Vasectomy (male sterilization) is a freewill surgical procedure to terminate male fertility, i.e. sterilization. During a vasectomy, the vas deferens on the right and left are crossed, through which already matured spermatozoa enter the ejaculatory duct in the penis.

Vasectomy (vasoresection) does not affect the production of testosterone, which is responsible for a man's sexual desire, potency and typical masculine traits. Ejaculation and orgasmic experiences persist. Spermatozoa make up only a small part of the sperm. Therefore, even the volume of sperm ejected does not change significantly.

Vasectomy is the most widely accepted, simplest, easiest and most reliable method of male contraception.

Indications for surgery: unwillingness of spouses to have children for social and medical reasons and intolerance to other methods of contraception. The medical basis can be mental or hereditary illness.

Before the operation, a man must be completely confident in his decision and choice of a surgical method of contraception, which is an irreversible way to prevent pregnancy.

It is better to postpone the operation if the man is not married, has no children, if he has family problems, or if the man has not discussed the issue of vasectomy with his wife.

The complete absence of sperm in the ejaculate is achieved about 3 months after the operation or about 20 ejaculations, so up to this point, condoms or other methods of contraception should be used to reliably prevent pregnancy.

The main disadvantage of a vasectomy is its irreversibility. If a man wants to become a father again, then physiologically this is no longer possible.

Article author:
Leonid Maksimenko
urologist, andrologist, doctor of the highest category
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