Historical Analysis of a New Category: Contraception Sarah Feldner October 2016 What do we mean by contraception? Broadly speaking, the contraception category includes 4 main sub-categories of technology Barrier methods Hormonal methods • These technologies work • Hormonal contraception by preventing sperm from works by either reaching the egg preventing an egg from being released every • This is the oldest form of month or preventing a contraceptive, and fertilized egg from includes condoms, implanting into the diaphragms, cervical uterus caps, and sponges • Includes the pill, the ring, the patch, contraceptive injections, and emergency contraception Semi-permanent devices • These devices are implanted (in the arm or cervix) by a doctor and can last up to 10 years; depending in the device, it prevents pregnancy through the use of hormones or copper ions • Includes plastic and copper inter-uterine devices (IUDs) and the contraceptive implant Permanent solutions • Sterilization—available to both men and women—works by blocking the reproductive function • These options include vasectomies (an outpatient procedure) for men and tubal litigation (surgical) or nonsurgical sterilization for women Sources: Wikipedia, DrEd.com, Google images MGMT731_Feldner 2 Effective contraception is available due to significant investment, but there’s opportunity to increase usage Contraception with effectiveness upwards of 99% has been available since 1970. However, once we take into account consumer preferences (e.g. desire for less invasive or permanent options) and factors that prevent perfect use (e.g. forgetfulness or impact to pleasure), effectiveness drops dramatically. Current investment & research is focused on overcoming these factors. $1M Early 1900s $5-10M $100M 1950-1970 $1B ~$10B Today Cumulative Investment Approximate Timing Note: Includes all contraceptives; Effectiveness is calculated as the percent of couples who do not experience a pregnancy over the course of a year using a respective type of contraceptive; Typical use weighting customer preference was calculated by using the relative percentages of US population age 15-44 using each type of contraceptive multiplied by that method’s “typical” effectiveness as defined by the CDC Sources: PBS, Guttmacher, Wikipedia, NCBI, CDC, Options for Sexual Health MGMT731_Feldner 3 Although the mix of contraceptive use has changed, roughly 40% of Americans have still not adopted Note: Other includes spermicides, other barrier methods, non-oral hormonal methods, and both male and female sterilization Sources: PBS, Guttmacher, Wikipedia, NCBI, CDC MGMT731_Feldner 4 Deep Dive: Condoms in the United States • The remainder of this report will focus on the condom category, primarily in the United States. • Given the level of regulation on pharmaceuticals, the evolution of the market for contraceptives like the Pill look very different from that of a typical new technology category • While condoms are now considered a Class II medical device and regulated by the FDA, this occurred nearly a century after production began, so this sub-category more closely mirrors the technology categories we discussed in class MGMT731_Feldner 5 Much of the condom category growth was driven by legislation and regulation by the US government Limited precise data for firms’ entry and exit in the industry was available, so I’ve provided an illustrative view of the competitive landscape over time below Number of firms Following the VD crisis during WWI, Congress legalized condoms in 1918, clearing the way for mass entry into the market First produced in 1855, condoms’ rapid growth was curbed by 1873 legislation preventing their sale. Sales went underground and were led by mom & pop businesses that could fly under the radar Initial Growth 1855 WWI In 1937, the FDA began regulating condoms and standardizing the testing process. These new requirements forced many smaller businesses to close their doors Regulation 1937-1950s A dominant design, the lubricated latex condom, emerged in the late 1950s and consolidation began. There were only 6 major producers remaining by 1993, and only 3 major producers in the US today. Consolidation 1980s Today Sources: Collectors Weekly, Case Western, NCBI MGMT731_Feldner 6 The category has undergone substantial consolidation over the course of a century Given how substantially fragmented the market was during its early days, I’ve chosen to highlight the entry and exit of a subset of major players Young’s Rubber • Founded Trojan brand in 1916 Ansell Rubber Company • Spun out of Dunlop Tyre in 1905 London Rubber Company • Founded 1915, created Durex in 1932 Julius Schmid, Inc. Attempted sale to Ansell in 1985 blocked by courts Sold to Carter Wallace instead Carter Wallace Bought by Church & Dwight in 2000 Anti-trust intervention Remains Ansell-Americas today LRC bought Schmid in 1962, merged to become London Intn’l Co. in 1980s London International Company Seton Scholl Limited Today’s Major Players Church & Dwight (Trojan)– 69% market share today Ansell (Lifestyles)– 12% share Reckitt Benckiser (Durex)– 15% share Merged with Dr. Scholl’s in 1990s • Founded late 1800s Okamoto Was at one time the 4th largest player in the US but lost traction • Founded 1934 in Japan Aronab Products Forced to exit after FDA judgment of faulty product in 1964 • Founded early 1900s Source: Bloomberg, Packaged Facts, The Humble Little Condom: A History, Collector’s Weekly, FDA records Still the #1 producer in Japan today This is the fate that was met by the vast majority of condom producers when FDA regulation began midcentury MGMT731_Feldner 7 Dominant Design: Lubricated latex condoms KEY FEATURES OF DOMINANT DESIGN • The use of latex, an emulsion of tiny rubber particles in water, emerged in the 1920s. These condoms were easier to produce, stronger & thinner, and had a longer shelf-life than their rubber predecessors, so they quickly became the category norm - The first lubricated latex condom was released by Durex in 1957, and remains the dominant design to this day - Account for ~95% of US sales • While slight variations in size, shape, tip, and texture exist—they are all largely based on the dominant design depicted at left • Rolled for commercial packaging and ease of use Source: Wikipedia, Madehow.com, Amazon.com MGMT731_Feldner 8 New disruptions to the category are likely to emerge in the next decade • The earliest evidence of condom use dates back to the Ancient Egyptians, and was first documented in 16th century Italy in the use of soaked linen cloth Animal Skin • “Skin” condoms made from animal product grew in rapid popularity in the 1700s due to their lower cost and greater comfort compared to linen - Mass-produced lambskin condoms are still used today, making up ~5% of the US market Rubber • The discovery of rubber vulcanization in 1839 led to the production of the first rubber condom in 1855. However, they were initially more expensive and offered less sensitivity to skin condoms, so they did not become the dominant design until late in the 19th century - Their reusability ultimately gave them an economical advantage in the long-run • Developed in the 1920s by Young’s Rubber Company, latex quickly emerged as, and remains, the dominant design Latex Next Generation - Latex was favored because it is less labor intensive and reduces the fire hazard during production, is stronger and thinner resulting in greater effectiveness and comfort, and it’s shelf life is 2 years longer than rubber • Recently, there has been a surge of funding in search of a better condom from nonprofits like the Bill & Melinda Gates foundation and crowdsourcing—the goal is to improve comfort in order to increase consistent usage. While there is not a new dominant design yet, a few of the emerging designs include: - A form of carbon that’s a single atom thick - A silicon condom that’s designed to “be pulled on like a mitten” - A wrapping condom made of polyethylene, a type of plastic used in packaging • With continued investment and a clearly interested public audience, a new dominant design could be on the horizon Source: Wikipedia, Slate MGMT731_Feldner 9
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