Abstract
Chinese scientists have reported that in clinical trials involving more than 8000 men tested over a four-year period gossypol was found to be a 99.89% effective, safe, and reversible contraceptive [1]. Treatment for eight weeks with 20 mg of gossypol daily decreases sperm counts to well below 4 x 106/ml; a maintenance dose of 40 mg of gossypol/wk thereafter sustains infertility. Gossypol does not appear to affect plasma testosterone levels in human subjects [2, 3] or in monkeys [4, 5], and the drug is without adverse effects on sexual function. A few minor side effects occur but they are transient and disappear spontaneously within the first few weeks of treatment. Hypokalemic paralysis, a potentially serious side effect reported by Chinese investigators in 66/8806 cases (0.75%) [6], was not observed in Brazilian men treated with gossypol [7] and it has since been suggested that the incidence of hypokalemia in China may be related more to regional differences in dietary intake than to effects of gossypol on serum potassium [8]. More recently, double-blind studies in gossypol-treated men in China have failed to confirm a causal relationship between gossypol and hypokalemia [9]. Interestingly, there is a high incidence of spontaneously occurring periodic hypokalemic paralysis in Oriental men [10].
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Hoffer, A.P. (1985). Ultrastructural, Biochemical, and Endocrine Studies on the Effects of Gossypol and its Isomeric Derivatives on The Male Reproductive Tract. In: Segal, S.J. (eds) Gossypol. Reproductive Biology. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-2809-4_13
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