Later on when I'm older and I'm feeling ready to try sexual intercourse my bf said he'd be willing to do a vasectomy if it'd make me more comfortable. I already told him that I want no children later on and I don't feel safe with condoms either since there's that risk of it breaking. Even with a vasectomy though I still feel that there is a risk of me still getting pregnant unless that's just my instinct paranoia. Am I wrong in thinking that way?
Posts: 17 | Registered: Jul 2003
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Actually, vasectomies do fail sometimes, but at a low rate of about 1 in 2,000.
Condoms actually are at a very LOW risk of failure and breaking when they're used properly, for the record. Heck, I can say for myself that my own failure rate with condoms is better than that 1 in 2000 for vasectomies, but that's anecdotal, rather than scientific or statistical.
But overall, condoms tend to break when people aren't using lubricant, when they're using poor quality condoms, or when they're put them on without leaving room in the tip, all things that are easy to avoid.
Vasectomy also does not offer and STD or STI protection, and it's is MORE likely for someone under 25 to end up with an STI than to become pregnant.
As a practical point, doctors are often reluctant to provide sterilization (vasectomy or tubal ligation) to young people, on the grounds that they may change their minds later.
But it's not like condoms or vasectomies are the only choices.
We're always going to recommend using condoms for the STI/STD protection, but if you want to back them up, then you can add an extra method of contraception such as the birth control pill or patch. Combining two reliable methods like that gives you a very high level of protection indeed.
As for the procedure itself, I'll just tell you what I know about it. A vasectomy is a surgical procedure that cuts out a piece of vas deferens, the tube that connects the testes and epididymis to the urethra. Cutting out the vas deferens makes sperm unable to reach and exit the urethra, but the rest of the seminal fluid is there (i believe you may have heard the term "shooting blanks"?). A vasectomy is a pretty quick surgery (15 -30 minutes) and done under local anesthesia (i've seen my dad perform this operations and he does it so casually you'd think they were sitting down for tea). The incision is tiny, but the whole deal requires about 3 weeks of recovery (by recovery, I mean no sex!)
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