DomoArigato1

So you stated elsewhere that

Side effects including changes in libido, changes in mood, and changes in body composition have been reported, but 1) they are uncommon, and 2) a dose finding trial of the male contraceptive gel has been conducted and with the current dose that is to undergo Phase II testing, we are not expecting significant side effects. That being said, every person is different, and their body may react differently, which is the exact same situation for women on hormonal contraception. This is why we are advocating studies on multiple different methods, to fit the needs of different populations.

Do you feel the chances of side effects on this medication will be lower than the next best thing which is probably the female combined pill? If so do you believe it could become a viable alternative to the combined pill?

Yeah, minor hiatal-hernias like what my dad has are managed very easily with acid inhibitors. However like you say major hernias require immediate surgery as they can completely cut off blood supply to the stomach or prevent you swallowing completely.

Plus pretty much any doctor worth their salt would order an ultrasound at the very least with anyone presenting extreme abdominal pain. This alone would diagnose a hiatal hernia.

There is absolutely no way you go 2 years doctor to doctor without having a hernia diagnosed even if it is unrelated to the stomach paralysis