A preoperative consultation on vasectomy is an important step in planning on vasectomy in Minnesota. Thanks to the Internet, the patients can get all information from a well designed high quality website.
Young patients may consider the consultation first before they make the final decisions on vasectomy. Special Message for Young Men
- Vasectomy is intended to be a permanent form of contraception.
- Vasectomy does not produce immediate sterility, another form of contraception is required until vas occlusion is confirmed by post-vasectomy semen analysis.
- Even after vas occlusion is confirmed, the risk of pregnancy after vasectomy is approximately 1 in 2,000.
- Repeat vasectomy is necessary in ≤1% of vasectomies, provided that a technique for vas occlusion known to have a low occlusive failure rate has been used.
- Patients should refrain from ejaculation for approximately one week after vasectomy.
- Options for fertility after vasectomy include vasectomy reversal and sperm retrieval with in vitro fertilization. These options are not always successful, and they may be expensive.
- The rates of surgical complications such as symptomatic hematoma and infection are 1-2%. These rates vary with the surgeon’s experience and the criteria used to diagnose these conditions.
- Chronic scrotal pain associated with negative impact on quality of life occurs after vasectomy in about 1-2% of men. Few of these men require additional surgery.
- Other permanent and non-permanent alternatives to vasectomy are available.
So far, Dr. Shu performed hundreds of no-scalpel vasectomy without any major complications and with zero infection rate and zero failure rate. He invented two-finger technique in facilitating the local anesthesia and holding the vas during the surgery.
Vasectomy is a permanent sterilization surgical procedure. No scalpel vasectomy is a minimally invasive office procedure that makes a man sterile(unable to get a woman pregnant). Vasectomy may be recommended for men who are 100% sure they do not want to get a woman pregnant in the future.
A vasectomy is not recommended as a short-term form of birth control. A vasectomy reverse procedure is a much more complicated operation and very costly. So if the men in Minnesota are not sure about vasectomy, they should not do it.
Vasectomy is indicated for men in Minnesota who:
- Are in a stable relationship, and both partners agree that they do not want any more children. They do not want to use, or cannot use, other forms of birth control.
- Are in a stable relationship, and their partner has health problems that would make pregnancy unsafe for her.
- Are in a stable relationship, and one or both partners have genetic disorders that they do not want to risk passing on to their children.
Vasectomy may NOT be a good choice for the men in Minnesota who:
- Are in a relationship with someone who does not know whether or not they want children in the future.
- Are in a unstable or stressful relationship.
- Are thinking about having the operation just to please their partner.
- Want to have children later by storing their sperm or by reversing their vasectomy.
- Are young and still have many life changes ahead.
- Are single when they want to have a vasectomy. This includes men who are divorced, widowed, or separated.
- Do not want, or his partner does not want, to be bothered by having to use other forms of birth control during sexual activity.
Other Alternatives to Vasectomy
: Since reversal attempts often do not lead to pregnancy, vasectomy should be considered an irreversible form of contraception. Statistics show that men who undergo vasectomy in their 20’s are more likely to seek vasectomy reversal than men who have vasectomies later in life. In fact, men in their 20’s and with fewer than 2 children should read Dr. Shu’s Special Message for Young Men. Before choosing vasectomy, couples, especially couples in their 20’s with fewer than 3 children, should consider all other forms of reversible contraception including birth control pills, shots, patches, and implants ; the IUD (intrauterine device); and barrier methods such as the condom and diaphragm. A nice review of these options is in the Planned Parenthood website. Couples using barrier methods should also be aware that, for those occasions when they are just “careless”, EC (emergency contraception, or the “morning after pill”) is readily available at most women’s health services sites such as private primary care and gynecology offices and Planned Parenthood clinics. EC is effective at preventing pregnancy for up to 72 hours (perhaps longer) after the “careless” encounter (visit www.not-2-late.com for a list of EC providers in your area). Men should not proceed with vasectomy if they feel they are being pressured to do so, if their private lives are temporarily unstable due to marital discord, or if they have not considered all reversible alternatives. For many stable men, circumstances change, and all men, especially younger men, should consider sperm storage as insurance against regret over vasectomy in the event of a major life change. If you have never caused a pregnancy, how do we know that you even need a vasectomy … or what we should expect if you ever opt for vasectomy reversal? Please see our Special Message for Men Who Have Never Caused a Pregnancy.