Title: [Male sterilization -- a forgotten alternative?]

POPLINE Document Number: 057790

Author(s):

Juusela H

Source citation:

DUODECIM, 1987;103(9):520-4.

Abstract:

Over the last 20 years, some 20 million vasectomies have been performed in the world. In Finland and other Nordic countries, vasectomies are controlled by strict legislation. In 1970, "social reasons" were accepted as justification for sterilization. Sterilization is generally granted only after an individual has submitted an application to the National Board of Medicine requesting this. The performing physician may alone make a decision of sterilization if the applicant has reached the age of 30 and has 3 minor children. Vasectomy is a simple procedure that is usually performed under local anesthesia on an outpatient basis. On occasion, bleeding or pain may develop, which may require a period of recovery beyond the normal 2-day period. Sterility is likely if sperm analysis reveals a count of less than 125,000 ml of unmobile sperm. A recanalization occurs in 1% of patients, making necessary a repeated vasectomy. Sperm granulism increases risk of recanalization. This risk can be decreased by modification of surgical techniques. Possible complications resulting from vasectomy include atherosclerosis, pain and swelling around the testicles, and psychogenic impotence. Reversal of vasectomy is a more complicated procedure and leads to pregnancy in only 50% of cases. Vasectomy is a recommended method of birth control for those in a stable relationship and who already have the desired number of children.

Keywords:

Finland
Vasectomy
Reversibility
Use-Effectiveness
Method Acceptability
Developed Countries
Europe, Northern
Europe
Male Sterilization
Sterilization, Sexual
Family Planning
Contraceptive Effectiveness
Contraception
Contraceptive Usage