Monthly Archives: July 2013

How to Talk about No Scalpel Vasectomy to Your Husband in Minnesota (2)

Women in Minnesota truly carry significant burden of responsibility for birth control. After you learn the fact that no scalpel vasectomy is a safe, minimally invasive and highly effective male contraception, and that most insurance plans in Minnesota cover vasectomy, some of you may wish that your husband could share responsibility in contraception. How do you talk to your husband about it?

1.You should not force our husband to do the vasectomy, after all, it is his body and his vas. He should feel the freedom to say yes or no.

2.Explore all options with your husband first, then discuss the pros and cons without bias. People are most able to take in information when they can let their guard down. In other words, have this part of the process be as neutral as possible. If your husband feels pressure, he is less likely to fairly weigh the options.

3.Find a good time to discuss the birth control issue.

4.Take your time, and be patient. Let your husband to do his own research online or talk to friends who have had vasectomies.

5.After finding out more about the no scalpel vasectomy, he will probably discover that the procedure is actually quick, easy, and has a smooth recovery. When men make the vasectomy decision, they can feel a great weight lifted off their shoulders that they no longer worry about future pregnancy. They might also feel proud of themselves for sharing the responsibility in the family planning.

How to Talk about No Scalpel Vasectomy to Your Husband in Minnesota(1)

Many women in Minnesota do not enjoy taking birth control pills. Some of them forget to take them every day. This is one of reasons why birth control pills fail. Other people suffer from the side effects. But many women still take it because they and their partners have to use something for birth control.

If a couple in Minnesota choose to use a condom, the failure rate will be much higher than other birth control methods. It also affects their passion and dynamic during the love-making process. “Honey, I have to put it on first”.

If women in Minneapolis choose IUD, they would have to do a small procedure in the doctor’s office. Some women may develop excessive bleeding, ectopic pregnancy or increase the chance of pelvic infection. Otherwise, IUD is a reliable and reversible birth control method, but it is not very popular in the US.

If women in St Paul choose to get a tube ligation, they would have to go through a surgical procedure under general anesthesia in the hospital with significant expense. The tube ligation surgery has a higher complication rate than other birth control procedures. Other tube blocking methods are also options with slightly higher failure rate.

Many women in Minnesota know that no scalpel vasectomy is a very safe and simple office procedure for male sterilization. and it is a better birth control option for many couples in Minneapolis and St Paul. They prefer their husbands to share birth control responsibility. The question is, if women want their husband to get a no scalpel vasectomy, how do they talk to them about it? We will give you the advices in the next blog.

Reasons for Men in Minnesota Resisting Getting a Vasectomy (2)

• Sexual dysfunction – A deeper psychological reason men in Minnesota have against vasectomies is that they are worrying about their sexual function and masculinity. The psychological issue is that if men cannot impregnate a woman anymore that makes them less of a man.
Reality: A vasectomy does not reduce a man’s sexual drive or his ability to have an erection or enjoy sex. The procedure only blocks sperm and simply prevents the possibility of conceiving a child. There’s no effect on “masculinity”. The man’s body continues to produce hormones as before and testosterone continues to be produced and released into the bloodstream.

•Worries about permanency – Men in Minnesota know that a vasectomy is a male sterilization and a permanent method for birth control. This becomes another reason for men to resist vasectomies. With a divorce rate of more than 50% and deadly accidents and diseases, the chances of remarriage are much higher than decades ago. What if you get remarried, and you and your new partner want to have another child?
Reality: You want to have a vasectomy now because you don’t want to anymore kids, period. We cannot predict the future. But if you truly change your mind, or if your new wife wants to have kids, you may consider a vasectomy reversal (60% success rate) or vitro fertilization, however both are fairly expensive. Also, the reversible vasectomy with a plug may be in the market in the near future.

• Procedure failure – Men also worry about a vasectomy failure , as many of them really don’t want kids any more. They may have heard stories of how a vasectomy failure changed his friend’s life.
Reality: Vasectomies are almost 100 percent effect and very reliable. The traditional vasectomy failure rate was about one to three per 1000, while a no scalpel vasectomy with fascia clip technique had a significantly decreased failure rate (less than one per 2000). There has not been a single case report from the hundreds of vasectomies performed in Dr. Shu’s office over the past 10 years.

