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Canadian Journal of Human Sexuality. 1999 Fall; 8(3):195-198.Two-thirds of the women in the 1998 Canadian Contraception Study are familiar with sterilization as a method of birth control, and they generally think highly of this method. Among women who have been sterilized or whose partners have undergone vasectomy, rates of satisfaction are very high. The rate of sterilization, 23% overall, includes 10% of women who have had the operation, and 14% of their partners. The increasing use of male sterilization is appropriate, given the low morbidity attached to this procedure. This operation should continue to increase in prevalence, as 75% of women who have decided on future sterilization wish their partner to have the operation. (author's)
American Journal of Public Health. 1985 Jan; 75(1):73-5.In this study of 1600 men ages 25-50 from semirural Guatemala, 3/4 had heard of vasectomy. Among these, 54% approved of it. However, the survey reveals a widespread lack of knowledge regarding the procedure, as well as negative perceptions or doublts about its effect on sexual performance, ability to do hard work, health, and manhood. 1/4 of the respondents who knew of vasectomy and who desired no more children expressed interest in having the operation, a finding which raises questions as to the potential (unrecognized) demand for vasectomy in other developing countries. (author's modified)
[Unpublished] 1982. Presented at the Conference on Vasectomy, Colombo, Sri Lanka, October 4-7, 1982. 13 p.There are 2 general types of barriers to vasectomy acceptance, cultural and individual. Cultural barriers include: 1) the idea that contraception should be the woman's responsibility, 2) that vasectomy represents a tampering with the natural processes of reproduction and this conflicts with many religions, 3) there is confusion over the legal status of vasectomy even though very few countries actually prohibit it, 4) the idea that men, due to their higher status in many societies, should not be exposed to unnecessary risks, 5) the idea that men who are not capable of reproducing have no worth in society, and 6) that men may need to be able to reproduce at a future date since in many societies only men are permitted to remarry. Research on psychological barriers to vasectomy is based on followup studies of vasectomized men and shows that negative male attitudes toward vasectomy stem from negative perceptions about the nature of consequences of the operation. Some men feel that vasectomy is like castration, that it is painful, has demasculinizing effects, causes a loss of vitality, and is irreversible. The population must be educated in order to overcome these barriers. Any communication program must include: 1) identifying existing sources of motivation for vasectomy, 2) increasing awareness of vasectomy through mass media and interpersonal channels, 3) increasing awareness through wider availability of the operation, and 4) improving the public attitude by publicizing client satisfaction with the operation. Men should be encouraged to seek vasectomy for the intrinsic benefits of the operation.