Vasectomy: sterilization of a man
The family planning is completed, the partners are looking for a reliable method of contraception. As a, you must not think, while one is dedicated to the most beautiful thing in the world. Time for sterilization? The perfect method of contraception does not exist, therefore the individual’s needs and life circumstances must be taken into account. For couples older than 30, have already had children, or safe, to want no more, is a surgical procedure for sterilization is an effective and very safe Alternative to all other methods. However, this step to permanent infertility is almost always irreversible – not to regret it later, should be the Partner, ensure that your setting get not change. In Germany, subjected to currently, approximately 1.5 million women a sterilization, which corresponds to approximately 8% of all women in the reproductive age. For men, there are about 3% of men in the child-bearing age – and the trend is increasing.
Sterilization in the case of a man and a woman
With the sterilization of the natural way of the sperm is blocked, whereby the egg can not be fertilized. Sterilization out of the question for the Couple, you must consider who runs the Operation. To take account of age, present diseases and mental resilience. Before making a final decision, the Partner should definitely see a doctor about the exact procedure, risks, and consequences. Also advice such as Pro Familia, the help can give you make position.
In principle, the procedure in men is smaller, faster and less complications. It can be either as an outpatient under local anesthesia is carried out, while the woman is under General anesthesia must be sterilized.
Vasectomy: no side effects
Most of the men, the decision for sterilization is made easier when you know that then the desire to have Sex is impaired as little as erection and ejaculation. Since the seminal fluid is only a small part of sperm, their consistency, quantity and color unchanged. Also, the hormone production is not affected, since the hormones are transported through the bloodstream. Many men even report a positive influence on your sexual life, probably because this can develop without the fear of unwanted pregnancy-free.
The expiration of the sterilization
Sterilization of the man is almost always performed under local anesthesia on an outpatient basis in a doctor’s office or clinic. The Patient need to shave prior carefully the abdomen. The doctor disinfected a large area and employs a number of anaesthetic injection in the groin area and the scrotum. He waits a few minutes for the drugs to work.
The VAS deferens in the two testicle sacks are successively operated. A small incision is made in the scrotum, the VAS deferens is exposed, pulled out and separated. From the seed head of a 3-5 cm piece is removed, the two Ends are welded with a resorbable thread sewed or with Clips closed. After that, the skin of the scrotum is sutured.The procedure itself is pain free, the first few days after that, there may be slight pain and swelling.
What happens after that
Possible, but rare complications, especially bleeding, infection, and adhesions. In rare cases, it can lead to spontaneous Re-growth of severed VAS deferens. Up to 12 weeks after the procedure can still blow sperm in the semen and in the semen for the presence, and lead to fertilization. During this time, so it is theoretically possible to be in spite of sterilization pregnant. Therefore, the Pair must prevent during this time, and several samples of semen to be checked in a semen analysis, usually after 6, 12 and 18 weeks.
It is only when two of these specimens are sterile, it is used to declare the Operation as successful. The testicles produced by the way still sperm, however, are broken down by the body again and their number decreases with time.
Assumption of costs: health insurance vs. yourself pay
In contrast to the past, the cost of a sterilization of the man is no longer taken today in the rule of the health insurance Fund. This is especially true if the procedure is carried out only on the basis of the personal life planning. Exceptions are Vasectomies, which are medically necessary. Private health insurance companies, the costs are covered only when the procedure is performed for health reasons. The cost for a vasectomy is expected to be around 400 to 600 euros.