• Complications – Any procedure could have potential complications. Men in Minnesota are afraid of vasectomy complications which may affect their sexual organs.
Reality: There are few risks involved with vasectomies. The most common complications are bleeding and an infection, it can be easily controlled with an evacuation and antibiotics. We have not seen a single case with large hematoma or infection in the past 10 years.

Reasons for Men in Minnesota Resisting Getting a Vasectomy (1)

Thanks to the Internet, men in Minnesota are getting more education on male birth control. They are more comfortable to make the biological decision and get a vasectomy done.

There are many reasons men resist getting a vasectomy, even no scalpel vasectomy.

Pain: Almost all men in Minnesota fear the idea of having surgery anywhere near their genital regions. This is probably the number one reason on the list. Fear of pain causes anxiety and makes it hard for men to make their decision.

Reality: Local anesthetic is given gently with a hair-sized needle or jet spray without causing any significant pain which completely numbs the area, so there should not be any discomfort or sensations during the procedure. If patients feel mild discomfort and/or aching in the first couple days after the anesthetic wears off, medications or ice packs can be used. It is important to understand that vasectomies are generally much less invasive and painful than surgical options for the woman. Moreover, no scalpel vasectomy is even less invasive with a tiny skin puncture and causes much less pain than traditional vasectomy. Patients in Minneapolis and St Paul are recommended to ask questions and consult doctors about any risks and concerns in order to relieve anxiety. We constantly get positive feedback from all patients, and they say that it was much simpler than they thought.

Australia’s Live Vasectomy in Front of Audience

Last week, TIME reported that the Royal Institution of Australia in Adelaide is looking for a few incredibly bold men to undergo vasectomies in front of a live audience. Why? To get people talking about it. That’s right, the institution is planning to hold a number of public vasectomies later this year. According to TIME, the institution’s program manager, Lisa Bailey, said the organization was hoping to encourage wider and more open discussion on male contraception and population control.

Concepts of Non-hormonal Male Birth Control | Minnesota

Over the past decade, several concepts of non-hormonal male birth control were developed. Researchers use the molecular biology technology to target the sperm.

These ideas include:

  • paralyzing sperm by blocking Cs protein in the sperm. Cs protein is related to the mobility of sperm’s tail.
  • blocking sperm maturation by turning off a trigger protein
  • stopping the sperm production by medication or compound

Blocking the vas deferens with implants or plugs is another approach for male birth control. One of the most promising male birth control options under investigation is reversible Inhibition of Sperm Under Guidance (RISUG), also known as VasalGel. It was developed by Indian scientist Sujoy Guha. The procedure is very simple; a gel form of nontoxic polymer is injected into vas, and the gel coats the interior of the vas deferens and immobilizes sperm. An injection is able to sterilize men for 10 to 15 years. It is also completely reversible with a follow-up injection that dissolves the gel.

As of right now, no scalpel vasectomy is the best bet for Minnesota men, as it is safe and effective!

Male Birth Control Options in Minnesota

There are numerous birth control options available today, everything from the oral birth control pill and intrauterine device (IUD) for Minnesota women, but men in Minneapolis & St Paul have very limited options for male contraception on the market. The main ones are abstinence, rhythm method, withdrawal, condoms, and vasectomy. Given this lineup, there is certainly room for more reliable contraceptives for men. Yet some men in Minnesota complain that none of those options allow them to fully enjoy sex, as condoms may reduce penile sensation, for instance, and vasectomies require a surgery.

A male birth control pill certainly sounds like an attractive idea. But after the millions of dollars of research in the past several decades, there’s still no pill. Pharmaceutical companies and medical researchers have investigated long-term, reversible forms of birth control designed for men, and all have fallen short.

We believe that a male birth control pill can be developed in the future, but it is definitely not easy. Here are possible reasons.
• Side effects. Researchers discovered that the high dose of testosterone approach comes with a host of physical side effects, including acne, weight gain, prostate-gland growth and abnormal liver function.
• The effects of hormone-based male pills varie with a man’s ethnicity. Works for some, but not all.
• International pharmaceutical corporations all dropped their male birth control development programs, without financial assistance from a pharmaceutical company.
• Even a magic pill is developed; two big questions still surround its possible use: will men take it? Will women trust them to take it?

