Efficacy and effects of short- and medium-term contraception in the common marmoset (Callithrix jacchus) using melengestrol acetate implants

Reproductive potential and implant loss in female hamadryas baboons (Papio hamadryas) previously contracepted with melengestrol acetate contraceptive implants at AZA institutions

Melengestrol acetate (MGA) implants are a progestin-based reversible contraceptive used to manage fertility in animals. MGA implants are recommended for replacement every 2 years; however, reproduction may be suppressed longer if implants are not removed. In this study, we investigated whether the probability of reproducing (pR) differed among nonimplanted females, females with MGA implants removed, and females whose implants were not removed. In addition, since implant loss in hamadryas baboons is a concern, we explored whether female age, institution, implant placement year, implant location, or implant placement type (intramuscular vs. subcutaneous) differed for females whose implants were lost compared to those that were not. The pR differed significantly across all three treatment conditions with the nonimplanted group having the highest pR. The pR plateaued at 63% after 40 months for the implant-removed group compared to 96% after 84 months in the nonimplanted group. There was no reproduction after contraception if implants were not removed (7.83-45.53 months). In the nonimplanted group, pR was significantly higher for older and parous females. In terms of implant loss, we found that implant placement type was significantly associated with implant loss, such that there were fewer losses when implants were placed intramuscularly (IM) as compared to subcutaneously. Our results suggest that placing MGA implants IM is likely to reduce loss. When loss is prevented, MGA implants are an effective form of contraception and are reliably reversibly in most individuals when removed. However, if not removed, they can prevent reproduction longer than 2 years.

Melengestrol acetate contraceptive implant use in colobus monkeys (Colobus guereza): Patterns through time and differences in reproductive potential and live births

Melengestrol acetate (MGA) implants are progestin-based reversible contraceptives used to manage fertility in zoo populations. Although it is recommended that MGA implants should be replaced every 2 years, the duration of efficacy has not been systematically evaluated in most species. Anecdotal reports for Old World monkeys indicate that reproduction may be suppressed longer if the implant is not removed. This study uses Guereza colobus monkey (Colobus guereza) as a model Old World monkey species to examine the effects of MGA implants on reproductive potential. In particular, we investigate whether the probability of reproducing (pR) and rates of stillbirth differ among (1) non-implanted females, (2) females who have had MGA implants removed, and (3) females whose implants were left in past expiration. We found no significant difference in pR between non-implanted and implant-removed groups, but when implants were left in past expiration, the pR was significantly lower than in other groups. Both parity and age significantly impacted pR for the non-implanted group (i.e., younger females and those who were parous increased pR), but neither were significant factors for the implant-removed group. Stillbirth rates were significantly higher post-contraception as compared with pre-contraception. These results support similar analyses in other taxa that show a shorter time to reversal after MGA contraception when implants are removed, making this a good contraceptive option for females likely to receive a breeding recommendation, especially when a more predictable time to reversal is important.

Decidualization of Endometriosis in Macaques

The decidua is the superficial portion of endometrium that transforms, or decidualizes, under the influence of progesterone to nourish the early embryo during pregnancy. Deciduae outside the uterus are found in nearly 100% of human pregnancies. This condition, known as deciduosis, may mimic malignancy, resulting in additional diagnostic procedures that place the mother, baby, or both at risk. Deciduosis has been described in both Old World and New World nonhuman primates in conjunction with pregnancy and after treatment with exogenous progestins. Here the authors present 6 cases of deciduosis associated with endometriotic lesions in female rhesus and cynomolgus macaques (Macaca mulatta and Macaca fascicularis). Full diagnostic necropsies with histologic analyses were performed on all animals. Deciduae were stained with hematoxylin and eosin and by immunohistochemistry for vimentin, CD10, progesterone receptor, estrogen receptor, desmin, cytokeratin, kermix P8, chorionic gonadotropin, human placental lactogen, and calretinin. The most common clinical signs were abdominal pain (4 of 6) and anorexia (2 of 6). At necropsy, macaque uteri were often enlarged or disfigured (4 of 6) with abundant fibrous adhesions (5 of 6). Affected tissue consisted of epithelial-lined cysts and decidualized stroma with scattered gamma/delta T cells. Decidualized stromal cells were large and polyhedral with abundant cytoplasm and round vesicular nuclei. They stained positive for vimentin, CD10, progesterone, and estrogen. In summary, these cases illustrate deciduosis in 6 nonhuman primates with endometriosis. Understanding decidualization in nonhuman primates will aid in elucidating the pathophysiology of deciduosis during pregnancy or endometriosis and potentially lead to new interventions.

