$Unique_ID{BRK00876} $Pretitle{} $Title{Is Vasectomy a Reliable Method of Birth Control?} $Subject{tubal ligation vasectomy surgery birth control Genitourinary surgeries surgical operations operation permanent antisperm antibodies} $Volume{P-15} $Log{} Copyright (c) 1991-92,1993 Tribune Media Services, Inc. Is Vasectomy a Reliable Method of Birth Control? ------------------------------------------------------------------------------ QUESTION: I am considering undergoing a vasectomy. Is this procedure considered a reliable method of birth control? What if I want to change my mind after the surgery, can it be reversed? ------------------------------------------------------------------------------ ANSWER: Vasectomy is a safe, effective and inexpensive method of birth control. It is usually done in a doctor's office under local anesthesia, and you'll be able to return to light work after a couple of days of rest. Discomfort and swelling are managed with ice packs, scrotal support, and aspirin or similar pain relievers. Swelling and tenderness should be gone within about 72 hours of the procedure. Stitches dissolve by themselves and do not have to be removed. You can return to normal activity, including sexual intercourse, in about seven days. It is very important to continue to use contraceptives until your doctor tells you the vasectomy has been successful. Follow his advice regarding semen analyses following the operation--if you neglect to have the analyses done, you may still be producing sperm and thus may risk an unwanted pregnancy. Sterility is usually achieved after about six to eight weeks; it takes this long to clear sperm from the reproductive tract. The operation should be considered permanent, and should not be performed if you have any lingering doubts about your goals and intentions. However, many physicians report good results in reversing a vasectomy that was done less than seven years ago, although there are no guarantees. About half the men who have had vasectomies have antisperm antibodies in their bloodstream. There was once controversy over whether these antibodies were harmful, and, in particular whether they caused heart disease, but no real proof has been found that should cause concern. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.