your local pharmacy, we’re not quite there yet—but we’re getting closer. If everything continues to go well with the current clinical trial, the next step is a larger Phase 3 trial and eventually FDA approval. That process can take several more years, but the momentum is strong, and researchers are optimistic.

In the meantime, staying informed and talking to your healthcare provider about upcoming birth control options is a great way to stay ahead of the curve.

Why Has It Taken So Long to Develop a Birth Control Pill for Men?

Women have had oral contraceptives since the 1960s, so why are we only now figuring out a pill for men? The short answer is biology. 

The male reproductive system is harder to target without causing systemic effects. The testicles are what scientists call an immuno-privileged site, which means they’re difficult to reach with medications. Previous attempts at hormonal pills also caused too many unwanted side effects.

There’s also the social side of it. Historically, birth control has been considered a woman’s responsibility. But that’s starting to change. As more men take an active role in their health and relationships, the demand for new birth control options is finally being heard.

Should You Take Male Birth Control Pills?

This is where things get personal. Would you trust a daily pill to protect against unintended pregnancy? What if it meant giving your partner a much-needed break from years of IUDs or hormonal birth control?

Many men are saying yes. According to recent surveys, over 50% of men say they’d be willing to take a birth control pill if it was safe and effective. For guys in committed relationships, or just looking to take control of their reproductive future, it’s a smart move.

If you’re not sure where you stand, we can help you explore your options. At Victory Men’s Health, we help men navigate everything from testosterone therapy to erectile dysfunction and peptide therapy. We’re here to support your long-term health goals, whatever they look like.

Common Questions About Male Birth Control Pills

Is the Male Birth Control Pill FDA-Approved?

Not yet. YCT-529 is still in clinical trials, but the early data is promising. The pill will need to complete Phase 3 trials and FDA review before it can hit the market.

Can the Pill Affect testosterone or Sperm Count Long-Term?

So far, studies show no impact on testosterone. Sperm count does decrease while taking the pill, but fertility returns after stopping it.

How Soon After Stopping Can I Get Someone Pregnant?

In animal trials, fertility returned within 6 to 15 weeks. Human timelines may vary, but reversibility is a key feature of YCT-529.

Will I Still Need to Use a Condom?

Until a pill is FDA-approved and widely available, condoms remain the best non-permanent male birth control option. Even once the pill arrives, condoms are still the best way to protect yourself against STIs.

Take Your Sexual Health and Fertility Into Your Own Hands

We’re closer than ever to a world where male birth control isn’t just an idea, but a real, accessible option. The birth control pill for men could give guys more freedom, more control, and a more balanced role in family planning.

At Victory Men’s Health, we utilize cutting-edge therapies and customized treatment plans to help men take charge of their health. Whether you’re exploring ways to optimize fertility, balance hormones, or feel more like yourself again, we’re here to help.

Ready to talk about your health goals and get support tailored to you? Book a consultation with our team today and take control of your future.

TRT & Fertility: What Our Patients Experience

If you’re thinking about starting testosterone replacement therapy (TRT) but also want to have kids, you’ve probably heard mixed messages about how it affects fertility. Some say TRT makes you sterile, while others claim it has no impact at all. So, what’s the truth about TRT and fertility?

The truth lies somewhere in between. At Victory Men’s Health, we’ve helped countless men navigate TRT with fertility in mind. Some men naturally maintain their sperm production throughout treatment, while others need a little extra support. 

If you’re on testosterone therapy, there are effective ways to preserve and even restore fertility—you just need the right medical providers by your side. On an episode of the Women Want Strong Men podcast, we sat down with HRT expert Dr. Jordan Grant for a discussion on the intricacies of hormone optimization, including maintaining fertility on TRT. 

Listen to the full episode below. Then, keep reading to learn how to protect your fertility on testosterone therapy and what our patients have experienced.

Can You Have Kids on TRT?

Many people assume that TRT automatically causes infertility, but that’s not entirely true. Testosterone therapy can significantly lower sperm production, but it doesn’t mean every man on TRT becomes sterile—and it also doesn’t mean you should use testosterone as birth control.

