Male sterilization (vasectomy) is safe, has a high success rate, and can restore fertility
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A common method for men to use contraception is to wear a condom during sexual activity, but some men who say 'I have no intention of having children anymore' perform sterilization (pipe cut) to lose their fertility. Some people get rid of it. The Comversation summarizes the question of how such a vasectomy works and whether a vasectomy can regain fertility.
Explainer: how does a vasectomy work and can it be reversed?
https://theconversation.com/explainer-how-does-a-vasectomy-work-and-can-it-be-reversed-110780
Some men may think that it's ridiculous to lose fertility, but for men who have a life and family plan and feel that it's a problem to have more children. Vasectomy is a very effective option. Even if you don't use contraception every time, if you eliminate the sperm in the semen by vasectomy, you will not inadvertently become pregnant after that.
Generally, a pipe cut is a vasectomy that removes the vas deferens that carry the sperm stored in the male testicles to the penis. Sperm carried in the vas deferens is mixed with semen in the prostate and released with semen by sexual activity. Therefore, just because the pipe is cut does not mean that the semen itself does not come out, and the semen that does not contain sperm is released even after the pipe cut. In addition, sperm accounts for about 2 to 5% of the total semen, and it seems that the amount of semen does not change even after pipe cutting.
Vasectomy surgery is often performed by local anesthesia, and the surgery is usually completed in about 15 to 30 minutes. If you do not use a scalpel, use a special instrument to access the vas deferens and make a vasectomy without making a hole in the scrotum and making an incision. Traditional surgery, in which a surgeon makes a slight incision with a scalpel, is still performed, but piercing surgery is said to be a better procedure because it requires less wounds and less burden on the patient. I have.
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Most surgeries remove about 1 to 2 cm of the vas deferens, and the vas deferens are adjusted so that they do not recombine naturally after surgery. There are two ways to close the end of the vas deferens: burning the end of the vas deferens and closing it, and connecting the vas deferens. Some people are worried that vasectomy will prevent the penis from erecting, but since vasectomy does not affect the penis itself, sexual activity itself is possible even with vasectomy. is.
With the development of medical treatment, the success rate of vasectomy has reached more than 99%, and the risk of complications such as infection and internal bleeding is very low at 1 to 2%. This risk is even lower with surgery that does not use a scalpel. Also, about 2% of men complain of scrotum pain after a vasectomy, but with the 'open-ended method', where the end near the scrotum of the vas deferens is left open without closing, the scrotum is used. It is said that the pain in the scrotum can be minimized. At first glance, it may seem inconvenient not to close the vas deferens near the scrotum, but open-ended vasectomy, which causes less postoperative pain, has become popular in recent years. matter.
One thing that people who have had a vasectomy should not forget is that 'sperm remains in the vas deferens for some time after surgery.' Therefore, it is necessary to ejaculate several times after the pipe cut to get rid of sperm, and it is said that the effect of infertility can be confirmed about 3 months after the operation. If you have sexual activity during that period, you must use a condom to contraceptive.
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In addition, some people want to 'regenerate fertility after all' after undergoing vasectomy, and 3 to 6% of those who have undergone vasectomy choose vas deferens recombination surgery. matter. About 80% of the cases of vas deferens recombination are said to have succeeded in pregnancy again.
The shorter the period after vasectomy, the more likely it is that the vas deferens will be recombined and the fertility will be restored, and the open-ended procedure will increase the chances of recovery of fertility. On the other hand, it is possible that the lost fertility will not be restored, so careful consideration should be given when choosing a vasectomy.
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