Contraceptive cream and jellies Sexual Abstinence If you should decide that a vasectomy is not for you, yet you and your partner are sure you do not want to have any or more children, a tubal ligation for your wife or partner is an alternative method. This is likewise a permanent method of birth control.
However, most experts consider vasectomy to be the best available method of permanent contraception, since comparable procedures in women e.
What is the success rate of vasectomy for contraception? In rare instances, the sperm can reform a path between the ends of the vas deferens. This is called recanalization, and leads to pregnancy in 1 out of every patients that get a vasectomy.
Vasectomy is still considered among the most effective and safe forms of permanent contraception. Will vasectomy affect my sex life? Sexual activity, penile sensitivity, and the production of male hormones are not typically affected.
In fact, the freedom from fear of producing unwanted children might greatly improve the mutual enjoyment in your sexual relations. You may find that your desire for sexual expression becomes more spontaneous and more frequent. A vasectomy should have no adverse effects on your sex life. Any problems that develop in relation to having sexual intercourse would result from psychological rather than physical causes.
Because the sperm cannot come out after the vas deferens is cut, like other dead body cells, the sperm disintegrate and are reabsorbed by the body. Some men, even knowing these facts, are still anxious about what a vasectomy will do to their sexual performance.
These men should not have vasectomies. Also, a vasectomy is not the answer to a problem of sexual maladjustment or failing libido or sex drive. On the other hand, the freedom from fear of producing unwanted children could improve the mutual enjoyment in your sexual relations. How does vasectomy prevent pregnancy? Sperm are made in the testis, and the travel through the vas deferens to join the urethra. By interrupting the vas deferens, vasectomy prevents sperm from reaching the urethra.
Thus, the seminal fluid semen contains no sperm and the female egg cannot be fertilized subsequent to intercourse. Sperm cells continue to be produced in the testes but disintegrate and are reabsorbed by the body.
Patients should consider vasectomy permanent. If your objective is merely to space out pregnancies, or if you have even the slightest reason to believe that you might want to have children in the future, then a vasectomy will not suit your purpose and should not be considered. Cryopreservation sperm banking or freezing before vasectomy is available as an option for those men considering vasectomy, though they should understand that use of the sperm requires professional assistance.
Although we do not recommend sperm banking for all couples, some couples may elect to pursue this. Vasectomy began to be a popular means of permanent sterilization in the s and s. Isolated studies have caused concern from time to time regarding general health hazards that might be associated with elective vasectomy. One of these was published in , when it was thought that atherosclerosis might be prematurely initiated after vasectomy.
This concept grew out of a small study of a group of monkeys whose blood vessels seemed to contain increased amounts of atherosclerosis following their vasectomies. Further animal studies did not agree with these initial findings, and large epidemiological studies subsequently showed that premature atherosclerosis occurred no more frequently in men who had undergone vasectomies than in men who had not. Similarly, suggestions have been made connecting vasectomy to Coronary Heart Disease CHD , stroke, primary progressive aphasia PPA , dementia, hypertension, and testicular cancer.
Again, none of these suggestions have withstood the test of research. Because of the poor quality of facts suggesting these connections, the American Urological Association recommended in its guidelines that these conditions do not need discussion in counseling patients about vasectomy. There have also been conflicting study findings regarding the association of vasectomy with prostate cancer, leading to a similar recommendation by the American Urological Association that prostate cancer does not need to be included in the discussion about the risks of vasectomy.
However, in the summer of , a large study with almost 25 years of follow-up suggested a small but real increase in aggressive prostate cancer in men who have had vasectomy J Clin Oncol. Notably, it showed prostate cancer deaths occurred in 16 of every 1, men who had not undergone vasectomy, compared to 19 of every 1, for those who had undergone vasectomy. This is a small increase in risk for a fairly uncommon condition. Thus, while it is important to discuss with your doctor, it usually will not affect the decision for most men to proceed with vasectomy.
However, it has never been shown conclusively that these antibodies have any significant effect on any other organ systems. The primary relevance of these antibodies seems to be the possibility of hurting sperm function should a patient later get a vasectomy reversal.
We believe that vasectomy still remains one of the best forms of permanent contraception and should be undertaken by the patient after a discussion of all potential risks.