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Vasectomy - Male Controlled Contraception
 One of the most effective
contraception methods used today is vasectomy where the vasa deferentia are severed and sealed. With this, semen will be devoid of sperms so that women don't get pregnant on ejaculation. However, as vasectomy is an irreversible procedure, its pros and cons have to be considered before opting for it.
It is usually the man who has been married for a minimum of ten years that opts for vasectomies. It should be opted for if both the man and wife are content with the number of children they have, if the partner is unable to or cannot use any other birth control method or if the partner has a health problem where pregnancy is not advised.
However, it is better to forget about vasectomy if you have an unstable relationship, is not certain of having any more children, single, divorced or separated or is doing it just to please the partner. Sometimes men opt for vasectomy due to stress like an illness, financial problems or a death. However as this stress is temporary, it is better to have some counseling before making the final decision. Always think deeply about the consequences of vasectomy with your partner before deciding on it.
Some men worry that vasectomy may make him less of a man; this is not so as sterility has no effect on virility. There is no change on male characteristics, sex drive, the ability of getting an erection or the volume of an ejaculation with a vasectomy. It is not advised to take any aspirin, ibuprofen or ketoprofen two weeks after and before the operation as they thin the blood and cause bleeding. Acetaminophen is the preferred choice for pain relief.
Vasectomy is basically an out patient procedure where the patient is awake during the surgery. Local anesthetic is injected into the scrotum wherein a slight sting is experienced before the area gets numb. No pain is experienced during the surgery, except for slight tugging and pulling.
After the surgery, the incisions are bandaged and jock strap used for holding bandages in place and applying of pressure. An ice pack can be placed on the scrotum for relief from swelling. With the wearing off of the anesthetic, pain and cramping may be experienced which can be relieved with acetaminophen.
The patient is advised rest after the operation. Stitches dissolve in about ten days' time. It is not advised to bathe and swim for two days; no sports and heavy lifting for a week. However, if on a desk job, work can be resumed when the patient feels up to it.
Remember, though it is possible to have sex about three days after vasectomy, it is still possible to father a child in this period as there may be sperms in ducts to the penis. It takes about 20 ejaculations to flush this sperms out.
There may be some complications with vasectomy like bleeding in the scrotum, infection, scrotal pain or inflammation. The doctor should be approached if any of these symptoms develop.
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