Vasectomy ABCs: A Safe Procedure

A vasectomy is a permanent form of birth control for men. It consists of the ligation or cutting of the different ducts, which are the tubes that transport sperm from the testicles to the urethra. This procedure is safe, effective, and simple since it is performed in a doctor's office and lasts less than an hour. However, this is a surgery that patients fear, primarily due to the myth that it causes problems with sexual function. These beliefs are trendy in regions like Latin America. Here we will tell you more about it and solve your doubts about this procedure.

Vasectomy in Latin America

According to a study by The Lancet carried out in July 2022, the most used method of contraception is female sterilization, followed by pills, injections, and condoms. The last position is taken by male sterilization, that is, vasectomy. It is even below traditional methods such as withdrawal, menstrual monitoring, douching, and abstinence. Likewise, the Latin American country where vasectomy is used the most is Bolivia, followed by Colombia, Mexico, and Chile. However, the levels are still shallow.

How is a Vasectomy Performed?

Vasectomy is an outpatient procedure, which means that it does not require hospitalization, and the patient can return home after its completion without any problem. Local anesthesia is used to numb the area of the testicles and the vas deferens. Surgery as such consists of making a small incision in the skin of the scrotum to access the vas deferens. The tubes are cut or tied to prevent sperm from reaching the urethra and mixing with semen. After the procedure, rest and recovery are recommended to avoid discomfort and allow the wound to heal.

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Is a Vasectomy Effective?

Vasectomy is a very effective form of birth control; it has a 99.9% success rate. After a vasectomy, most men have shallow levels of sperm in their semen, dramatically reducing the chance of pregnancy. However, it is essential to note that a vasectomy is not an immediate form of birth control. It can take several weeks or even months before sperm levels in semen drop enough to prevent pregnancy. It is best to use another contraceptive method until the absence of sperm in the semen is confirmed through medical tests.

It is not a Reversible Procedure

Although a vasectomy is considered a permanent form of birth control, there are some cases in which a vasectomy reversal may be attempted. This is a more complicated procedure than the vasectomy itself, and it should be noted that it is not always successful. Its success rate depends on several factors, such as the time since the original vasectomy, the technique used, and the age and general health of the person who performed it.

This implies that those considering this option think carefully about their decision and consider vasectomy as a permanent form of birth control. It is a decision that must be made with great confidence.

Is it True that Vasectomy Affects Sexual Function?

One of the biggest myths surrounding vasectomy is that it can affect sexual function or cause impotence. The truth is that this procedure should not affect sexual function in most cases. After vasectomy, patients still produce testosterone and other sex hormones, and erection and ejaculation should function normally. Some men may experience pain or discomfort after a vasectomy, which usually disappears after a few days or weeks. If sexual problems arise after the procedure, it is necessary to consult an expert.

How to Access a Vasectomy?

The requirements and procedure depend on the country in which you live. In most cases in South America, it is a service provided to people over 18 years of age (16 in some countries) in the public health system. In other words, accessing it is a right and must be offered free of charge, although there may be obstacles to making it effective. There are also private medical services that provide it. Countries like Argentina, Uruguay, Mexico, or Colombia have laws regulating it, which is vital to know if you encounter impediments. Likewise, there are places where additional requirements are requested, such as having had a child or undergoing a prior evaluation, to determine approval. In Central America, so much progress has not yet been made in reproductive rights, so vasectomy can entail costs and not be guaranteed in the public service.