Some men’s sperm count drops to zero, while others still produce enough to get their partner pregnant. We’ve seen men successfully conceive while on TRT, but it varies from person to person. If you’re actively trying to conceive, it’s usually best to wait until after your partner is pregnant to start your TRT journey.

If you’re planning for kids but want to start testosterone now, there are steps you can take to reduce the impact on your fertility. With the right approach, it’s possible to balance both goals.

How to Maintain Fertility on TRT

It’s normal to worry about losing fertility on TRT, but the right treatment plan can make a big difference. If fatherhood is in your future, here’s what you should consider before and during testosterone therapy: 

1. Get a Baseline Sperm Analysis

2. Think About Freezing Sperm

3. Use HCG Therapy

4. Consider FSH 

Get a Baseline Sperm Analysis

Before starting TRT, it’s crucial to test your sperm count and quality. We’ve seen men assume their fertility is fine, only to find out later that they had issues before even starting testosterone. Getting a sperm analysis up front gives you a clear starting point and helps guide your decisions down the road.

Think About Freezing Sperm

Fertility can sometimes be restored after stopping TRT or adjusting medications, but there are no guarantees—especially if you’re younger and don’t plan to have children for several years. 

The longer you’re on testosterone therapy, the greater the potential risk that your body won’t return to normal sperm production. Freezing sperm before starting TRT gives you a reliable backup plan for the future.

Use HCG Therapy

One of the best ways to maintain fertility on TRT is by using HCG (human chorionic gonadotropin). HCG mimics luteinizing hormone (LH), which tells the testes to keep producing testosterone and sperm.

A typical starting dose for men looking to maintain fertility is 250 IU of HCG, three times per week, although some men require higher doses. If you’re actively trying to conceive, a sperm analysis after two to three months will help determine if the dose is right for you. 

Many of our patients have successfully conceived within months of adding HCG, even at relatively low doses.

Consider FSH

For men whose sperm count drops to zero during testosterone therapy, and HCG alone isn’t effective, follicle-stimulating hormone (FSH) can be a powerful tool. FSH plays a key role in sperm production, and adding it to your treatment plan can help you restore fertility without stopping TRT.

TRT & Fertility | How to Maintain Fertility on TRT

How Long Does It Take to Restore Fertility After TRT?

We get this question all the time, and the answer depends on multiple factors—including age, baseline sperm levels, and whether fertility-supporting medications are used. If a man stops TRT completely without adding any fertility medications, sperm count recovery can take anywhere from three months to two years. 

If you add HCG during your TRT journey, a sperm analysis at two to three months can determine if the dosage needs adjusting. Some men recover their sperm count faster by taking Clomid after stopping TRT, but this can bring unpleasant side effects due to how it affects estrogen receptors.

TRT & Fertility: What Our Patients Experience

Every man’s fertility journey is unique, and we’ve worked with many who have conceived without stopping testosterone therapy. Here are some real-world insights from our patients’ experiences: 

  • Many men on TRT have successfully conceived, but it is unusual without HCG. While some maintain sperm production naturally, most men who conceive on TRT are using fertility-supporting medications.
  • Men who stop TRT to conceive often restart it after pregnancy is confirmed. Many of our patients do well with conceiving but report feeling noticeably worse without TRT. Once pregnancy is far enough along, they often return to therapy for the benefits.
  • Not all infertility is caused by TRT. Even men who have never been on testosterone may struggle with fertility. Age, overall health, and your partner’s fertility all play a role in conception.
  • HCG therapy works well for most men and can often restore fertility within months. Some men need only a small dose, while others require a higher amount to get optimal results. A sperm analysis helps guide adjustments.

Common Mistakes We See Men Make

These are some of the most common mistakes we see men make while trying to preserve fertility on TRT:

  • Not getting a baseline sperm analysis before starting TRT.
  • Assuming fertility will return automatically without testing.
  • Failing to discuss TRT and fertility concerns with their partner.
  • Ignoring nutrient needs—just like women take prenatal vitamins, men should take fertility-supporting supplements, like our Strong Swimmers vitamin pack.

