my wife is due to give birth any day now,and I'm going to get a vasectomy. Is there any place online where I can get a decent video of the procedure? Or if anyone would like to share their personal experience. you can IM me, screenname is kjay35 http://video.google.com/videoplay?docid=...
http://www.mayoclinic.com/health/vasecto...
Vasectomy: The right form of birth control for you?
Vasectomy provides a permanent form of birth control for men. Is it right for you?
Vasectomy is a surgical procedure that permanently makes a man unable to father a child (sterile). It involves severing and sealing the two tubes (vasa deferentia) that carry sperm from your testicles to your seminal fluid (semen). After the procedure, your semen will not contain sperm, so when you ejaculate during sexual intercourse, you'll be unable to get a woman pregnant.
Worldwide, about 50 million men have had a vasectomy. Each year, approximately 500,000 American men undergo the procedure. More American married couples rely on it for family planning than on any other method except female sterilization (tubal ligation) and birth control pills (oral contraceptives). Because a vasectomy often can't be reversed, you need to carefully consider the pros and cons before choosing it.
Who is it for?
Most men who seek vasectomies have been married for at least 10 years. If you're considering a vasectomy, it's essential that you and your partner both want a permanent form of birth control. Vasectomy may be an option if:
路You and your partner agree that you have all the children you want
路You and your partner are unable or unwilling to use another birth control method
路Your partner has a health condition that makes pregnancy unsafe
You may want to forgo vasectomy if you're:
路Unsure about having children in the future
路In an unstable relationship
路Motivated primarily by a desire to please your partner
路Young, with many life changes ahead
路Single, divorced or separated
路Counting on having children later by having the vasectomy reversed or freezing your sperm
It's not uncommon for men to consider vasectomy in response to a stressful situation such as an illness, financial setback, death in the family or birth of a child. Because the stress may be temporary, however, it's better to seek counseling or psychotherapy to help you cope than to undergo a surgical procedure you may later regret.
Before deciding on a vasectomy, you and your partner should consider its long-term implications. Ask yourself how you'd feel if you had a vasectomy and:
路One of your children died
路Your financial situation improved so that you could afford another child
路You and your partner separated or divorced, or your partner died
How do you prepare?
Doctors usually perform vasectomies in an office or family planning clinic. The cost ranges from $150 to $1,200, about one-quarter of the expense of the more complicated tubal ligation surgery used for female sterilization. Most insurance policies cover at least some of the cost.
After choosing a doctor, meet with him or her to discuss the procedure, risks and potential complications. It's best to include your partner in this initial consultation.
If you're worried that a vasectomy might somehow make you less of a man, now is the time to bring up such concerns. Your doctor can reassure you that sterility won't affect your virility. Because the testicles continue to produce the same amount of the male sex hormone testosterone after a vasectomy, the procedure should have no effect on your sex drive or your ability to get an erection. A vasectomy will not affect your body composition and other male characteristics. You'll still have the same muscle mass, facial hair and voice. Nor should a vasectomy noticeably reduce the volume of your ejaculate, since semen consists almost entirely of fluids produced by the prostate and other glands.
Two weeks before and after your vasectomy, don't take aspirin, ibuprofen (Advil, Motrin, others) and ketoprofen (Orudis) because they can thin your blood and cause bleeding. Instead, use acetaminophen (Tylenol) if you need to relieve pain.
Arrange for a family member or friend to accompany you to the office or clinic where the vasectomy will be performed and drive you home afterward. Your doctor may ask you to clean and shave your scrotum before surgery and bring a clean jock strap (athletic supporter) to wear after surgery.
How is it done?
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How vasectomy works
All vasectomies surgically interrupt the flow of sperm from your vasa deferentia to your penis. The most commonly performed procedures are a standard vasectomy, which takes about 30 minutes, and a no-scalpel vasectomy, which takes about 10 minutes.
During a standard vasectomy, your doctor:
路Injects a local anesthetic into the scrotum
路Makes a small incision on one side of the scrotum, locates one vas deferens and draws it through the incision
路Places two clamps on the vas deferens about a half-inch apart
路Surgically removes the segment of vas deferens between the clamps
路Seals one or both ends of the cut vas deferens with sutures, a surgical clamp or heat from an electric needle (cauterization)
路Removes the clamps, places the vas deferens back inside the scrotum and closes the incision with stitches or surgical staples
路Repeats the same procedure on the other side of the scrotum
During a no-scalpel vasectomy, your doctor:
路Locates the vasa deferentia under the skin and holds them in place with a small ring-shaped clamp
路Makes a tiny puncture with a sharp instrument
路Gently stretches the opening until the vasa deferentia can be pulled out
路Completes the procedure the same way as in a standard vasectomy
The advantage of a no-scalpel vasectomy is that it causes little bleeding, requires no stitches and leaves no scars. But it's more difficult to perform than a standard vasectomy is. Most doctors must perform about 15 to 20 no-scalpel vasectomies in order to become proficient at them.
What can you expect during the procedure?
Because vasectomy is a minor outpatient procedure, you'll be awake throughout the surgery. When your doctor injects local anesthetic into your scrotum, you'll notice a brief sting before the area goes numb. During surgery, you should feel no pain, but you may notice some intermittent tugging and pulling.
Immediately after surgery, your doctor may cover the incisions with bandages. You'll put on your jock strap to hold any bandages in place and apply some pressure. You'll rest for a while with an ice pack placed on your scrotum to reduce swelling. As the anesthetic wears off, you may experience some pain and cramping that can be relieved with acetaminophen.
