Family planning sterilization

2021-03-25 12:00 AM

After surgery, ejaculation occurs as usual, but there are no sperm in the semen because the sperm cannot pass through the vas deferens so it is absorbed again by the testicles.

Sterilization is almost permanent contraceptive solutions, only applied to a limited number of subjects who have firmly identified that there is no need to have children anymore. Sterilization can be applied to men or women, depending on your choice.

Male sterilization

Male sterilization is done with a vasectomy. The two-vas deferens on either side leading sperm from the testicle are completely cut off and tightened. The surgery is quick and easy, only takes about 15 - 20 minutes, and only requires local anaesthesia. Surgery has very few risks and complications compared with female sterilization.

After surgery, ejaculation occurs as usual, but there are no sperm in the semen, because the sperm cannot pass through the vas deferens so it is absorbed again by the testicles. For 3 months after surgery, fertility may still occur due to remaining sperm in the vas deferens. Over this time, a semen sample should be examined to make sure sperm is completely free. After that, the couple did not need to use any other contraceptive methods.

In about 2,000 cases of sterilization this way, there can be 1 return of spermatozoa in the semen, usually after a long time. This is because the severed ends of the vas deferens automatically stick together. For treatment, the surgery is performed again.

In the case that the sterilizer changes his original mind and wants to have a baby, the vasectomy can be re-connected, but the success rate is only about 50%. Therefore, the person deciding to sterilize should be informed about this in order to consider their decision more carefully.

Female sterilization

Female sterilization is done by tying or cutting the tubes to prevent sperm from reaching the egg. Surgery is usually performed in the hospital; patients are admitted one day before and are monitored one day after surgery before leaving the hospital.

Female sterilization is often chosen when:

The woman decides for sure that she does not want to have a baby anymore and does not want to use any other contraceptive methods.

A woman in a condition that, if pregnant, threatens her own health or is at high risk of having a baby with a serious genetic disease.

Female sterilization can be done in a variety of ways, such as a laparoscope or an incision of the skin below the navel to open the way to the abdomen. The tubes can also be cut and tied through the vaginal incision ...

The failure rate of this method is very low, with only about 5 out of 10,000 cases. Pregnancy after sterilization is usually an ectopic pregnancy.

In the case that a woman with sterilization changes her original mind and wants to have a baby, it is possible to perform surgery to restore fertility, with a success rate of about 70 - 75%.