Inventory of Common Contraceptive Methods-Male Sterilization

I remember when I was in college, the professor once said: men and women are not equal. Female compatriots are much more traumatic and risky to undergo sterilization, but the masters are still unwilling to do it by themselves. They are always afraid of having undergone surgery and cannot do it themselves. Think about it, too, but “semen” has been raised to a special height in our traditional culture.

However, I can tell you here that When it comes to male sterilization, Don’t feel cold in your legs, A little scared, Hey hey, it’s okay, It will never be like the father-in-law in the ancient palace or the pet hospital did to Xiao Mao and puppies. Male sterilization refers to the surgical operation or operation to block the passage through which sperm passes, that is, the vas deferens, so as to achieve the goal of no longer having children. You should understand by now that if you just cut off the route of sperm, you will not lose any parts.

There is also a “but”. Girls, don’t rush to put their husbands into sacks and carry them to the hospital. In fact, there are still many contraceptive methods to choose from. Listen to me first and then slowly choose.

First, is what ligated?

Ligation is a way of male sterilization. The operation site is the vas deferens. As the name implies, it is to tie up the vas deferens and do not let sperm pass through. In addition to ligation, it can also be clamped, injected with sticky substances, or blocked by electric coagulation and burning (do you smell burnt paste? ), equivalent to building a dam on the river, do everything possible to prevent the “tadpole”-sperm swim past, naturally there will be no combination of sperm and egg, to achieve the purpose of contraception.

Vasectomy is the most common male sterilization operation. It has been used since the early 19th century. In the early years, it was also used as a treatment method to enhance sexual desire or reduce sexual impulse. It is known as “rejuvenation”. The operation process is also quite simple, groping through the scrotal skin on both sides to find the vas deferens on both sides, making a small incision of 0.5 cm respectively, picking out the vas deferens and cutting off a small segment, binding the two ends respectively, and sewing one needle into each of the two wounds.

2. Comparison with tubal ligation

Vasectomy is far superior to tubal ligation in terms of technical convenience, safety, economy and subsequent treatment.

The anatomical position of vas deferens is superficial and can be touched through the scrotal wall. The operation only requires local anesthesia, and the probability of complications such as postoperative infection is relatively low, with little risk and pain. While fallopian tubes are located in pelvic cavity, with large incision, relatively complicated operation, and high risk of damaging intestinal tract, ureter and other surrounding organs and tissues.

In addition to these problems, if contraception fails after tubal ligation, because the migration pathway is damaged and sperm and egg cannot reach the uterus after combining, they will find a place to live casually, causing ectopic pregnancy.

If female compatriots who have undergone tubal ligation want to regain their fertility and connect the fallopian tubes again, it is far more complicated than the operation of recanalization of vas deferens.

Three, the male compatriots don’t act quickly, still worried about what?

1. After ligation, will it be blocked?

The students who asked this question are also very cute. Ligation only blocked the way out of sperm, but more than 90% of semen is water! Semen is mainly composed of seminal vesicle gland and prostatic fluid. Ligation will not affect the function of these two glands. Ejaculation can be done after ligation, but there are no more sperm in semen. As for the little thing that is missing, you will not feel it.

Curious, you will surely ask, where is the… Where is the sperm?

Testes still produce sperm, but the sperm that cannot run out will be [eaten], decomposed and absorbed by the surrounding cells, and finally your children will finally merge with you.

2. Will it [fail] after ligation?

This may be the most worrying problem for many male compatriots. Without sperm, there will be no vigor and vitality. Will there be no more glory? First, ejaculation is a complex neurosomatic reflex, But it doesn’t involve the vas deferens at all, Ligation does not affect the anatomical and physiological basis required for this reflex process, Therefore, it will not affect that kind of pleasure. Secondly, according to the existing literature, there is no definite evidence to prove that vasectomy has a negative effect on men’s erectile function, sexual satisfaction, etc. Some reports even find that some men perform better after vasectomy (huh? Do you think you don’t need contraception any more and you can do whatever you want without fear of consequences? ). Despite this, some men will feel that their sexual function has declined after ligation due to psychological effects… Please, the more worried, the more concerned, the more concerned, the worse the performance.

Four, male compatriots also don’t worry, still have to remind you before the action, “tie” before, to think twice yo:

1. Ligation is not something you can do if you want. Although it is simple, it cannot be done casually. First of all, we should report and discuss with the family leaders. If the wife wants her husband to do it, don’t be dizzy and carry it to the hospital. In addition, if you suffer from systemic infection, genitourinary system infection, serious varicocele, scrotal skin diseases, etc., you should do it again after cure. Patients with severe anemia, bleeding tendency, mental diseases, etc. are not suitable for vas deferens ligation.

2. Although the ligation operation is small, There is also a risk that vasectomy is less traumatic and safer than tubal ligation. But don’t take bean bags as dry food, Even the smallest operation is an operation, There are various risks such as infection and hematoma in surgery. Choose a regular hospital, Can reduce these risks as much as possible. Sometimes, the operation site will leave a small nodule, produce different degrees of pain, called painful nodules, can be caused by infection, hematoma, thread head foreign body and other factors, individual may be neurofibroma or sperm granuloma. Other patients will have epididymal siltation, epididymal repeated swelling pain and so on.

3. After ligation, the condom cannot be lost immediately. Many male compatriots are quite gentlemanly and can bear it very well. They tie it first and then can’t wait to enjoy the love without diaphragm. Then I have to say loudly: Don’t panic!

As mentioned earlier, vas deferens ligation is equivalent to building a dam to prevent [tadpoles] from swimming downstream. If two tadpoles are already downstream before damming the river, the dam will certainly not stop them. Who says they have no chance to become frogs? And no one can absolutely guarantee that there is no gap in the dam, and there will be no one or two tadpoles drilling past. Therefore, in the early stage after ligation, it is better to use condoms for a period of time. Wait until two months later or at least 10 times of sperm discharge, it is best to have semen tests prove that there is no sperm, and then start a life without distance.

There is also a kind of people, Wei Xiaobao is reincarnated and always wants to drive without wearing a seat belt. First, these people are really more suitable to be tied to chairs. Second, they are sometimes afraid of car accidents, In order not to be called Dad by a large group of children at the critical moment of running for governor like Mark Twain, To ligate. But if you don’t need a condom after ligation, it is inevitable that bacteria, fungi and viruses will flow upstream or downstream. This is also one of the most criticized shortcomings of male ligation, which will make people relax their vigilance intentionally or unintentionally. In fact, if this kind of male compatriots do ligation, it is no different from seeking fish from trees, putting the cart before the horse, condoms are their first choice.

4. Think again before Za said it was [think twice], this seems to be the fourth…

After vasectomy, if you want a baby again one day, you can do vas deferens recanalization to restore the vas deferens unobstructed. Although the success rate of vas deferens recanalization is higher than that of fallopian tube recanalization, there is no guarantee that fertility can be 100% restored.

Five, is ligation recommended?

Ligation is more suitable for people who do not have fertility requirements. There are many ways to use contraception for a long time. Both tubal ligation and vas deferens ligation are invasive methods, with greater risks than condoms, short-acting contraceptives, intrauterine birth control systems, etc. Before making a decision, consider your actual situation and the physical condition of both partners. There is no best contraceptive method, only the one that suits you best.