Vasectomy use is plagued by low demand among men. Nevertheless, its compelling advantages make substantial investment worthwhile. On the supply side, a priority is to actively link vasectomy with service delivery approaches for the other highly effective long-acting and permanent clinical methods. Robust demand generation should include messaging specific to vasectomy, but should also draw on b...

OBJECTIVE To evaluate seminal oxidative stress in men after vasectomy reversal and to determine whether seminal oxidative stress could predict fertility after vasectomy reversal. DESIGN Measurement of seminal reactive oxygen species (ROS) and total antioxidant capacity (TAC) in normal donors, men who were fertile after vasectomy reversal, and men who were infertile after vasectomy reversal. ...

OBJECTIVES The testicular, deferential, and cremasteric arteries and their branches surround the vas deferens (VD), leaving them susceptible to injury during vasectomy. Literature describing the caliber of arteries seen in vasectomy specimens is lacking, making it difficult to categorize the significance of an observed artery. We aimed to establish reference values for arterial size typically e...

OBJECTIVE To determine the frequency of and factors associated with delayed vasectomy success in men with first postvasectomy semen analysis showing motile sperm. DESIGN Descriptive study. SETTING One hospital-based family planning clinic and two private clinics from the Quebec City area, Canada. PATIENT(S) Three hundred nine men vasectomized between 1990 and 2001 and who had a first seme...

Objective-To determine whether vasectomy is associated with an increased risk of several diseases, and in particular testicular cancer, after operation. Design-Retrospective cohort study using linked medical record abstracts. Setting-Six health districts in Oxford region. Subjects-13246 men aged 25-49 years who had undergone vasectomy between 1970 and 1986, and 22196 comparison subjects who had...

The evaluation of any couple with infertility for any reason, including known post-vasectomy obstructive azoospermia, involves simultaneous evaluation of the female for her fertility potential with male evaluation. The goal of vasectomy reversal is to allow a couple to have a healthy child. In this overview, we will clarify that sperm retrieval with IVF is the most effective means for a couple ...

In the past, family-planning programs have focused attention primarily on women, because of the need to free women from excessive child-bearing, and to reduce maternal and infant mortality through the use of modern methods of contraception. Most of the family-planning services were offered within maternal and child health (MCH) centers, most research and information campaigns focused on women a...

BACKGROUND Advocacy for male involvement in family planning has been championed over the years after the 1994 International Conference on Population and Development (ICPD). There are a few contraceptive methods for men, and vasectomy uptake has been identified as one of the indicators of male involvement in family planning. Vasectomy also known as male sterilization is a permanent form of contr...

PURPOSE We estimated the number of vasectomies performed in the United States in 2002 and gathered information on the vasectomy procedures and protocols used. It follows similar studies done in 1991 and 1995. MATERIALS AND METHODS A retrospective mail survey with telephone followup was performed in 2,300 urologists, family physicians and general surgeons randomly sampled from the American Med...