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Vasectomy or a Tubal Ligation?

By Carrie Lowe, published Feb 23, 2007
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Both a vasectomy and tubal ligation are both considered permanent methods of birth control with neither being highly recommended if you are unsure about whether a permanent method is appropriate for you or your spouse. There is almost always a debate once a couple decides to choose a permanent method as to who will have the procedure done and which way is the better and safer method. I am going to attempt to help answer some questions to help you and your spouse or partner make the best possible decision.

While I am providing this information, it is under the assumption that both parties are healthy and there are no medical problems that would cause complications in the procedure. If you think there are any complications which would cause problems then I strongly urge you to seek the advice of a doctor before making any final decisions. Most doctors also require a consultation before they will agree to perform the procedure.

A vasectomy tends to be a very simple procedure that takes approximately 30 minutes during a doctor's appointment using very basic pain relief. A tubal ligation is typically a procedure performed on a day surgery basis. A vasectomy typically means to refrain from heavy lifting for approximately 48 hours following the procedure, while a tubal ligation involves avoiding heavy lifting for a week after the procedure.

A vasectomy tends to have a 1 percent failure rate, while tubal ligation has a failure rate closer to 2 percent. While the failure rate for women still is only approximately 1 in 1,000 it is still a higher risk. A vasectomy does have a risk of bleeding and infection, however the risk associated with a tubal is much higher. It is very important with both procedures to carefully follow the after care procedures to reduce the possible infections.

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My hubby just had the new "No scalpel vasectomy" last Monday, it's been one week today. It cost $450.00 at Family Planning Clinic. It took about an hour and a half including the pre-talk and the after watching. He was told to use ice packs and motrin for a week but he only used them on the first and part of second day and no longer needed them. He said it was a lot less pain than he thought. He could not have sex or lift anything more than 20 lbs. for one week. He has to continue to use condoms for 3 months or until he has ejaculated 15 - 25 times and then get tested to be sure he is safe. It was a lot less invasive and costly for him to get fixed than for me to. They use forceps instead of a scalpel. It's not so bad at all, according to him.

Posted on 02/26/2007 at 8:02:00 AM

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