Vasectomy

 Quick Facts

  • Permanent method of contraception. Reversal is usually not possible.
  • It involves surgery that a trained healthcare provider does.
  • No long-term side effects.
  • You will have erections and will ejaculate, but your semen will be without sperm.

Effectiveness

The effectiveness of Vasectomy in preventing pregnancy after one year is slightly higher than that of female sterilization. A vasectomy is more than 99% effective.

Vasectomy 99%

Key Benefits 

  • Highly effective
  • It is a simpler and safer operation compared to female sterilization
  • There is no adverse effect on  your sex drive or ability to enjoy sex
  • It is pretty inexpensive.

What is Vasectomy (male sterilization)?

The sperm in males are produced in the testis. During intercourse, they are ejaculated along with other secretions in semen. Vas deferns is a tube that connects the testis with the penis. In male sterilization or Vasectomy, the vas deferns of two sides are cut and tied to block the movement of sperms. In this way, you will have semen, but it will be without sperm. The couple should make a mutual decision regarding this contraceptive method.

How is Vasectomy done?

A surgeon under local anesthesia mainly does Vasectomy. The area where the cut would be given is made numb. After shaving and cleaning your scrotum, the doctor will inject a numbing medicine into the room. He will then give a tiny cut in the upper part of your scrotum and find the vas deferens by feeling it. It will then be tied off or clipped and cut apart.

You may have a vasectomy without a surgical cut where a sharp instrument is used to go inside the skin. It is called a no-scalpel vasectomy (NSV). In both, the wounds are closed with stitches or surgical glue.

How much does a vasectomy cost?

The cost of a vasectomy in the States can differ depending on factors such as your location, the healthcare provider, and whether or not insurance covers the procedure. It can range from a few hundred to over a thousand dollars on average. It’s always good to check with specific clinics or healthcare providers for the most accurate and up-to-date information. In some countries, it is done for free under public health programs.

How is vasectomy reversal done, and what is its cost? 

A vasectomy reversal, or vasovasostomy, is a surgical procedure that reconnects the vas deferens, allowing sperm to flow from the testicles to the urethra again. The surgery involves the following steps:

  1. Incisions: The surgeon makes small incisions on each side of one’s scrotum to access the vas deferens.
  2. Examination: The fluid from the vas deferens is examined microscopically to test the presence of sperm.
  3. Reconnection: If sperm are found, the surgeon reconnects the severed ends of the vas deferens using microsurgical techniques.
  4. Closure: Once the reconnection is complete, the incisions are closed with stitches.

As for the cost can vary widely depending on the surgeon’s experience, the geographical location, and whether the procedure is performed in a clinic or a hospital. The cost typically includes the surgeon’s fee, facility fees, anesthesia fees, and any necessary follow-up visits. On average, the cost of vasectomy reversal in the United States can range from a few thousand to several thousand dollars. It’s essential to consult with specific healthcare providers to get accurate and up-to-date cost information and to inquire about potential insurance coverage.

Myths

  • Vasectomy affects sexual drive and performance– it does not affect your sexual drive or masculinity.  It just prevents you from fathering a child. Some men even report higher satisfaction after the operation.
  • Vasectomy damages your sex organs permanently- There is a minimal chance of harming your internal organs.
  • Vasectomy may increase the risk of cancer- There is no relationship between Vasectomy and prostate cancer. It is purely a myth.
  • Vasectomy can develop cardiac diseases- There is barely any link between cardiac diseases and Vasectomy.
  • It can cause severe pain. Minor pain during pulling or tugging during surgery is rare, but severe pain is possible. Likewise, the slight pain goes away after surgery after a few days.

Pros

  • It is a minor surgical procedure.
  • There is no change in your hormone levels or sex drive.

Cons

  • It cannot guard you against HIV infection and other sexually transmitted infections.
  • The procedure is generally non-reverse
  • You have to use another contraceptive before your semen is free of sperm.
  • Sometimes, very rarely, the sperm duct might reconnect again after surgery, which can result in pregnancy.
  • There is a minimal chance of surgery side effects such as bruising and bleeding from the scrotum.
  • Other possible complications include hematoma, i.e., blood collected inside the scrotum, sperm granulomas formed by leaked sperms from the tubes, long-term testicle pain, or an infection.

Essential Tips

  • You and your partner are firm not to have a child or more kids.
  • You do not want to use, or cannot use, other forms of contraceptives
  • Pregnancy would be unsafe medically for your female partner due to health problems.
  • You or your partner do not want to become parents because of genetic disorders that will pass to children.

Recommended to use if

  • You and your partner are firm not to have a child or more kids.
  • You do not want to use, or cannot use, other forms of contraceptives
  • Pregnancy would be unsafe medically for your female partner due to health problems.
  • You or your partner do not want to become parents because of genetic disorders that will pass to children.

Not Recommended if

  • Being in a relationship with someone indecisive about having children.
  • Your relationship is unstable or stressful.
  • The decision to go for it is to please a partner.
  • You want to have more kids in the future.
  • You are young and impulsive.
  • You are single, including widowed, divorced, or separated.

In Short

Most men are satisfied with Vasectomy. Some couples enjoy not having to use birth control.

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