There are many birth control methods widely used in the world. Some of these must be applied by women, and some by men. I will try to explain it in the form of questions and answers for a better understanding of the subject.
Question: What are the birth control methods that men can use, what is the failure rate?
Answer: There are 3 birth control methods that men can apply.
1- Withdrawal: Just before ejaculation occurs during sexual intercourse, you end the intercourse and expel the semen. It is based on the principle of discharge. This method creates problems in getting pleasure for both parties and has a failure rate of 4-18%.
2- Condom: It is a frequently used, cheap and effective method. The failure rate is around 2-5%. It has disadvantages such as less pleasure during intercourse, the need to use it in every intercourse, the problem of sometimes destroying the condom used after intercourse, and side effects for those with latex allergy. An important advantage is that it prevents sexually transmitted diseases.
3- Ligation of sperm ducts (Vasectomy): It is the male version of the method of tying the tubes in women. However, while this surgery is a very complicated procedure in women, it is a relatively simple operation in men that takes about 15 minutes and is performed through a 2-3 mm incision. It is the most effective birth control method that is becoming increasingly common in the world. The success rate is considered 100%.
Question: Why is vasectomy not preferred frequently?
Answer: This is due to widely known misinformation on this subject. Men think that after this procedure, their eggs (testes) will be removed and they will not be able to have intercourse, ejaculate or enjoy intercourse. In short, they think they will lose their masculinity. The biggest reason for this is that it is thought to be similar to the sterilization process in animals. However, in vasectomy, the blood vessels leading to the testicle are not cut. Blood vessels not only keep the testicle healthy, but also carry the male hormone produced there. As can be seen from the figure, in vasectomy we cut the sperm ducts, not the vessels of the testicle. This does not cause any damage to the testicle.
Question: Will there be a change in my sexual functions after vasectomy?
Answer: As I mentioned above, just as tubal ligation does not cause any changes in women, It does not cause any sexual dysfunction, and the binding of sperm ducts in men does not cause any sexual dysfunction in men. There is no change in any of the issues such as erection, ejaculation, orgasm, sexual desire after the procedure
Question: How is vasectomy surgery performed?
Answer: It is a procedure that does not require hospitalization and is performed under local anesthesia, in which the bag above the testicles is cut approximately half a centimeter and the sperm ducts are tied and cut. The patient is laid on the table on his back, after the bags are cleaned with antiseptic solution, local anesthesia is applied with a thin needle to the right and left of the bag. A small incision is made here and the sperm duct is taken out, this duct is cut and placed back in. The skin incision is then closed with dissolvable stitches. A small dressing is applied.
Question: What should I pay attention to after vasectomy?
Answer: After vasectomy, rest for 2-3 days and control after 1 week are recommended. We usually need antibiotics or painkillers.
Question: When can I have intercourse after vasectomy?
Answer: The point that should not be forgotten here is that sexual intercourse should not be had without another method of protection, as sperm remains in the upper part of the cut duct for approximately 3 months after vasectomy. It is a guaranteed method to perform a semen analysis after approximately 20 ejaculations or 3 months to see that there is no sperm.
Question: What are the complications of the vasectomy procedure?
Answer. The complication rate is below 1%. The most common complications are bleeding, infection and the formation of a cystic structure called sperm granuloma in the operation area. Sperm granuloma does not cause any complaints. Infections are usually controlled with antibiotics. Bleeding is usually stopped with a dressing.
Question: Who can have a vasectomy?
Answer: 198 in our country According to the law no. 2827, adopted in 2003, anyone over the age of 18 can have a vasectomy with their own consent, or with the consent of their spouse if they are married.
Question: What can I do if I want to have a child after vasectomy? ?
Answer: We recommend vasectomy especially to people who are sure that they do not want to have children again. However, if she wants to have a child again for any reason, she can have a child using two methods.
1- Reconnection of sperm ducts: A surgery is performed in which the sperm ducts are reconnected with a larger incision in the same area using a microsurgical technique. It is a much more complicated and difficult operation than the first one and requires serious experience. The success rate is not very high and the cost is high.
2- In Vitro Fertilization: In vitro fertilization can be performed by surgically opening the eggs and removing the sperm from them. This method is also not guaranteed.
Read: 0
