For whom is vasectomy suitable, for whom can it be recommended?
Vasectomy can be recommended for all men who decide that they no longer want to have more children. These are mainly men who already have several children, in most cases they already have 3 or 4 offspring.
Why consider vasectomy at all, what are the main advantages over other contraceptive methods?
The main reasons why men choose this option include, for example, the poor tolerability of hormonal contraception in women or for financial reasons, as hormonal contraception in women is also quite expensive. Since it is almost 100% effective, men continue to appreciate the option of having sex without a condom or intermittent intercourse.
What, on the other hand, must be considered before deciding to have a vasectomy as a man or before deciding to take the step together as a couple with a female partner?
This question must be properly discussed during the consultation, as it is an irreversible matter. Connecting the two ends of the already severed fallopian tubes is very difficult surgically. Therefore, if the couple decides to have further offspring, it is necessary to collect sperm surgically directly from the testicular or epididymal tissue.
What are the most common complications of vasectomies? Is there anything to worry about, or is it a routine procedure and nervousness is out of place?
Nowadays, it can be said that it is already a routine procedure under local or general anesthesia depending on the patient's preference. In the vast majority of cases, the procedure is already performed using the so-called scalpel-free method, where the fallopian tubes are severed from a small puncture in the scrotal area. After the procedure, unpleasant sensation in the scrotum and testicles may persist for several days, which will resolve spontaneously after a few days. Complications such as pain, bleeding or inflammation are reported in only a small percentage of patients.
Do you encounter a certain taboo among patients regarding vasectomies? For example, the reaction of the environment that a man loses his "manhood" and so on.
This used to be a big taboo subject that men were afraid to talk about, but with the development of information technology and the internet, these issues are being talked about more and more and the barriers are no longer as high. As far as 'manhood' is concerned, vasectomy has no effect on the experience of orgasm, erection or ejaculation. Ejaculation still occurs after the procedure, just without sperm, as the largest volume of ejaculate comes from the prostate and seminal vesicles. The vasectomy also does not affect the level of sex hormones, hence the overall libido.
