Which gender should undergo sterilization?
The choice between vasectomy and tubal ligated is often discussed with the doctor and ultimately it depends on the partners involved. Both procedures have low risks, are quite effective and both can be reversed in most cases. The majority of individuals who have had complications from either surgery have been related more to the anesthesia than the actual procedure itself. Ultimately, the choice between the two procedure and which couples undergoes it, is determined by the couple themselves.
Conclusion
Over the last decade, vasectomy has been shown to be an effective form of contraception. The chief advantage of vasectomy--its permanence--is also its main disadvantage. The procedure is simple, but reversing it is difficult, very expensive, and often unsuccessful. It is estimated that pregnancy does occur after about 1 in 2,000 vasectomies. Although there is a surgery to reverse vasectomy, the procedure fails in about 60% of cases.
Physicians are studying new methods of blocking the vas that may produce less tissue damage and scarring and might thus permit more successful reversal. But these methods are all experimental, and their effectiveness has not yet been confirmed. In the meantime, any man who chooses to have a vasectomy should consider it irreversible.
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