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Why He Doesn’t Want a Vasectomy (And What You Can Do About It)

Let’s be honest: When it comes to birth control, many of us think about condoms or the pill as reliable options. And they are … to some degree. But, mention a 100-percent effective way to prevent pregnancy, like a vasectomy, and your spouse may instinctively wince.

But, wait. What about getting your tubes tied? Before you prep your significant other for surgery, listen to this: According to the World Health Organization, vasectomies are a safer, more reliable and easier form of surgical sterilization – and it’s half the cost of a tubal ligation. Plus, most insurance plans cover vasectomies.

Medical research and science aside, why is there still so much fear surrounding it? The problem is that there are many misconceptions or misunderstandings about how a vasectomy works. Many people don’t realize just how liberating it can be – for them and their loved ones.

If you are done having kids (or don’t ever want them), Edwin Risenhoover, MD, a family medicine physician with Banner Health Center in Loveland, helped debunk some common vasectomy myths, so you can move forward with your family-planning needs without fear.

Myth #1: It will shut down my sex drive.

Truth is…

Your sex drive won’t be interrupted … well, maybe before you’ve medically recuperated from the procedure. Dr. Risenhoover said:

Libido, or sex drive, is both psychological and physiological. The physiological aspect of libido is often associated with testosterone levels. Testosterone is made in the testes and transported through the body in the bloodstream. Sperm is also made by the testes and transported during ejaculation through the genitourinary tract, beginning in the vas deferens tubes.

A vasectomy interrupts the flow of sperm along the vas deferens, but it does not change the blood flow to or from the testes. Therefore, vasectomy does not change testosterone level or libido.

Myth #2: Most vasectomies fail anyways.

Truth is…

You won’t accidently get your spouse pregnant if you follow doctor’s orders. Dr. Risenhoover said:

Most pregnancies occur, however, when the patient has unprotected intercourse before completing a test to confirm that the vasectomy has worked.

The overall failure rate for vasectomy is 1 in 2,000, or 0.05%. That rate actually ranges from 0.02% to 29%, depending on the technical method of vasectomy used by the surgeon. The most commonly accepted method today, cautery of the prostatic end and fascial interruption (burning one end and tying a tissue barrier between the two ends), affords the lowest failure rate. So, ask your surgeon what method they plan on using.

Myth #3: I won’t be able to ejaculate or have an erection.

Truth is…

It won’t affect your ability to perform in bed. Dr. Risenhoover said:

The ejaculate fluid volume comes almost entirely from the prostate gland, not from the sperm in the vas deferens. Vasectomy interrupts the flow of sperm, but it does nothing to the fluid from the prostate gland. In fact, multiple ejaculations are required before performing a post-vasectomy semen analysis.

When it comes to sexual desire, research has shown that vasectomies don’t impact a man’s interest in sex, his ability to get or keep an erection or the quality of his orgasms. An erection depends on blood flow to and from the penis and has nothing to do with the area operated upon during a vasectomy.

Myth #4: Vasectomies can cause prostate cancer.

Truth is…

They won’t increase your risk, but they don’t protect against sexually transmitted diseases. Dr. Risenhoover said:

Many studies have assessed whether there is any association between having a vasectomy and developing prostate cancer later in life. Most studies show there is no increased risk of prostate cancer after vasectomy. However, a few studies indicate a weak increased risk may be present. Even in those few studies, no causal relationship between vasectomy and prostate cancer exists. If this small risk is a concern for the patient, you should consider other options of permanent birth control.

Vasectomies don’t, however, protect you from STDs, so make sure you use additional means for protection, such as latex condoms.

Myth #5: Vasectomies are painful and have a long recovery.

Truth is…

It is actually quite painless, thanks to numbing medication, but you won’t want to run a marathon the next day. Dr. Risenhoover said:

Most vasectomy patients recover quickly, if they follow their surgeon's instructions. There are cases that fall outside of the norm, and the patient has a complicated or protracted recovery or may even have long-lasting pain. However, most men feel back to normal in just a few days. They can usually resume light work within two to three days, heavy work or exercise in a week and normal sexual activity after one week.

If you are considering a vasectomy, make an appointment with one of our Banner Health specialists at bannerhealth.com.  

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