Men with Vasectomies: A Study of Medical, Sexual, and Psychosocial Changes

Urology, 1979

Contraception, 2011

Male sterilization (vasectomy) is the most effective form and only long-acting form of contraception available to men in the United States. Compared to female sterilization, it is more efficacious, more cost-effective, and has lower rates of complications. Despite these advantages, in the United States, vasectomy is utilized at less than half the rate of female sterilization. In addition, vasectomy is least utilized among black and Latino populations, groups with the highest rates of female sterilization. This review provides an overview of vasectomy use and techniques, and explores reasons for the disparity in vasectomy utilization in the United States.

Journal of Biosocial Science, 1978

SummaryThe results are presented of a survey of male subjects attending the Kingston Contraceptive Clinic for vasectomy. The men living in the Kingston Area (KA) were compared with those living in the Out of Kingston Area (OKA) for economic and other differences.For both groups, the average age of the subjects at the time of interview was 36 years and the average age of their partners was 33 years. The couples in both groups had an average of 2·4 living children. The OKA sample had been married on average 3 years longer than the KA sample.Economic differences were minimal, both groups having an average weekly income £22 in excess of the estimated average national wage. Educationally the groups were broadly similar, the OKA sample having a higher proportion of graduate subjects. The social class distribution of both samples was significantly different from that of the South-East of England, and showed that usage of vasectomy was predominantly by Social Classes II, IIIN and IIIM. This...

Although the need for family planning remains widespread and its health and economic rationales remain valid, family planning has been neglected in the face of competing health and development priorities. Given the need for "repositioning family planning" (i.e., for raising the priority of and resources for family planning), vasectomy services in particular need more attention and support. Vasectomy, the only highly effective male method of contraception, is safe, simple to perform, and economical-yet in most countries it is the family planning method that is the least known, understood, or used. 11 We have learned many lessons about how to program effectively for vasectomy, but a great many barriers to vasectomy's widespread use remain, at multiple levels-client, community, provider, facility, program and policy. A better understanding of what causes these barriers and how they can be removed, and of how to program effectively for vasectomy services, coupled with sustained commitment of attention and resources, can result in greater use of vasectomy. Increased use of vasectomy can help individuals and couples meet their reproductive health intentions and can help countries better serve their citizens while meeting development goals. In every region of the world and in nearly all social and cultural settings, men will use vasectomy services, provided these are appropriately offered. Increases in vasectomy use will likely be quite modest initially; in time, however, vasectomy in developing countries can reach levels seen in many developed countries. Sustained attention to and investments in vasectomy are warranted on both programmatic and equity grounds. * Throughout this paper, "vasectomy" refers to no-scalpel vasectomy (NSV), an innovative vasectomy technique developed in China in the 1970s and introduced and diffused in the 1980s in developing countries by EngenderHealth and other cooperating agencies. NSV has been proven to have significantly fewer side effects such as bleeding, pain, and infection.

American Journal of Public Health, 1984

A telephone survey of 1,172 Hamilton County, Ohio residents indicated that for ever-married people, 25.1 per cent of those aged 18-45 and 33.8 per cent of those 30-45 had been sterilized. Blacks and Whites had comparable levels of sterilization but, among Blacks, female sterilization was over eight times as common as vasectomy, while for Whites, the ratio was 1.2. Catholics had only one-half the sterilization rate of Protestants. Race, sex, income, and education were all related to knowledge and attitudes toward vasectomy. The need for more information was a major reason cited for not having a vasectomy. (Am J Public Health 1984; 74:79-82.) *Questions for this study were asked in a cost-shared survey conducted by the Behavioral Sciences Laboratory of the University of Cincinnati. They were purchased by Vasectomy Services Inc.. a non-profit vasectomy facility in Cincinnati that provides education, counseling, and medical services.

The Journal of Urology, 2006

We estimated the number of vasectomies performed in the United States in 2002 and gathered information on the vasectomy procedures and protocols used. It follows similar studies done in 1991 and 1995. Materials and Methods: A retrospective mail survey with telephone followup was performed in 2,300 urologists, family physicians and general surgeons randomly sampled from the American Medical Association Physician Masterfile. Results: The response rate was 73.8%. An estimated 526,501 vasectomies were performed in 2002 for a rate of 10.2/1,000 men 25 to 49 years old. Overall 37.8% of physicians reported currently using no scalpel vasectomy and almost half of the vasectomies performed in 2002 were no scalpel vasectomies. Methods of vas occlusion varied in and among specialties with a combination of ligation and cautery being most common (41.0% of cases). Of the physicians 45.6% reported routinely performing fascial interposition, 94.4% reported removing a vas segment, 23.3% reported routinely folding back 1 or 2 ends of the vas and 7.5% reported using open-ended vasectomy. Followup protocols varied widely. Of respondents 53.5% reported charging $401 to $600 for vasectomy in 2002. Conclusions: Although the estimated number of vasectomies performed in the United States during 2002 represents an increase from 1991 and 1995, incidence rates remained unchanged at approximately 10/1,000 men 25 to 49 years old. The percent of vasectomies performed using no scalpel vasectomy as well as the number of physicians who reported that they use no scalpel vasectomy increased substantially since 1995. Wide variation in surgical techniques and followup protocols were found.