Despite all of this, there is still a healthy interest in a male birth control pill or non-hormonal options. One thing seems to be clear: given the safety and effectiveness of vasectomy, and fact that there is no daily compliance issue with vasectomy, any new option for male contraception has to be this good or better. In the next blog, we will talk about a reversible vas-blocking procedure in the future.

Talking to Your Partner Before You Make the Permanent Decision | Minnesota

No scalpel vasectomy procedure is considered permanent birth control ( male sterilization), and the decision to have it done should not be undertaken lightly. Although surgical techniques and technologies now exist in Minnesota that makes it possible to reverse a vasectomy, it will be more complicated and expensive. Moreover, insurance plans in Minneapolis & St Paul usually do not cover the cost of a vasectomy reversal. Other options such as vitro fertilization are even more expensive.

So before you decide if a no scalpel vasectomy is the right choice, you should talk to your partners. The conversation should cover several topics.

  • Why do you want it?
  • What are other birth control options?
  • Do you think your family is complete?
  • Do you want to have more children in the future?
  • Are there any problems in your marriage or sexual difficulties? (understand that a vasectomy will not solve these problems)
  • Any emotional or financial reasons? (wrong reasons)

The decision of a vasectomy based on the right reasons will avoid your regret and bring high satisfaction levels in emotional and sexual relationships with your partner.

No-Scalpel Vasectomy Techniques in Minnesota

No scalpel vasectomy is the preferred method in male sterilization in Minnesota. The procedure is usually done in an office setting under local anesthesia and the procedure takes about 20 minutes.

Many surgeons in the Minneapolis and St. Paul areas claim that they perform no scalpel vasectomy. It is true that they don’t use a scalpel at all during the vasectomy, but there are differences in actual surgical techniques. Some surgeons in Minnesota cut off the small segment of vas only; others cauterize the ends of vas after cutting off. A few surgeons like Dr. Shu also perform the fascia interposition on top of cutting off vas and intraluminal cauterization.

What is fascial interposition in no scalpel vasectomy?

The fascia is a fibrous protective sheath that surrounds the vas deferens. Fascial interposition is the positioning of the prostatic “distal” end of the vas deferens to the outside of the fascial sheath while leaving the testicular “proximal” end within the confines of the fascia.

Why does Dr. Shu perform the fascia interposition on top of cutting off vas and intraluminal cauterization?

The failure rate of traditional vasectomy without fascial interposition is about 1-3 per thousand. Recanalization of the vas deferens is the main cause of vasectomy failure . Fascial interpositionhelps to prevent this type of failure, increasing the overall success rate of the vasectomy. This method, when combined with intraluminal cautery, has been shown to decrease the failure rate of vasectomy procedures. The failure rate of no scalpel vasectomy with intraluminal cautery and fascial interposition is below 1 per 2000 cases.

Comparison between Vasectomy and Tubal Ligation | Minnesota

Every couple in Minnesota whose family is complete may consider permanent birth control. The sterilization procedures include vasectomytubal ligation, or tubal blocking. Both men and women should know and compare the differences, benefits and risks of these procedures. For most couples, vasectomy is often the safer, simpler and more affordable. There are ample medical and personal reasons why a couple might prefer vasectomy to tubal ligation or blocking. This blog may help you make a more informed decision.

Tubal ligation in Minnesota is usually laparoscopic procedure that involves hospitalization, general anesthesia and lengthier, more complicated surgery than a vasectomy. In comparison, no-scalpel vasectomy may be completed in minutes with minimal trauma.  Tubal ligation requires much longer recovery time than no scalpel vasectomy. Moreover, Women are more likely to have the immediate and long term complications related to a tubal ligation than men who have a vasectomy.

Vasectomies are usually outpatient procedures performed in the doctors’ office and usually take less than 20 minutes to complete. No scalpel vasectomy has a very quick recovery and very low risk of complications.

When it comes to cost, a simple office vasectomy is more than three to four times less expensive than a routine tubal ligation.

