Surgical Sterilization (cont.)
Melissa Conrad Stöppler, MD
Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
William C. Shiel Jr., MD, FACP, FACR
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
In this Article
- Introduction to birth control
- Permanent methods of contraception (surgical sterilization)
- Tubal ligation
- Hysteroscopic sterilization
- Find a local Obstetrician-Gynecologist in your town
A vasectomy is usually performed by either a urologist or a general surgeon. Under local anesthesia, the vas deferens (tubes that carry sperm from the testicles into the urethra, also known as spermatic ducts) from each testicle is severed. The open ends are then closed off. A vasectomy can be performed in the clinic and involves making two small openings in the scrotum. After a vasectomy, the man may feel tenderness or bruising around the incision site.
A vasectomy does not interfere with the ability of a man to have an erection or the quantity of his ejaculation fluid. After a man has a vasectomy, another second form of birth control should be used until his ejaculate fluid is found to be free from sperm. This usually takes 10 to 20 ejaculations.
Vasectomy reversals are possible, but they tend to be expensive and are not guaranteed to be effective. A vasectomy should be considered a permanent form of birth control.
A vasectomy does not protect a man or his partner from sexually transmitted infections.
Next: Tubal ligation
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