Psychobehavioral Effects of Hormonal Contraceptive Use

Although female use of hormonal contraceptives (HCs) has been associated with a variety of physical side effects, the psychological and behavioral side effects have received comparatively little attention until recently. Indeed, the long-term impact of HC use on human psychology has been vastly under-researched and has only recently become a focus for mainstream scholars. Women who use HCs report higher rates of depression, reduced sexual functioning, and higher interest in short-term sexual relationships compared to their naturally-cycling counterparts. Also, HC use may alter women's ability to attract a mate, as well as the mate retention behaviors in both users and their romantic partners. Some evidence even suggests that HC use alters mate choice and may negatively affect sexual satisfaction in parous women, with potential effects on future offspring. Interestingly, HCs have become a standard method of population control for captive nonhuman primates, opening up exciting avenues for potential comparative research. Here, the existing literature on the psychobehavioral effects of HCs in humans and nonhuman primates is reviewed and discussed. The potential resulting downstream consequences for the path of human evolution and recommendations for how future research could tease apart the underlying causes of these psychobehavioral effects of HC use are discussed, including suggestions for research involving nonhuman primates.

Describing ovarian cycles, pregnancy characteristics, and the use of contraception in female white-faced marmosets, Callithrix geoffroyi

Endocrine data and characteristics of nonconceptive ovarian cycling and pregnancy are limited within the genus Callithrix to the common marmoset (C. jacchus) and Wied's black tufted-ear marmoset (C. kuhlii). This article presents patterns of urinary pregnanediol-3-glucuronide (PdG) excretion, as determined by enzyme immunoassay, throughout the course of ovarian cycling and pregnancy in white-faced marmosets (C. geoffroyi). Furthermore, characteristics of reproductive parameters including litter size, duration of gestation, maternal age, and information about ovarian cycling following administration of contraceptives are also described. A steep increase in PdG, an indication of ovulation, characterizes normative ovarian cycles, with peak-to-peak intervals between cycles being 27.82 ± 1.49 days in length. PdG excretion (μg/mg Cr) across pregnancy peaked during the 1st and 2nd trimesters (1st = 20.71 ± 2.98, 2nd = 21.16 ± 2.60) and declined gradually to near preconception levels over the 3rd trimester until parturition (3rd = 5.74 ± 1.60). Gestation lasted 148.55 ± 1.89 days. Most pregnancies (82.8%) resulted in an immediate postpartum ovulation (PPO) of 17.45 ± 2.22 days with 58.3% of PPOs resulting in conception. No differences in PdG excretion during the 1st trimester between full pregnancies and miscarriages were found, and pregnancy characteristics such as litter size, duration of gestation, and maternal age were not associated with PdG concentrations. Administration of cloprostenol resulted in shorter peak-to-peak cycle durations, but ovulation was detectable with similar concentrations of peak PdG to a normal nonconceptive cycle. Conversely, medroxyprogesterone acetate (DMPA) injections resulted in little to no PdG excretion across the ovarian cycle. Both methods of contraception providing effective prevention of conception. Overall, these results show that strong similarities in reproductive parameters persist within the genus Callithrix and to a lesser extent across the Callitrichidae family.

Contraception in the chimpanzee: 12-year experience at the CIRMF Primate Centre, Gabon

The Primate Centre of the International Center for Medical Research in Franceville, Gabon (CIRMF) has had a chimpanzee (Pan troglodytes) colony for more than 20 years. A contraceptive policy was started in 1990, following a rapid increase in the number of individuals in the 1980s. Intrauterine devices were first used in 24 females; 10 failures occurred over a period of about 4 years. Depo-provera was then used in 28 chimpanzees for between 4 months and 4 years; 10 failures occurred, the animals gained weight, and cyclic swelling of the external genitalia was markedly modified. Starting in late 2000, 25 females received progestin implants; only one failure has so far occurred, and the main side effect is a complete abrogation of cyclic sexual swelling.

