Every Male Contraceptive in Development, Compared (2026)
Published November 2, 2026 · Investigational · Not approved
There are more male contraceptives in development now than at almost any point in history, and they work in very different ways. This page puts them side by side, using what developers, registries and journals have published. Every product here is investigational, and none is approved by the FDA or any other major regulator. "Stage" means the furthest step publicly reported, not a forecast.
The comparison
| Candidate | Developer | Form | Hormonal? | How it's meant to work | Reported stage | Approved? |
|---|---|---|---|---|---|---|
| NES/T | Contraline (from Population Council/NICHD) | Daily gel | Yes | Lowers sperm production | Phase 2b completed; Phase 3 expected 2027 | No |
| YCT-529 | YourChoice Therapeutics | Daily pill | No | Lowers sperm production (RAR-alpha) | Phase 1b/2a, listed as recruiting | No |
| ADAM | Contraline | Hydrogel in vas deferens | No | Blocks sperm transport | First-in-human done; "Phase 2 ready" | No |
| Plan A | NEXT Life Sciences | Hydrogel in vas deferens | No | Blocks sperm transport | In clinical trials (per press reports) | No |
| RISUG | Sujoy Guha (India) | Gel in vas deferens | No | Blocks/disables sperm | Phase 1 and 2 reported in India | No (not in the U.S.) |
| STEOM | BeOm / CHU de Lille | Mechanical implant on vas deferens | No | Blocks sperm transport | Animal testing; human trial hoped ~2028–2031 | No |
| PausePill (NLS-133) | NEXT Life Sciences | On-demand pill | No | Stops sperm release at ejaculation | Small Phase 2 (per Vice) | No |
| sAC inhibitor | Weill Cornell / Sacyl | On-demand pill | No | Stops sperm from swimming | Preclinical; Phase 1 planned | No |
| DMAU | NICHD | Pill or injection | Yes | Lowers sperm production | Phase 1 studies completed | No |
| Alphatide | Washington State University | Peptide | No | Disrupts sperm maturation | Preclinical (mice) | No |
The three big approaches
WHO's 2026 standards group male methods by how they stop sperm, and the table follows the same logic (see our WHO guide):
- Lower sperm production. NES/T, YCT-529 and DMAU. These usually take weeks to start working, and weeks to months to wear off.
- Stop sperm from working or being released. The on-demand pills. These are meant to work within hours and wear off quickly, but they're the earliest in testing.
- Block the path. ADAM, Plan A, RISUG and STEOM. One procedure is meant to last a long time, and the big question for each is whether it can be reversed reliably.
Where each comes from
NES/T: Contraline reports the Phase 2b with 462 couples and plans Phase 3 in 2027 (Business Wire); our NES/T explainer has the details. YCT-529: its repeat-dose study is NCT06542237; see our YCT-529 update. ADAM: Contraline's pipeline page. Plan A, RISUG and PausePill: press reports from Vice and others, covered in our injectable-race explainer. STEOM: the French research ministry and French press; see our STEOM explainer. sAC inhibitor: Weill Cornell; see our on-demand pill story. DMAU: NICHD's injectable study NCT02927210 is listed as completed. Alphatide: the Washington Research Foundation; see our Alphatide explainer.
How to read this table
A later stage doesn't mean a product works better. It means more testing has been done. Many candidates in every field never make it through Phase 3. Several entries above rely on company statements or news reports rather than peer-reviewed results, and we've said so. For today's approved male options, see our plain guide to vasectomy vs. upcoming options. We update the status tracker as things change.
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Sources
- Business Wire (June 2, 2026): Contraline announces $92.5 million Series B to advance NES/T
- ClinicalTrials.gov: NCT06542237 (YCT-529 Phase 1b/2a)
- Contraline pipeline page
- Vice (Oct 12, 2026): Male birth control pills are in development
- French Ministry of Higher Education and Research (2026): Concours d'innovation 2026, Hauts-de-France and the STEOM Grand Prix i-Lab
- Weill Cornell Medicine (Oct 23, 2026): NIH grant to test novel male contraceptive
- ClinicalTrials.gov NCT02927210: Injectable DMAU for male contraception (CCN015)
- Washington Research Foundation (Oct 22, 2026): WRF awards $274,849 to Washington State University's Jon Oatley to advance nonhormonal male contraceptive
- WHO (Sept 22, 2026): Target product profiles for novel male contraceptive methods