Just a quick fly-by to keep you interested amid solemn memorial of how the Easter Bunny died to bring us chocolate…. Your thoughts and feedback would be welcomed as ever.
It is well established that roughly equal numbers of men and women have fertility problems, and yet in the US there are five doctors specialising in female infertility for every one specialising in men. At a societal and cultural level, we have always considered reproduction and fertility to be women’s business, and infertility to be women’s problem. This is reflected in the medical and pharmaceutical industries. While IVF is notoriously expensive, unreliable and exceptionally invasive for women, alternative drug treatments are again almost exclusively offered to the female partner, if at all.
One shocking example of why this might be is explained by Barnes. In the 1960s, the drug clomifene citrate was developed and licensed to boost ovulation in women. When it became clear that the drug might also be effective in treating some forms of male infertility, researchers applied to conduct clinical trials. The drug company, unconvinced there was any market for male fertility treatments, refused. Now the drug is out of patent and there is no profit to be made in developing the treatment. Fifty years on, clomifene citrate remains unlicensed by the US Food and Drug Administration for use with male fertility and unauthorised by Nice for men in the UK.
I find it interesting and quite depressing how hostile the typical male internet commenter is to concerns about male fertility, as witnessed in the comments. There’s a failure to acknowledge that this is a really common (and neglected) men’s health issue which causes enormous amount of stress, unhappiness and relationship difficulties to many men (and women, of course) and yet the default reaction is “ugh, babies, families, horrible things that get in the way of my video games.”
It is also interesting, I think, that people who every other day are wailing about how the local or global population is being taken over by Chinese/ Pakistanis / Muslims / Africans suddenly start declaring that a collapsing birth rate in the Western world is no problem, because the rest of the world is breeding enough to make up for us.
Also this week, I wrote a thing for IB Times about men, boys and sex work, including stuff about abuse and trafficking, off the back of the Student Sex Work Project’s findings that more male than female students have worked in the industry.
It may well be that you are now thinking it crass to focus on the gender of abused children, as if one gender mattered more. I wholeheartedly agree. Unfortunately, too often this is exactly what happens.
As ECPAT noted in a recent report, the United Nations 2001 protocol on sex trafficking specified that there were particular focus on “women and children” and that in practice, international initiatives with ‘children’ almost invariably means ‘girls.’ To quote ECPAT: “many of the programmes initiated since 2001 that focus on adolescents trafficked for sexual purposes have assumed that the focus should be on girls.
“It seems that not enough effort has been made to collect data about boys who receive money for commercial sex after moving away from home to establish whether they have been trafficked or what measures would help protect them.”
Your thoughts would be appreciated.