Vasectomy - Sterilization Of The Man

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Vasectomy - Sterilization Of The Man
Vasectomy - Sterilization Of The Man
Video: Vasectomy - Sterilization Of The Man
Video: Vasectomy 2023, February

Sterilization of the man

For the sterilization of men (vasectomy), in principle, the same criteria and the same legal situation apply as for sterilization of women: appropriate age, completed family planning, existing children, etc. have a vasectomy. The vasectomy makes the man permanently sterile…


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  • Legal situation ">Legal situation

Legal situation ">

  • How is a vasectomy done?
  • When is the man no longer able to procreate?
  • Are there any effects on sex life?
  • How are the costs going to be covered?
  • Can a vasectomy be reversed?
  • Legal situation ">

    Legal situation

    BGBI 60/1974: § 90. (2) The sterilization carried out by a doctor on a person with their consent is not illegal if either the person has already reached the age of 25 or the procedure does not violate common decency for other reasons.

    The consent of other people is not required for sterilization.


    Even after the amendment to the Marriage Act (EheRÄG 1999), adultery and refusal to procreate are serious misconduct in marriage that can be asserted as grounds for divorce before the incurable breakdown occurs.

    A general statement is not possible. In the case of an upright marriage, the spouses should act amicably, especially on the issue of family planning.

    A distinction is made between castration and sterilization. According to the prevailing doctrine and jurisprudence, castration does not consist in rendering sterile, like sterilization, but in the removal of the gonads (testicles, ovaries) or in the destruction of the function of these gonads.

    How is a vasectomy done?

    Graphic male reproductive organs and sterilization © Henrie

    If a man has decided on this surgical procedure, the vas deferens are cut in two places and the section in between is removed. The exposed ends are either turned over and closed with a seam or obliterated by means of electricity (electrocoagulation). As a result, the sperm can no longer get into the seminal fluid.

    The attending physician has access to the two vas deferens through small incisions on the right and left side of the scrotum. The procedure itself is carried out by a urologist and is easier to perform than sterilization on women. The operation is usually performed on an outpatient basis and under local anesthesia. Usually it takes about 20 minutes. In rare cases, complications such as infections, bruises, injuries to the testicle or wound healing disorders can occur.

    When is the man no longer able to procreate?

    After the vasectomy, the man should take it easy. In principle, however, he can have sexual intercourse again just a few days after the procedure. In doing so, it is imperative to use contraception, as during ejaculation sperm remaining in the vas deferens - which are capable of fertilization - can be expelled for several months. It is believed that after two to three months there will normally be no sperm in the semen. The more frequently the man ejaculates, the faster the remaining sperm are transported out of the vas deferens.

    The first check after the procedure by the urologist takes place after about six weeks. Further follow-up examinations will follow until no more sperm are found in the seminal fluid. Only then is an additional contraceptive method no longer necessary. But like sterilization of women, vasectomy in men does not offer a one hundred percent guarantee of success in contraception. Around one in 400 men who have been operated on remains fertile. Mostly, an incorrectly performed transection of the vas deferens is responsible for this.

    Are there any effects on sex life?

    Men sometimes refrain from sterilization because they fear that their sexual life will be impaired. However, this concern is completely unfounded: Hormone production in the testicles, potency, sexual pleasure and also the ability to have an orgasm are not affected by sterilization. The amount of ejaculate also remains almost the same, as the seminal fluid is mostly produced in the prostate and other glands and only consists of five percent sperm cells. The testicle continues to produce sperm even after the vasectomy, but these are broken down again by the organism shortly after their passage into the now closed sperm duct.

    Since sterilization is in principle a final decision for men too, it should be carefully considered. The possibility of changes in living conditions that lead to the desire to have children again (divorce, death of a partner or a child) should also be considered.

    How are the costs going to be covered?

    The costs of a vasectomy in genetically healthy men are not covered by the social security agencies. The costs are around 900 euros.

    Can a vasectomy be reversed?

    If a man regrets the decision to have a vasectomy retrospectively, one can try to reverse the sterilization with another operation. The ends of the previously severed vas deferens are connected to each other again. However, there is no guarantee of success. Such a re-fertilization operation works in up to 70 percent of the cases. Even if sperm can be detected in the ejaculate again after the refertilization, pregnancy is still not guaranteed. Their occurrence is less likely, the greater the time interval between the re-fertilization operation and sterilization. Therefore, it also applies to men that sterilization should only be carried out after extensive information and careful consideration.

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