Male Sterilization: Vasectomy another contraceptive method during the
period of 20 ejaculations or the first 3 months
Permanent contraception of a women who will not
e) Difficult reversal surgery expensive and not
want more children: also called male sterilization and
readily available ; success cannot be guaranteed
male surgical contraception. The male vas deferens are
f) No protection against STD and HIV/ AIDS.
cut and tied or sealed to as to prevent sperm from
entering into the urethra and thereby prevent Preoperative Instructions:
sterilization of a female through sexual intercourse.
a) Take no medication 24 hours before the
Action: operation
b) Bathe thoroughly, paying special attention to
Prevents pregnancy by interrupting the passage of
the genital area and upper thighs.
sperm cells, therefore preventing fertilization.
c) Wear clean, loose fitting clothing
Methods:
Postoperative Instructions:
a) Traditional: scalpel/incision
Rest for 15 to 30 minutes after operation to prevent
b) New: no scalpel (just a small puncture)
injury from faintness, rest for 2 days, no heavy
Advantages: work/exercise for 2 weeks
a) relatively safe, simple and quick Apply ice on scrotum for 4 hours to prevent/lessen
b) very effective; prevents pregnancy permanently swelling
c) does not alter volume of ejaculation
Keep incision clean and dry, wear snug underwear/pant
d) does not affect production of testosterone
for 2 -3 days
e) is not castration; does not affect testes and
sexual ability Take Tylenol/paracetamol as needed. Do not take
f) no long-term health risk aspirin or ibuprofen to prevent bleeding
Disadvantages: May have protected sex within 2-3 days if not
uncomfortable. Use condoms or another effective
a) Discomfort for 2-3 days; pain in scrotum,
family planning method for the next 20 ejaculations or 3
swelling and bruising.
months after the procedure
b) Uncommon complication; bleeding, infection, or
blood clots in the scrotum. Advise the client to return to the clinic at once if he
c) Brief faintness after surgery experiences high fever, bleeding, or pus from the
d) Not effective immediately; requires 20 wound, or pain, heat or worsening swelling at incision.
ejaculations. Sterility is attained only after 20
Remind the client to report if the wife misses menstrual
ejaculations. If the man wants to be sure, he
period or possibly pregnant.
can have semen analysis after 3 months
following the procedure; a semen examination,
however, is not necessary. The couple must use