A permanent family planning method: Let's learn about vasectomy in simple terms

Have you and your partner decided that you don't want another child in your family? Then, when you think about family planning methods, you've probably heard about the 'vasectomy' surgery that can be done by men. Although many people are a little hesitant to talk about this, it is actually a very simple, safe and very effective family planning method. So, there is nothing to be afraid of or ashamed of. Let's talk about this very simply and openly today.

What is a vasectomy in simple terms?

In simple terms, a vasectomy is a minor surgery that stops sperm from coming out of the penis. It is a permanent form of birth control . The sperm produced in our testicles, along with semen, leave the body through two small tubes called the vas deferens . This surgery involves cutting and tying off the ends of these tubes.

One of the things that many people worry about is whether this surgery will affect their sex life. Absolutely not. This surgery will not affect your:

• Sex drive / libido
• Ability to get an erection
• Ability to ejaculate semen

The ejaculation of semen occurs as normal. The only difference is that it does not contain sperm that can produce a child.

How successful is this method?

Vasectomy is one of the most effective birth control methods available. It has a failure rate of less than 1%. This means it is much more reliable than temporary methods like condoms. However, it is important to remember that it prevents pregnancy, but it does not protect against sexually transmitted infections (STIs) .

How do you prepare before surgery?

Since this is a big decision in your life, you need to be well prepared before the surgery.

Consultation with the doctor

First, you and your partner should talk it over and both agree. Then, meet with a doctor to discuss this. The doctor may ask you things like:

• Do you have excessive bleeding or blood-related diseases?
• Are there any allergies to local anesthesia?
• Do you have skin diseases around your testicles?
• Are you currently taking any medications, such as blood thinners?
• Have you had previous surgery in the groin area (e.g. hernia surgery)?
• Do you get frequent urinary tract infections?

Consent

The doctor will explain the surgery to you, its benefits, and the possible minor risks. Once you understand everything, you will have to sign a consent form. This is not something to be rushed. If you have any questions, don't be afraid to ask the doctor.

Cleaning before surgery

The night before surgery or the morning of surgery, you should carefully remove all hair from your scrotum and the surrounding area. A disposable razor is better than an electric razor for this. Then, to prevent infection, wash the area thoroughly with an antiseptic soap and keep it clean.

How is the surgery done?

Vasectomy surgery is performed in two main ways. Both methods involve severing and closing the vas deferens. However, there are slight differences in the way it is approached. This surgery is performed by a urologist , a doctor who specializes in the urinary and reproductive systems. The entire surgery takes about 15 minutes .

No matter which method is used, you won't feel much pain because the area is numbed (local anesthesia). After the vas deferens is removed, the doctor:

1. The vas deferens is cut and separated.

2. Tie or clip the ends.

3. Sometimes an electric current is used to seal the ends. This is called cauterization .

4. If necessary, a stitch is placed in the skin incision.

What happens after the surgery?

You can go home the same day after surgery, but you need to be a little careful while you recover.

Therefore, 2-3 months after surgery, you must use another form of birth control (e.g. condoms) until your doctor has tested your semen (semen analysis) and confirmed that there are no more sperm in it.

What are the benefits and potential risks?

Main advantages

• Very effective: One of the most effective birth control methods available.
• Just once: Once is enough. Take the pills daily, no need to remember things.
• Simple and safe: Much simpler and safer than laparoscopic surgery (tubal ligation) for women.
• Low cost: It is less expensive than female surgery.
• Relief for the partner: The responsibility for birth control methods does not fall solely on the partner.

Minor possible risks

As with any surgery, there are some very small risks involved, but these are usually not serious.

• Pain and swelling: Minor pain and swelling may occur for a few days after surgery.
• Infection: Very rarely, the wound may become infected.
• Sperm granuloma: A small, painful lump caused by a small amount of sperm leaking from a cut vas deferens. This usually resolves itself into the body.
• Post-vasectomy pain syndrome: A very rare (about 1-2%) condition that causes long-term pain in the testicles. There are treatments for this condition.

Can the surgery be reversed?

Yes, a vasectomy reversal is possible. This involves reconnecting the two vas deferens. However, this surgery is not always 100% successful , and it is also expensive. Therefore, a vasectomy should only be performed if you are 100% sure that you do not want any more children.

When to see a doctor

If you experience the following symptoms after surgery, notify your doctor immediately:

• Signs of infection such as fever and chills.
• Excessive bleeding from the suture site.
• Severe redness, swelling, or pus oozing around the wound.
• Severe pain that cannot be controlled with medication.

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