Re-assessing the reversibility of melengestrol acetate (MGA) implants in golden-headed lion tamarins (Leontopithecus chrysomelas): a comparison with golden lion tamarins (L. rosalia)

The reversibility and flexibility of contraceptive methods generally allow for improved genetic and demographic management of captive populations. Earlier studies have produced conflicting results regarding the restoration of reproduction after using melengestrol acetate (MGA) implants in golden-headed (Leontopithecus chrysomelas, GHLT) and golden lion tamarins (L. rosalia, GLT): two closely related species that are physiologically and genetically very similar. The present study investigates the nature of this inter-species difference, presents new data on GHLTs and compares this with published data on GLTs. Analyses showed that around 34% of the GHLTs resumed breeding after their MGA implants were removed or had expired. Non-implanted GHLTs (control group) were significantly more likely to reproduce than females previously treated with an MGA implant, regardless of whether the implant was removed or left to expire. Younger and parous female GHLTs in the control group were more likely to start reproducing. In implanted females, only parity had an impact, with parous females being more likely to resume breeding than non-parous females. In contrast, data published on GLTs indicate that 75% of GLT females resume breeding, and that removing the implant increases the probability of reproduction occurring. Available data suggest that the observed inter-specific differences are related to differences in the weights of the implants used for the two species. For GHLTs, adjusting MGA doses and/or the sizes of the implants currently administered may be required in order to preserve the reproductive potential of individuals. Apart from potentially negative medical and welfare consequences for individual GHLTs, the reduced reversibility of MGA implants also impacts on management practices used to achieve the objectives of conservation breeding programmes. Finally, this study stresses the importance of evaluating the suitability of contraceptive methods at a species-specific level.

An Evaluation of the Suitability of Contraceptive Methods in Golden-Headed Lion Tamarins (Leontopithecus Chrysomelas), with Emphasis on Melengestrol Acetate (MGA) Implants: (II) Endocrinological and Behavioural Effects

In order to be suitable, a contraceptive method should have little or no effects on social organization or behaviour. In callitrichids, changes in socio-sexual interactions between group members, due to hormonal changes induced by contraception, may have consequences for the reproductive inhibition of offspring in their natal group. This may lead to an increased rate of inbreeding. In this paper we report on the endocrinological and behavioural effects of contraception in golden-headed lion tamarins, using data obtained through a world survey and an observational study. Hormonal analysis of urinary oestrone conjugate levels in melengestrol acetate (MGA)-implanted females confirmed earlier preliminary findings (Van Elsacker et al 1994): MGA implants inhibited reproduction through the suppression of ovulation and regular ovarian cycles in the implanted female, while the occurrence of ovarian cycles in the oldest female offspring of each group was not affected. Sexual interactions between the dominant adults still occurred but underwent temporal changes. Reproductive inhibition in female offspring was maintained. Social interactions between group members altered in a non-consistent way but did not have an impact on the stability of the study groups during the study. In principle, MGA implants do not have a detrimental impact on the behaviour of group members. The suitability of MGA implants from a behavioural point of view depends on the extent to which those involved wish to preserve the entire range of natural behaviours for this species. The behavioural effects of other contraceptive methods are still largely unknown.

An Evaluation of the Suitability of Contraceptive Methods in Golden-Headed Lion Tamarins (Leontopithecus Chrysomelas), with Emphasis on Melengestrol Acetate (MGA) Implants: (I) Effectiveness, Reversibility and Medical Side-Effects

Finding a responsible method of population control that does not compromise animal welfare is a pressing problem for zoological institutions and conservation breeding programmes. This is exemplified by the conservation breeding programme of the golden-headed lion tamarin, Leontopithecus chrysomelas. The number of golden-headed lion tamarins in captivity is currently being limited by, among other means, the use of contraception. We have conducted a study on the effects of contraceptive methods used in golden-headed lion tamarins. Data were collected through the distribution of a survey. The use of Melengestrol acetate (MGA) implants in females was by far the most widespread contraceptive method. It was very effective in preventing reproduction, provided that females were not pregnant at the time of implantation. Pregnancies that had commenced before MGA implantation were carried to term and resulted in viable infants, as far as noted. However, the degree of reversibility was very low and, if females did conceive after MGA implantation, infant survival was lower than expected. The widespread use of MGA implants in golden-headed lion tamarins (and probably other species) should be seriously reconsidered. Alternative methods of population control should be investigated. Possible options include the use of other contraceptive methods, limiting the number of offspring through natural factors and the use of euthanasia under very strict conditions. Animal welfare implications associated with the use of euthanasia are discussed.