Some basic considerations
In recent years, vasectomy has experienced a steady growth in its popularity amongst those seeking a permanent contraceptive solution.
This trend may suggest that more and more people are recognizing the overall convenience, safety, and reliability of this procedure, and with the introduction of the No-Scalpel Vasectomy (NSV) and the No-Needle Technique, this procedure has become even simpler.
SOME PERSONAL CONSIDERATIONS THAT YOU NEED TO THINK ABOUT BEFORE CHOOSING TO HAVE A VASECTOMY
Personal stress – do you think you might be making a hasty decision at a stressful moment in your life?
External pressure – do you feel pressured into making this decision by someone or by particular circumstances?
Relationship stability – do you frequently question the stability of your relationship?
Permanent contraception will not likely help you resolve problems you experience in any of these life areas.
VASECTOMY SHOULD BE CONSIDERED A PERMANENT AND NON-REVERSIBLE PROCEDURE
Vasectomy reversals (re-canalization) are not always successful. If you wish to do a re-canalization within 3 years following the procedure, there is a 30% chance of failure. This number rises considerably 10 years after the initial procedure. When both extremities of the testicle cords are reconnected, there is always a chance that the sperm cells will be sterile. This is because when men undergo a vasectomy, the body creates antibodies (anti-sperm cells). These antibodies are not dangerous for your health: the body simply deactivates the sperm cells as they are produced. Unfortunately, this makes the outcome of a vasectomy reversal unpredictable.
THE PHILOSOPHY OF YOU AND YOUR PARTNER WITH RESPECT TO ABORTION SHOULD BE CONSIDERED
If the both of you are not philosophically opposed to abortion, then you have a back-up plan should other forms of contraception fail. If this is your case, a vasectomy may not be critical to avoid an unintended pregnancy. You must keep in mind that if your partner gets pregnant, the choice is hers.
A special message for young men with fewer than two children.
If you are under the age of 30 and have less than two children, please consider the following points before having a vasectomy:
YOU MAY REGRET THE PROCEDURE
Men who have vasectomies when they are in their 20’s, especially if they have had fewer than two children, are the ones to most likely seek a vasectomy reversal later on, often regretting the vasectomy if their reversal is not successful.
MEN UNDER 30 YEARS OLD WHO DECIDE TO HAVE A VASECTOMY ARE 12 TIMES MORE LIKELY TO UNDERGO THE INVERSE OPERATION: A THREE-HOUR OPERATION THAT COSTS THOUSANDS OF DOLLARS WITHOUT ANY GUARANTEE OF SUCCESS
YOU MAY CHANGE
There are many men who, in their 20’s, believed that they would never want any children, only to be delighted with fatherhood when they were in their 30’s. You may be totally convinced now that you will never want children, but people change and you may have a very different outlook on fatherhood in ten years from now.
Some women who have no desire for children when they are in their early 20’s. However, when they are in their 30’s and they see that many of their friends are having children of their own, they may have a much stronger desire to become a mother.
Since more than half of marriages end in divorce, you may not be with the same partner ten years from now and a new partner may have a much stronger desire for children than your present partner does. Just because your present partner claims that she will never want children, her tune may change ten years from now, or she may not even be your partner in ten years.
CONSIDER SPERM STORAGE
Men who are considering a vasectomy should also consider sperm storage. Imagine if, years after your vasectomy, you meet a prospective partner with whom you fall in love with and you know that she will someday want children. In one scenario you would tell her: “I have had a vasectomy”, while in the other you would say: “I have had a vasectomy, but I banked sperm in case I meet someone special”. Sperm storage can be a very wise decision and be worth the investment.
DISCUSS YOUR DECISION WITH YOUR PARENTS
Even thought you are an adult, your parents helped you get to where you are today. Having a vasectomy is your decision, but you should grant your parents respect by letting them render an opinion. Is this something you would ever regret not telling them? In most cases, yes. Would you ever regret telling them? No.
If your parents discourage you from having the procedure done, it is because they know you better than any doctor would. One day, you may thank them. If they do not succeed in discouraging you, they may however, decide to split the cost with you for sperm storage, as they may feel much better about the procedure vasectomy if they know that you have a backup plan.