Vasectomy
What is Vasectomy?
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Why do you need Vasectomy ?
Vasectomy is indicated for:
- Contraception:
- Men seeking permanent birth control, often after completing their family.
- Symptoms: None; it’s an elective procedure for family planning.
- Prevalence in India: 1–2% of men opt for vasectomy; lower uptake compared to female sterilization (36%) due to cultural preferences (2023 data).
- Other indications:
- Couples preferring male sterilization over female sterilization (e.g., tubal ligation, less invasive than female counterpart).
- Medical reasons: When pregnancy poses risks to the partner (e.g., maternal health issues).
- Types:
- Conventional vasectomy: Small incision to access vas deferens (50–60% of cases).
- No-scalpel vasectomy: Puncture technique, no incision (40–50%); less invasive, faster recovery.
- Associated treatments:
- Pre-op: Counseling to ensure decision (irreversible in most cases), semen analysis to confirm fertility.
- Post-op: Semen analysis (after 12 weeks) to confirm azoospermia (no sperm in semen).
- Timing:
- Performed in men (average age 30–50 years); elective, scheduled after counseling; outpatient procedure.
The procedure aims to provide permanent contraception with minimal invasiveness, offering a 99.9% effectiveness rate once sperm clearance is confirmed.
Why Do Vasectomy Costs Vary in Philippines?
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Vasectomy Procedure
- Before Procedure Evaluation:
- Assessment:
- Medical history: Rule out bleeding disorders, infections, or scrotal abnormalities.
- Physical exam: Check scrotum for vas deferens accessibility, signs of infection.
- Counseling: Discuss permanence, alternatives (e.g., condoms, IUD), and need for post-op semen analysis.
- Preparation: Shave scrotum, no fasting (local anesthesia), wear supportive underwear.
- Consent: Risks, including failure (<1%), are explained.
- Assessment:
- Procedure Technique:
- No-Scalpel Vasectomy:
- Performed under local anesthesia, lasting 15–30 minutes.
- Process:
- Local anesthesia: Lidocaine injected around vas deferens.
- Access: Small puncture (2–3 mm) in scrotum using specialized forceps; no incision.
- Vas deferens: Tube isolated, cut, and ends sealed (e.g., cauterized, tied, or clipped).
- Closure: Puncture closes naturally (no sutures); procedure repeated on other side.
- Conventional Vasectomy:
- Small incision (1–2 cm) on each side of scrotum; otherwise similar; sutures used to close.
- Intraoperative Tools:
- Vasectomy forceps: For no-scalpel technique.
- Cautery device: Seals vas deferens ends.
- Local anesthetic: Ensures comfort.
- No-Scalpel Vasectomy:
- After Procedure:
- Hospital stay: Outpatient (same-day discharge, 1–2 hours observation).
- Care: Ice packs to reduce swelling; wear supportive underwear for 1–2 weeks; rest for 1–2 days.
- Pain management: Mild to moderate pain for 1–3 days; managed with painkillers (e.g., ibuprofen).
- Instructions: Avoid heavy lifting or sexual activity for 1 week; use backup contraception until azoospermia confirmed (12 weeks).
Recovery After Vasectomy
- Hospital Stay: Outpatient (same-day discharge).
- Post-Procedure Care:
- Pain: Mild to moderate for 1–3 days; resolves in 1 week.
- Activity: Avoid strenuous activity for 1 week; light walking encouraged (day 1–2); resume work in 2–3 days (desk job).
- Swelling/Bruising: Peaks at 2–3 days, resolves in 1–2 weeks; ice packs help.
- Sexual activity: Resume after 1 week; use backup contraception until azoospermia confirmed (12 weeks, 20 ejaculations).
- Semen analysis: At 12 weeks; 99.9% effective once no sperm detected.
- Follow-Up:
- Visits at 1 week (check healing), 12 weeks (semen analysis).
- No imaging needed; 95–98% achieve azoospermia by 12 weeks.
Most resume normal activities in 2–3 days; full recovery takes 1–2 weeks. Success rate: 99.9% contraceptive effectiveness; <1% failure (e.g., recanalization of vas deferens).
Risks and Complications
- Procedure Risks:
- Bleeding (1–2%): Hematoma in scrotum; usually resolves, rarely needs drainage.
- Infection (1–2%): At puncture/incision site; treated with antibiotics.
- Pain (1–3%): During procedure if anesthesia inadequate; managed with additional anesthetic.
- Post-Procedure:
- Chronic pain (1–2%): Post-vasectomy pain syndrome; usually mild, may need anti-inflammatories or, rarely, reversal.
- Sperm granuloma (2–5%): Small lump at cut site; often resolves spontaneously.
- Failure (<1%): Recanalization of vas deferens; confirmed by semen analysis.
- Long-Term:
- No impact on testosterone, libido, or sexual function; myths debunked by studies.
- Reversal success: 50–70% if reversal attempted (vasovasostomy); lower if >10 years post-vasectomy.
Report fever, severe swelling, or persistent pain (>2 weeks) promptly.
Frequently Asked Questions (FAQs)
What causes the need for a vasectomy?
Desire for permanent contraception, often after completing family or for partner’s health reasons.
Can I avoid a vasectomy?
Yes, alternatives: Condoms, IUD, or female sterilization (more invasive); vasectomy chosen for simplicity and effectiveness.
Is a vasectomy painful?
Mild to moderate pain for 1–3 days; managed with medication; resolves in 1 week.
How soon can I resume normal activities?
Light activities: 2–3 days; full recovery: 1–2 weeks; avoid heavy lifting for 1 week.
Is a vasectomy covered by insurance in India?
Rarely covered (elective); confirm with your provider; often free/subsidized under government programs.
Signs of complications?
Fever, severe swelling, or persistent pain (>2 weeks).
Can a vasectomy be reversed?
Yes, but success varies (50–70%); reversal is costly (₹50,000–₹2 lakh) and not guaranteed.
Does a vasectomy affect sexual function?
No; ejaculation, libido, and testosterone levels remain normal; only sperm absent from semen.
Conclusion
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Looking for Best Hospitals for Vasectomy
Note: we are not promoting any hospitals
We do not promote any hospitals. All details are sourced from Google and hospital websites. Please verify independently. Start with your surgery—here’s the list of government, budget, and superspecialty hospitals accredited by the Department of Health (DOH), Philippine Health Insurance Corporation (PhilHealth), and Joint Commission International (JCI)
- click on your city and schedule your surgery now done in good hands.
| City | Minimum Price (₱) | Maximum Price (₱) |
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Angeles City |
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Antipolo |
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Bacolod |
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Bacoor |
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Baguio |
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Butuan |
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Cagayan de Oro |
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Caloocan |
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Cebu City |
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Dasmariñas |
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Davao City |
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General Santos |
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General Trias |
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Iligan |
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Iloilo City |
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Las Piñas |
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Makati |
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Malolos |
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Manila |
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Muntinlupa |
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Parañaque |
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Pasay |
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Pasig |
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Puerto Princesa |
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Quezon City |
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San Fernando |
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San Jose del Monte |
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Taguig |
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Valenzuela |
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Zamboanga City |
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Disclaimer
This information is sourced from open platforms and is for general awareness only. Costs may vary based on individual cases. Please consult a qualified doctor for medical advice and explore options within your budget before deciding on the procedure.