An advantage of tubal ligation is that it works immediately, but a vasectomy doesn’t give you instant result, it requires 15-20 ejaculations in the period of 2-3 months. So you have to use a backup method of contraception until you’re in the clear in semen analysis.

The Essure and Adiana devices, which are inserted into the Fallopian tubes, are new alternatives to traditional tubal ligation in Minnesota; it requires a confirmation in 3 months with an x-ray test called a hysterosalpingogram to ensure that they’re installed properly.  Another form of birth control must be used in the first 3 months. These tubal blocking procedures are less invasive than tubal ligation, but failure rates are higher in tubal blocking procedures than tubal ligation and no scalpel vasectomy.

People in the Minneapolis and St Paul areas should discuss these issues with your physician in the initial consultations, however, when it comes to risks, benefits, cost, and effectiveness, no scalpel vasectomy is more often the best option of sterilization.

Beauty of No-Scalpel Vasectomy in Minnesota

Vasectomy is the surgical process of blocking the vas deferens (the tube that delivers the sperm from the testis to the penis) in order to prevent conception. It is the most popular form of male contraception in Minnesota and the United States. Each year, more than half million men worldwide choose to get a vasectomy. Since vasectomy simply interrupts the delivery of the sperm, it does not change hormonal function and sexual drive. Vasectomy has been proved to be free of known long term side effects, and Vasectomy is considered to be the safest and most reliable method of permanent male sterilization.

No Scalpel Vasectomy procedure was developed in the early 1970s in China. It is just as effective as traditional vasectomy. Almost 20 million No-Scalpel Vasectomies have been performed around the world. It has become more and more popular in the Minneapolis and St. Paul areas over the past decade, and no scalpel vasectomy becomes a minimal invasive office procedure.

As compared to conventional vasectomy, the beauty of no-scalpel vasectomy includes:

  • No incision with a scalpel–only a tiny puncture
  • Quicker procedure
  • Less Trauma
  • No stitches
  • Less discomfort
  • quicker recovery (2-3 days)
  • Less chance of complications

Overview of Vasectomy in Minnesota

A vasectomy is a minimal invasive surgical procedure that closes off the vas deferens in the scrotum, effectively sealing off the tubes that carry sperm from the testicles out. It usually is performed in the office under local anesthesia.

Vasectomy is considered a permanent form of male birth control. Before you consider a vasectomy, you should be certain you don’t want to father a child in the future. Although it may be possible to reverse your vasectomy if you change your mind in the future, there’s no guarantee it will work. Vasectomy reversal surgery is more complicated than vasectomy itself, it can be expensive and is ineffective for many men in Minnesota.

A no-scalpel vasectomy is a type of vasectomy procedure where there is virtually no big incision involved.  For most men in the Minneapolis and St Paul areas, a no-scalpel vasectomy doesn’t cause any noticeable side effects, and serious complications are rare.

The common complications right after surgery include bleeding, infection, mild pain and swelling. Delayed side effects include sperm granuloma (sperm collection),chronic post vasectomy pain (rare). Many men in Minnesota worry that a vasectomy could affect their sexual performance – but this fear is unfounded.

A preoperative interactive consultation on vasectomy is an important step in planning on vasectomy in Minnesota. We recommend that a preoperative consultation should be conducted in person, so the consultation will be more effective.

Before Surgery:

You should follow the pre-op instructions, you may need to

  • Stop taking aspirin or other blood thinners for 10 days before the procedure.
  • May take Ibuprofen 3-4 tabs 1 hour before vasectomy
  • Trim the hair as short as possible in the front of scrotum with a scissor (do not shave)
  • Bring an athletic supporter on the day of the procedure.

After Surgery:

You are able to drive home by yourself after the surgery. The recovery after no-scalpel vasectomy is quick, most patients go back to work in 3 days.

  • May take Tylenol or Ibuprofen as needed, May use ice packs.
  • Wear a new scrotal support for a few days.
  • Contact your doctor if experience severe swelling, bleeding, fever, and increasing pain.
  • May take showers in two day, and do not take baths for a few days.
  • No strenuous activities or heavy lifting for 1-2 weeks.
  • It is recommended that you abstain from sex 1-2 weeks after the surgery.
  • Use an alternate form of birth control until your doctor confirms that you are sterile.
  • Collect your specimen for semen analysis after 3 months.

