Vasectomy

What is a vasectomy?

Vasectomy is a minor surgical procedure designed to prevent the release of sperm into the semen during ejaculation. It does not disrupt sperm production by the testes, but it does block the vas deferens that carry sperm from the testes to the urethra. This means that the man can continue to ejaculate, but the seminal fluid no longer contains sperm, making fertilization impossible.

How is a vasectomy performed in France?

Vasectomy is generally performed on an outpatient basis, meaning that the patient can go home the same day as the procedure.

Here are the typical stages of vasectomy in France:

Prior consultation: Before vasectomy, a man should consult a physician to discuss the procedure, its benefits, implications and alternatives. It's important to make sure the man understands that the vasectomy is permanent and that he won't be able to have children afterwards. An incompressible 4-month reflection period applies. Anyone over the age of majority, with or without children, can request a vasectomy.

Conservation possible at CECOS: CECOS (Centre d'Etude et de Conservation des Ovules et du Sperme) plays an essential role in the conservation of sperm collected prior to vasectomy. In France, before undergoing a vasectomy, men have the option of donating sperm, which will be preserved at the CECOS. This is important for those who are considering vasectomy but still wish to preserve their ability to have children in the future. Storage at the CECOS ensures that the sperm is available for possible use in in vitro fertilization (IVF) or artificial insemination if circumstances change, for example, in the event of remarriage or a desire for children in the future. However, it is crucial to note that the success of the vasectomy reversal procedure is not guaranteed, and it can be costly and complex. Therefore, the decision to store sperm at the CECOS must be carefully considered and discussed in depth with a healthcare professional.

The procedure itself: Vasectomy is performed under local anaesthetic. The doctor will make small incisions or perforations in the skin of the scrotum to access the vas deferens. He will then cut, ligate or block the ducts to prevent the passage of sperm.

Recovery time: After vasectomy, we recommend resting for a few days. Mild to moderate pain and swelling may occur, but usually disappears quickly. Men are often advised to use a compression bra to help reduce swelling.

Different types of vasectomy: There are two main types of vasectomy performed as part of this contraceptive procedure. The choice between these two approaches depends on the patient's preferences and the expertise of the healthcare professional.

Conventional vasectomy: This is the most common method. It involves ligation or cutting of the vas deferens, followed by closure of the ends. This obstruction prevents the release of sperm during ejaculation.

Scalpel-free vasectomy: This approach is less invasive than the conventional method. It uses special forceps to grasp and block the vas deferens through small perforations in the scrotal skin. Scalpel-free vasectomy generally reduces the risk of infection and post-operative complications, while speeding up recovery time.

Confirmatory tests: Approximately 3 months and 20 ejaculations after vasectomy, men should undergo semen tests to verify the absence of spermatozoa in the semen. As long as the results confirm azoospermia (absence of sperm), vasectomy is considered effective.

Advantages of vasectomy :

Reliable contraception: Vasectomy is one of the most reliable methods of contraception, with an efficacy rate of over 99%.

No hormones: Unlike many other contraceptive methods, vasectomy does not require the use of hormones, which can avoid the side effects associated with hormonal contraceptives.

Reversible in some cases: Although vasectomy is designed as a permanent contraceptive method, it is sometimes possible to make it reversible through a more complex surgical procedure called "vasovasostomy". However, the success of this procedure is not guaranteed.

Implications and considerations :

Permanence: Vasectomy is permanent, and it's essential that men make an informed decision before undergoing the procedure.

Cost: In France, vasectomy is not always covered by social security, and costs can vary depending on where it is performed.

Reflection: It is strongly recommended that you think carefully about vasectomy and discuss it thoroughly with a healthcare professional before making a decision.

In conclusion, vasectomy is a permanent contraception option for men in France. It offers high reliability and does not require the use of hormones. However, it should be considered a considered decision because of its permanence. Men interested in vasectomy should consult a healthcare professional to discuss their specific options and concerns.