Is there male contraception?


Yes. It’s called “Vasectomy”. For several years men have been a part of public health programs for contraception, however, still some men have many doubts about the procedure and avoid having it.

In this blog we will help to resolve the major doubts.

vasectomia21. What is a vasectomy?

It is an outpatient procedure performed primarily under local anesthesia where the aim is to prevent the passage of sperm from the testicle to the seminal vesicles, later to be expelled in the semen. There are different techniques, extracting between 1-2 cm of the vas deferens, cauterize (burn) a fragment of the vas deferens, put clips on it, among others. (1)

2. Are there complications?

Yes there are potential complications, the likelihood of their occurring is 1-2%, the main ones being the hematoma (blood collecting in the tissues), and infection; and less frequent, but with larger impact on the patient, is chronic pain which occurs in up to 2% of all complications. These figures vary with the experience of the surgeon and the criteria used to diagnose these conditions. (1)

3. How soon can I have sex?

The recommendation is to start subsequent sexual relations one or two weeks after the operation, and another method of protection should be used until the specialist indicates that the vasectomy can be used as a method of family planning. (1)

4. When can I use the method for birth control?

The method is useful after the urologist has carried out one or two control espermatogramas (analysis of sperm in the semen) after 90 days, or 20 ejaculations on the average, to finish evacuating the sperm left in the reproduction path, and sees no sperm present in the test results (called azoospermia) or up to 100,000 motionless elements. (1)

5. Is there risk of Prostate Cancer?

It has been a very controversial subject, because just as there are studies that show an association but not a direct cause (2), there are others which find no association whatever (3). However the vasectomy is still a recommended family planning method.

6. Is there a risk of having problems with erections after the procedure?

There is no risk associated with erection problems or erectile dysfunction, moreover it has been reported that after a vasectomy, for the patients there is a positive impact on sexual function, especially in sexual desire and satisfaction. (1), (4)

Vasectormia17. If I want more children after can be reversed?

Yes it can be reversed, however it should be noted that the rate of effectiveness of the reconnection working, or vasovasostomy, mainly depends on the surgeon’s experience, the time the patient has with the vasectomy and its particular features. There are different techniques, it has even been done using robotic surgery. (5)

8. Are there any other contraceptive methods for men?

Yes there are other methods, the most common is the barrier method or condom. And there are many efforts to create a pill but it has not yet been approved by the Food and Drug Administration (FDA) and therefore has not entered the market.

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1. J Urol. 2012 Dec;188(6 Suppl):2482-91. Vasectomy: AUA guideline
2. J Clin Oncol. 2014 Jul 7. pii: JCO.2013.54.8446. Vasectomy and Risk of Aggressive Prostate Cancer: A 24-Year Follow-Up Study.
3. Zhonghua Nan Ke Xue. 2009 Jun;15(6):545-50. [Vasectomy not associated with prostate cancer: a meta-analysis]
4. Int Braz J Urol. 2005 Sep-Oct;31(5):452-8. Assessment of sexual function in patients undergoing vasectomy using the international index of erectilefunction.
5. Fertil Steril. 2014 Oct;102(4):939-49. Robotic-assisted laparoscopic surgery: recent advances in urology.