Eugenics Movement with Vasectomy in America | Minnesota

Was there a eugenics movement in America? If you haven’t heard of eugenics it is the study or belief in the possibility of improving qualities of the human species or human population by discouraging reproduction by persons having genetic defects or presumed to have inheritable undesired traits (negative eugenics) or encouraging reproduction by persons presumed to have inheritable desirable traits (positive eugenics) Does this sound familiar?

The origin of Eugenics in America started with Albert Oshsner,  professor of surgery at the University of Illinois. In 1899 he published, Surgical Treatment of Habitual Criminals. His list of advantages of dealing with criminals using vasectomy was:

  1. It would dispense with hereditary criminals from the father’s side.
  2. Aside from being sterile the criminal is his normal self.
  3. It would protect the community at large while not harming the criminal
  4. The same treatment could reasonably be suggested for chronic inebriates, imbeciles, perverts and paupers.

Eugenics was accepted and procedures were carried out without any legal authority in the United Stated. In time 29 states had bills permitting sterilization of insane and feeble minded individuals and 12 states included sterilization of criminals, Minnesota is one of them. Over 6000 men were sterilized in the United States from 1909-1924. By the 1960’s, the eugenic sterilizations slowed to a trickle and eventually stopped as many state statues were overturned due to legal challenges.

Vasectomy Recovery | Minnesota

Vasectomy recovery can be uneventful if the patient reads and fully understands the post vasectomy instructions. Ask for clarification if you have any questions on the post vasectomy care. Most physicians in Minnesota will allow you to drive yourself home after surgery if you don’t need to take any sedatives, but you have to arrange for transportation if you will be sedated. The vasectomy patients rarely need any sedation.

The post-operative discomfort is quite mild after a vasectomy. Local anesthesia given during the surgery will begin to wear off about an hour after the procedure. You may take Tylenol or Ibuprofen for pain control, but narcotics are rarely needed. Pain and swelling can be minimized by elevating your legs, staying off your feet and applying ice packs to the scrotal area after surgery.

Antibiotic ointment, gauze and an athletic supporter will be placed over the wound immediately following the procedure.  Continue to apply the antibiotic ointment daily until the skin puncture site is completely healed.  The athletic supporter should be worn for at least 2 days.

Once you return home after the surgery, relax and rest. It is not practical to apply ice pack in the first day because you have high stack of gauze under the athletic supporter.  You may apply the ice packs intermittently for the first 48 hours to reduce swelling in the scrotum after the gauze is removed. Overall, Applying ice packs are no longer critical for no-scalpel vasectomy since the trauma is so minimal.

Patients in the Minneapolis and St. Paul areas often notice scrotal swelling in the first week following the surgery.  The swelling often increases with activity, and may be relieved by wearing the athletic supporter and resting.

You may shower and spend more time walking on the second day.  Soaking in a warm bath is allowed once the incision has scabbed and can be soothed and beneficial to healing. Heavy lifting or vigorous physical activity should be avoided for 1 to 2 weeks.
A small amount of bleeding is normal but active bleeding is not. Call the physician if you experience a significant amount of bleeding or swelling from the incision site or within the scrotum.

Infectionis very uncommon following the no-scalpel vasectomy procedure in Minnesota.  Contact your physician if you notice excessive redness, tenderness, warmth or drainage from your surgical site.

Bruising over the scrotal skin is common following vasectomy. Call the physician if the scrotal sac is severely bruised and/or expanding in size.

Some men develop a small, tender nodule where the vas was cut.  These sperm granulomas can produce discomfort, but almost always resolve spontaneously. You can have the site re-examined if you are concerned.

Semen examinations should be performed to document the success of the surgery. Another form of contraception (such as condoms) should be used until you have been notified by your physician that you have had one or two negative semen checks documented. During the first week after surgery, there should be no sex and/or ejaculation. It is important to note that the patient will not be considered sterile for several months after vasectomy. It is important to resume ejaculation because it takes up to 20 ejaculations for any remaining sperm to be released. A semen sample will be examined about 12 weeks or 20 ejaculations after surgery to determine if sperm is still present.

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