Optimize Your Testosterone Without Sacrificing Fertility

Testosterone replacement therapy can be life-changing, but if you want kids, it’s important to have a plan. Can TRT lower sperm production? Yes, but that doesn’t mean fertility is off the table! With the right approach, you can conceive while optimizing your testosterone levels. 

If you’re thinking about TRT but worried about fertility, we’ve got your back. At Victory Men’s Health, we specialize in helping men optimize their hormones without sacrificing their long-term goals. Contact us today to book a consultation, and let’s build a plan that works for you.

Your initial visit is $99, which includes a confidential consultation with one of our medical providers, comprehensive lab work, PSA testing, testosterone assessment, body composition analysis, and a customized treatment plan. We accept HSA (Health Savings Account), FSA (Flexible Spending Account), and Care Credit cards!

Sperm Testing for Men: What to Know & Where to Go 

When it comes to family planning and overall health, male fertility often takes a back seat in the conversation. But let’s face it—fertility is a two-way street. Whether you’re starting a family, planning for the future, or simply curious about your reproductive health, sperm testing allows you to take control.

At Victory Men’s Health, we’re making sperm testing more accessible and less intimidating with Fellow sperm testing kits. These at-home kits provide a convenient and stress-free option, giving you reliable results without any uncomfortable conversations.

On an episode of the Women Want Strong Men podcast, we sat down with Will Matthews, CEO of Fellow, to discuss the incredible advancements in at-home sperm testing and preservation. Check out the full episode below, then keep reading to learn about sperm testing for men, why it matters, and how you can get started right now. 

What Is Sperm Testing?

Sperm testing, also called semen analysis, is a diagnostic tool used to evaluate a man’s fertility and reproductive health. This test measures several key factors of your semen to determine the health and viability of your sperm. Here’s a look at what sperm testing measures:

  • Sperm Count – The total number of sperm present in your sample. A healthy count indicates good fertility potential.
  • Motility – The percentage of sperm that are moving and how well they move. Active, forward-moving sperm are more likely to reach and fertilize an egg.
  • Morphology – The shape and structure of the sperm, which affects their ability to fertilize an egg.
  • Volume – The total amount of semen in the sample, which impacts the delivery of sperm.
  • Concentration – The number of sperm per milliliter of semen, which helps to gauge overall sperm density.

Beyond fertility, sperm testing can serve as a general health indicator. Poor semen quality has been linked to underlying health conditions, including hormonal imbalances and lifestyle-related issues. It’s also a critical step in post-vasectomy evaluations to confirm the procedure’s success.

How Does Sperm Testing for Men Work?

Getting a sperm analysis might sound complicated, but the process is simpler than you think. Here’s how it works: 

  1. Preparation – Abstain from ejaculation for 2–7 days before the test to ensure the most accurate results.
  2. Sample Collection – You’ll either collect your sample at home using a kit like Fellow’s or at a clinic. At-home kits include a preservative solution to stabilize the sample during transport.
  3. Sending the Sample – If you’re using an at-home kit, follow the instructions to package your sample securely and mail it to the lab.
  4. Lab Analysis – Once the lab receives your sample, it will undergo a detailed analysis of the key metrics mentioned earlier.
  5. Reviewing Results – Results are typically available within 12–24 hours. They’ll be shared in an easy-to-understand format, so you’ll know exactly what the numbers mean and if any next steps are needed.

Who Needs Sperm Testing?

Not sure if sperm testing is right for you? It’s not just for men facing fertility issues—it’s a proactive way to understand your health and take charge of your future. To help you decide, here are some of the scenarios we’ve seen where it can make a big difference. 

  • Planning for a Family: If you and your partner are trying to conceive, sperm testing provides essential insights into your fertility.
  • Post-Vasectomy Testing: To confirm the success of a vasectomy, sperm testing checks for the absence of sperm in the semen.
  • Before and During TRT: Testosterone therapy can impact fertility, so testing your baseline sperm count before starting treatment is important. Periodic testing while on TRT, especially if using HCG, may also be recommended to monitor sperm levels and adjust HCG dosing as needed.
  • Health Concerns: If you’re experiencing symptoms like low libido, hormonal imbalances, or other health issues, a sperm analysis can offer clues about your overall health.

What are the Benefits of At-Home Sperm Testing For Men?

