Birth control for men has barely progressed since the first vasectomy in 1899. The reason for that is a little bit of science and a lot of sexism.Tiny room no. 46 on the second floor of the Lok Nayak Jai Prakash Narayan hospital in Delhi is an unlikely site for a medical breakthrough. But, over the years, its walls have welcomed hundreds of men for a clinical trial. They were injected with a sticky gel to immobilise sperm: a contraceptive called RISUG, short for Reversible Inhibition of Sperm Under Guidance. Today, on a blistering morning in May, it was Fauji’s turn. The 29-year-old security guard from a village in Uttarakhand volunteered for the trial after hearing about it from a neighbour. He has two children; a boy and a girl. He doesn’t want more.

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