2021

BackgroundVasectomy is an effective contraceptive method that has been approved worldwide and proven to be an effective method of contraception among males in the perspective of controlling a population. Although safer, simpler, less expensive and equally as effective as female sterilization, throughout the world, it is one of the least used and least known methods of contraception. It is perceived to be a form of castration, which can make men weak and incapable, thereby unable to satisfy their wives sexually, leading to marital conflicts. The study aimed at determining perceptions and experiences regarding vasectomy among vasectomized men at Larterbiokorshie. MethodsThis study adopted a qualitative method utilizing Phenomenological research design. The sample consisted of 18 vasectomized men selected through purposive sampling method. Face-face interviews were conducted with participants using a semi-structured interview guide. ResultsThe study discovered that the vasectomized men...

The journal of …, 2010

INTRODUCTION: It is not known whether sexual problems are currently more prevalent among men who have had a vasectomy compared with those who have not had a vasectomy.AIM: To investigate whether vasectomized men are more likely to report experiencing a range of sexual problems than nonvasectomized men and to assess their overall sexual and relationship satisfaction.METHODS: A population-based survey of 3,390 Australian men's sexual experiences was conducted using computer-assisted telephone interviewing.MAIN OUTCOME MEASURES: Proportions of vasectomized and nonvasectomized men who: (i) reported a sexual problem for at least 1 month during the last 12 months; and (ii) rated their sexual and relationship satisfaction as either extremely satisfying or not extremely satisfying.RESULTS: Vasectomy was reported by 25.1% of men, almost 70% of whom were aged 40-59 years. Vasectomized men were more likely to be married, live in regional areas, and speak English at home. Having a vasectomy was not associated with any specific sexual problem, such as lacking interest in sex or taking too long to reach orgasm. Vasectomized men (10.8%) were slightly more likely than nonvasectomized men (8.2%) to report problems maintaining an erection, but this difference disappeared when age and other socio-demographic variations were taken into account. Although vasectomized men (33.7%) were just as likely as nonvasectomized men (33.0%) to be extremely satisfied sexually, they were significantly more likely to be extremely satisfied with their relationship overall (48.3% vs. 42.9%).CONCLUSION: Our findings suggest that sexual problems are no more prevalent among vasectomized men than they are among nonvasectomized men.

Medicine and health, Rhode Island, 2010

Texila International Journal of Public Health ISSN: 2520-3134, 2022

Vasectomy is a safe and effective permanent male contraceptive, although its acceptance remains low in low-income countries. A cross-sectional study was conducted at the University of Ilorin Teaching Hospital, Ilorin, Nigeria, between 1st July and 31st August 2020. Participants were 247 consenting male health care workers recruited using systematic sampling based on their profession. Data collection was through a self-administered questionnaire, and analysis was performed using IBM-SSPS Version 23.0; p-value<0.05 was significant. The modal age group was 31-39 years (61.1%), 96.8% had tertiary education, 63.2% were Doctors, 21.5% were Laboratory Scientists, 12.1% Pharmacists, 1.6% Nurses, and 1.6% Physiotherapists; 68.0% had two or more children. Awareness about vasectomy was 93.5%, the commonest source of information was the health facility (55.3%), 76.5% supports the role of men in family planning while 84.0% were willing to share family planning responsibility with their partners 16.6% intend to undergo vasectomy on completion of their family size. The identified hindrances to the uptake of vasectomy were fear that it may lead to sexual dysfunction (87.0%), fear of other side effects (70.3%), irreversibility of the procedure (37.0%), cultural factors (25.0%), and concerns about possible infidelity (20.9%). Knowledge about vasectomy was negatively associated with its uptake (p<0.001). This study reports aversion to vasectomy among male health workers despite adequate awareness and Knowledge due to concerns about possible side effects, including the irreversibility of the procedure. Therefore, while advocacy for vasectomy continues, researchers should expedite actions to make reversible male contraceptives readily available.