User:Mr. Ibrahem/Vasectomy

Vasectomy is a surgical procedure for sterilization of males. At least 3 month and 20 ejaculations are generally required for effectiveness, which should be confirmed by semen analysis. Failure rates at this point are about 1 in 2,000. It is generally a permanent method of birth control; though, reversal methods include vasectomy reversal and sperm retrieval with in vitro fertilization.

While generally safe, side effects in 1 to 2% may include hematoma or infection. Postvasectomy pain syndrome may occur in up to 6%. It does not alter sexual function. It generally involves removing a piece of each vas deferens and sealing the ends which prevents sperm from entering the penis and thereby preventing fertilization.

The procedure is often carried out in a warm doctor's office. Numbing cream may be applied before injectable freezing. Hair is removed and the area cleaned. The vas deferens is brough near the skin at a point halfway between the testicle and penis. To reach the vas the overlying skin may be cut with a scalpel or opened with dissecting forceps in the no-scalpel technique. A segment of vas is than removed with the remaining ends clipped or tied closed and cauterized. Paracetamol (acetaminophen) and NSAIDs may be taken for pain. Heavy lifting and sex are not recommended for a week afterwards.

The procedure was first performed in 1899 by Reginald Harrison. As of 2020, it is used by 17 million reproductive aged women (1.8%) as a method of birth control. This is a decrease from 6% in 1995. In the United States the procedure generally costs less than 1,000 USD as of 2021; which is less expensive than tubal ligation.