After you return home, take it easy. You may experience several days of soreness, which you can treat with acetaminophen or, if your doctor prescribes it, acetaminophen plus codeine. You may also have bruising, but the discoloration should lighten and disappear after about two weeks. Any stitches should dissolve in seven to 10 days.
For the first two days after surgery, avoid bathing and swimming. Refrain from sports and heavy lifting for at least a week. If you have a desk job, you can probably return to work as soon as you feel up to it. If you perform physical labor or have a job that requires much walking or driving, talk to your doctor about when it's appropriate to resume working.
Results
Vasectomy has a success rate higher than 99 percent, making it one of the most effective forms of birth control. But it isn't effective right away. Although you can have sex as soon as three days after a vasectomy, you temporarily remain capable of fathering a child with the sperm that still remain in the ducts leading to your penis. It generally takes at least 20 ejaculations to flush them all out.
Use a backup method of birth control until you have a semen analysis. You'll need to have two such tests: the first about six weeks after surgery, the second about eight weeks after surgery. Only after two consecutive tests show no sperm in the ejaculate can you safely rely on vasectomy for contraception.
Risks
Vasectomy doesn't provide any protection any sexually transmitted diseases (STDs), such as HIV/AIDS, genital herpes or gonorrhea. Your best protection against sexually transmitted diseases is to wear a condom.
Although vasectomy is generally effective, there's slightly over a one-in-1,000 chance that you could father a child even after the eight-week check detects no sperm. That's because, in rare instances, the cut ends of the vasa deferentia can spontaneously reconnect, allowing sperm back into the semen.
Vasectomy may cause some complications. Problems that may occur after surgery include:
路Bleeding within the scrotum. This may lead to a collection of blood (hematoma) that causes painful swelling. You can reduce this risk by avoiding aspirin and following your doctor's instructions to rest after surgery.
路Infection. The incision site may become infected, causing redness and swelling. It can be treated with antibiotics, antimicrobial creams or both, along with several hot baths a day.
路Inflammation. Sperm leakage into the scrotum can prompt your immune system to form an inflammatory mass called a sperm granuloma. Usually, this reaction is mild enough to be treated with over-the-counter medications. Rarely, the mass can become so tender that it needs to be surgically removed.
路Scrotal pain. Up to one-third of men experience pain that persists longer than three months. Usually, it's mild enough to be treated with over-the-counter or prescription pain medications. But, rarely, it may be severe enough to require other treatment.
Call your doctor if you develop any of these signs and symptoms:
路Fever
路Swelling that worsens or won't go down
路Difficult urination
路A marble-sized lump in your scrotum
路Bleeding from an incision that continues after you've pinched the site between two gauze pads for 10 minutes
In recent years, some experts have voiced concerns that vasectomy may increase your risk of developing prostate cancer, testicular cancer, heart disease or osteoporosis. So far, no one has found evidence of a connection, despite several studies designed to detect such increased risks. However, men who have a vasectomy in their mid-40s or younger have about a two-in-10 risk of developing kidney stones, compared with a one-in-10 risk among men who haven't had a vasectomy. Drinking extra fluids may reduce this risk, which persists up to 14 years after surgery.
MORE ON THIS TOPIC
路Condoms: Effective birth control and protection from sexually transmitted diseases
路Kidney stones
Looking ahead
A new alternative to standard vasectomy is the Vasclip, a device approved by the Food and Drug Administration in 2003. This plastic clip, the size of a grain of rice, locks around each vas deferens and stops the flow of sperm. Preliminary research suggests it may cause fewer complications than standard vasectomy does, and may be reversed more easily. Researchers are also investigating a new technique that uses ultrasound to form sperm-blocking scar tissue in the vasa deferentia. It is simple procedure simillar to tooth pul. don't worry so much about it. Anesthetic is used and they don't let you watch. My wife was told that she had to get off of the pill because of a thyroid condition and I don't like wearing condoms, so since we are both older anyway. I went ahead and got a vasectomy.
It was a one day deal, I had to trim all testicle hair very close. The doctor made one small incision and pulled out both tubes, then he cut, tied and then cauterized all four ends. He put in one stitch and told me to go home and keep a cold pack on it for about three to four hours off and on. The best part is that you can totally get your wife to help you clear the pipes! Use a condom until your tests say that you are clear. Sperm can last awhile in your tubes. Good Luck (this also is a lot safer for a man then it is for a woman). Vasectomy, IVF (in vitro fertilization) treatment; IUI, ICSI and Laparoscopic surgery is very cheap in India. The cost is very low and the medical services are very good in India.
My cousin and her husband got their IVF treatment in India through the Forerunners Healthcare in India and is all praise for this company. She is a known case of PCOS.She is a very happy mother of a baby boy now. She just paid 2500 pounds for the full IVF treatment in India for which she was quoted 8000 pounds in private setup in UK.
Forerunners Healthcare is very famous in India. I read a lot about them in the newspapers. I have also read about a Chinese couple who planned surrogacy through the Forerunners Healthcare. They arrange financing for USA, Canadian, UK and other international patients who plan to have surgery and infertility treatment like IVF, IUI, and ICSI abroad for low price. They also have photos pasted of their International patients. You can checkout their website. There are huge cost savings. As a doctor I personally believe that surgery and treatment can be easily handled in India, as the quality of healthcare available In India is simply best in the world. The surgeons are USA/UK trained and facilities are 5 star.
http://www.forerunnershealthcare.com
Hope this helps. |