Gone are the days of awkward clinic visits for sperm testing. Modern at-home options, like the Fellow kits we offer at Victory Men’s Health, are making the process easier and more accessible than ever. 

But how accurate are at-home sperm testing kits? 

When used correctly, quality home testing kits provide results comparable to those from clinical testing. These kits include advanced preservative solutions to stabilize your sample during transport, ensuring the lab receives it in optimal condition for analysis. 

While at-home kits are highly reliable for assessing key metrics like sperm count, motility, and morphology, more complex diagnostic evaluations—such as identifying underlying medical conditions—may require additional testing at a clinic.

Here’s why our patients choose at-home sperm testing: 

  • Privacy – Collect your sample in the comfort of your own home.
  • Convenience – No need to schedule an appointment or deal with clinic wait times.
  • Hassle-Free – Avoid the pressure of performing in an unfamiliar environment.
  • Accuracy – When used correctly, quality at-home kits provide lab-quality results.
  • Speed – Quick turnaround times mean you get your results faster.

Where Can I Go for Sperm Testing?

At Victory Men’s Health, we’re here to support your fertility journey every step of the way. Our clinics in Illinois and Missouri carry Fellow sperm testing kits, making it easy for you to get started. If you’re still unsure, you can schedule a consultation with our staff to learn more about the process and discover whether it’s the right move for you. 

If you’re on testosterone therapy or considering it, we can also help you maintain your fertility with personalized discussions and treatments designed to keep your sperm production active. For men already on testosterone, Fellow kits are a great tool to monitor sperm health over time.

What Happens if My Test Results Show Abnormalities?

If your sperm analysis reveals abnormalities, such as a low sperm count, poor motility, or irregular morphology, it doesn’t necessarily mean you’re infertile. Many factors, including stress, lifestyle habits, and temporary health conditions, can impact sperm quality.

Here’s what you can expect if abnormalities are detected through sperm testing:

  1. Review with a Healthcare Provider. Your results will be reviewed by a provider who can help determine the potential cause of the abnormalities. In some cases, follow-up testing may be recommended to confirm the findings.
  1. Lifestyle or Treatment Recommendations. If lifestyle factors like diet, alcohol consumption, or smoking are contributing to the issue, small changes may lead to significant improvements. For hormonal imbalances, treatments like testosterone optimization therapy (tailored to preserve fertility) may be considered.
  1. Specialized Testing or Referrals. If an underlying medical condition is suspected—such as a varicocele (enlarged veins in the scrotum) or a hormonal disorder—your provider may recommend additional diagnostic tests or refer you to a fertility specialist for more in-depth evaluation.

By addressing abnormalities early, you’ll have more options to optimize your reproductive health and increase your chances of achieving your goals.

When Should I Consider Sperm Preservation?

Sperm cryopreservation, commonly known as sperm freezing, preserves your sperm cells for future use. This technique is invaluable for men who face potential fertility challenges due to medical treatments like chemotherapy, which can impair sperm production. It’s also a practical choice for men who want to delay parenthood until later in life, ensuring that viable sperm are available when they’re ready to start a family.

The procedure is straightforward: a semen sample is collected, analyzed, and then frozen using advanced cryogenic methods. The frozen sperm can be stored for extended periods, maintaining their viability for future fertility treatments. Fellow sperm preservation kits are a convenient and affordable option for men considering this proactive step. 

The cost of sperm preservation with Fellow is approximately $140 per year, so it’s an accessible investment in the future of your fertility. By choosing to preserve your sperm, you’re taking control of your reproductive health and ensuring that you’ll have options. 

Take Charge of Your Reproductive Health

Male fertility is a huge part of your overall health, and sperm testing offers a simple, effective way to get the answers you need. We also offer custom vitamin packs called “Strong Swimmers” with a combination of nutrients aimed at supporting male fertility. 

Whether you’re planning for a family or preserving your options for the future, our team makes it easy and approachable. From sperm preservation to erectile dysfunction to weight management, we’re here to help with any of your health needs. 
Ready to take the first step? Contact us to schedule a consultation and learn more about sperm testing kits or any other health concern you may have. Your future self will thank you!