Understand the surgical procedure performed on men as a method of permanent contraception
According to the Ministry of Health (MS), in 2023, the number of vasectomies grew by 40% in the Unified Health System (SUS), reflecting a change in the landscape of male reproductive health in Brazil. This growth can be attributed, for the most part, to recent regulatory changes, which have made access to the procedure much more agile and direct.
Among the new features is the elimination of the requirement for spouse’s authorization, the reduction of the minimum age to 21, which has made the process more inclusive, and the possibility for young people under this age group to also opt for a vasectomy, as long as there are at least two living children.
Considering these changes, Dr. Renato Fraietta, specialist in Human Reproduction at the ClĂnica Paulista de Medicina Reproductiva (CPMR) and coordinator of the Integrated Human Reproduction Sector at Unifesp, explains some myths and truths about the procedure. Check!
1. Vasectomy can be reversed
REAL. There is vasectomy reversal surgery, but for the Man Being a father again will depend on the state of health of the woman and when the operation was carried out. The longer the time, the lower the pregnancy success rate.
In cases of regression after just 3 years of vasectomy, pregnancy rates exceed 80%, progressively reducing to 45% in cases older than 15 years. Currently, reversal has been successfully performed in patients with more than 20 years of vasectomy, showing good recovery of male potential for natural pregnancy.
2. Vasectomy is a complicated surgery
Myth. It is a simple and quick surgery, lasting 15-20 minutes per side, and can be performed with sedation or local anesthesia.
3. Ejaculation is impaired
Myth. Ejaculation does not change because the greater volume comes from the seminal vesicles and the prostate. The production of testosterone It is also not changed by surgery.
4. The body continues to produce sperm
REAL. Sperm continue to be produced normally, but the surgery creates a blockage that holds them until they degenerate in the body.

5. Reduces sexual desire
Myth. Vasectomy has nothing to do with loss of libido or sexual performance. Only with playback. According to a study from the University of Frankfurt, men have a higher sexual desire after vasectomy. The survey shows that 12.4% of respondents said they had sexual intercourse better after performing the procedure.
6. Vasectomy is the same thing as male castration
Myth. In vasectomy, a small cut is made in the testicular sac and then sutured with stitches that fall out on their own.
7. Shortly after the surgery, the woman may still become pregnantR
REAL. A few weeks after the procedure, they may still be there semen in the seminal fluid, retained in the vas deferens. It is advisable to wait a period of at least 25-30 ejaculations for these sperm to be completely eliminated from the duct.
8. Vasectomy causes prostate cancer
Myth. There is no scientific evidence linking vasectomy to any type of cancer, including prostate cancer.
By Poliana Bollini
Source: Terra

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