As we know, women’s choices for birth control are vast. They can choose from birth control pills, vaginal ring, female condom and IUDs (Intrauterine Device), to name a few. But, aside from the condom, the vasectomy is the closest thing to an effective male birth control option.
Vasectomy, also called male sterilization, is a surgical procedure that takes about 15 to 30 minutes. It is meant to protect against pregnancy permanently.
A vasectomy is usually carried out as an outpatient procedure. It is a simpler, safer, effective and more reliable alternative to female sterilization.
How is it done?
A vasectomy is a simple surgery done by a doctor in an office, hospital, or clinic. The vas deferens, which are small tubes in the scrotum (testicles) that carry sperm are cut, tied or clamped, so sperm can’t enter the semen and cause pregnancy.
The Star mentions that a vasectomy can be performed at any age. However, doctors are generally reluctant to do a vasectomy or female sterilization on individuals below 30 years of age, especially if they do not have children because there is an increased likelihood of regret.
According to Dr. Marc Goldstein, director of the Center for Male Reproductive Medicine and Microsurgery at Cornell University, it takes 15 ejaculations or six weeks after the surgery for sperm to disappear before having sex without another form of contraception.
Men are advised to come in for semen analysis, and not to engage in sex without a contraceptive until there are no live sperm.
After being healed from the vasectomy, there shouldn’t be a difference in their sex life. Ejaculation and the amount of semen will almost be the same as before, and there won’t be a change in sex drive.
“A surprising number of men also worry that they’ll lose sexual function,” Dr. Golstein said. “They confuse sterility and impotence. A vasectomy can actually improve a man’s sex life. In fact, in the early 1900s, a German scientist popularized vasectomies as a rejuvenation operation for old men. It turns out that there is a tiny increase in testosterone levels after a vasectomy.”
Can it be reversed?
Vasectomies are considered a permanent form of birth control, but some men do opt to reverse them. This is accomplished with a procedure known as a vasovasostomy.
According to eMedicineHealth, in the United States, approximately 600,000 men have vasectomies every year, and 5 percent of those go back for a vasovasostomy. The reasons behind this varies, but it’s commonly because of remarriage, the death of a child, or improvement in financial situation.
Vasovasostomy is not always successful. One effect of a vasectomy is that the body can actually cease to recognize its own sperm and can develop antibodies to it. If this has occurred, chances to impregnate his partner are low.
Another factor is how long someone waits to change his mind. The longer the span of time between the vasectomy and the reversal, the less chance that reversal will work. Someone who waits 15 years or more to reverse a vasectomy has about a 71 percent chance of rebuilding his vas deferens and a mere 30 percent chance of actually getting his partner pregnant.
Vasectomy in Malaysia
Vasectomy in Malaysia is certainly not a common choice of birth control.
The price can go from RM2k onwards. It is also recommended to find an experienced specialist as it isn’t a common procedure.
A reddit user, mikehunnt said “I asked a Dr. in Mid Valley. He said he honestly had no idea who, of all the urology specialists he knew that might do one. It is not a common request.”