Having a vasectomy should always be viewed as permanent sterilisation. This is because, although reversal is sometimes possible, it may not be successful.
A reversal operation requires delicate microsurgery to join the tubes together again. Even with a successful operation, it still may not be possible to father a child.
When to have a vasectomy
Your doctor will ask about your circumstances and provide information and counselling before agreeing to the procedure.
You should only have a vasectomy if you are certain that you do not want to have any, or any more, children. If you have any doubts, consider another method of contraception until you are completely sure.
You shouldn’t make the decision about having a vasectomy after a crisis or a big change in your life – for example, if your partner has just had a baby, or if they have just terminated their pregnancy.
If you have a partner, discuss it with them before deciding to have a vasectomy. If possible, you should both agree to the procedure. However, it is not a legal requirement to get your partner’s permission.
A vasectomy can be performed at any age. However, if you are under 30, particularly if you do not have children, your doctor may be reluctant to perform the procedure.
Your GP does have the right to refuse to carry out the procedure or refuse to refer you for the procedure if they do not believe it is in your best interests. If this is the case, you may have to pay to have a vasectomy carried out privately.
Frequently asked questions
What other contraception is available for men?
The other main contraception choice for men is condoms. Several choices are available for women, which your GP or a family planning expert can advise on.
Can I use IVF to father a child?
If you have a vasectomy, and then decide later that you want a child, there may be the option of doing so by IVF. To do this, sperm would be retrieved from your testicles by a trained surgeon and used to fertilise your partner’s egg. However:
- IVF may not be available on the NHS
- IVF done privately can be expensive
- IVF is not always successful
Can I store sperm in a sperm bank, just in case?
You could but, as with IVF, sperm stored in a sperm bank cannot be relied on to bring about a pregnancy. It can also be expensive.
Can I have the operation if I am single?
Yes, but if you are under 30 you will find many surgeons are reluctant to do it in case your circumstances change and you regret it later.
Could being sterile affect me emotionally?
It is a big decision to end the part of your life where you could father a child. This is another reason to think it over carefully.
If you are sure about your decision to have a vasectomy, you may feel relieved that the worry of possible pregnancy is over and you do not need to think about contraception again.
If you feel anxious or uncomfortable about the procedure, or if you think you would suffer mentally from being sterile, then it is not the best type of contraception for you. You can discuss alternatives with your GP or with a professional at a family planning clinic.
