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MALE BIRTH CONTROL OPTIONS
Outercourse. The opposite of intercourse, outercourse involves sex play without vaginal penetration to prevent sperm from joining the egg.
Vasectomy reversal is a urological procedure to re-establish fertility. Approximately 500,000 men request vasectomies each year and it is recognized that 5% of them will change their minds, usually due to remarriage, death of a child or improved circumstances allowing for more children. Over the past 20 years, the surgical technique of vasovasostomy provided excellent results, permitting a man to re-establish his fertility. The surgery is performed as an outpatient, with well over 95% success for those men who have sperm at the time of surgery. Male Infertility and Fertility. Infertility is defined as 12 months of unprotected intercourse without pregnancy. Most childless couples with a female age under about 42-44 that are having problems getting pregnant are infertile but not sterile. Fertility depends on the quality and number of spermatozoa, the epididymal maturation where motility and oocyte binding properties appear, the mixing with seminal plasma which initiates the capacitation, and finally, the media and physiological conditions met in the female genital tract. Vasectomy. Vasectomy is a safe and effective means of permanent contraception. Approximately 500,000 vasectomies are performed in the United States every year. This procedure performed under local anesthesia takes about 10 minutes. The experience of the surgeon is the single most important factor assuring a smooth convalescence. A collection of blood under the skin called a hematoma occurs in 2% of patients and usually reabsorbs spontaneously. Post-operative instructions include no ejaculation for 1 week, protected sex until all sperm above the incisional area are cleared, and returning to the office for a seminal analysis to confirm the absence of sperm in the ejaculate after 8 strong ejaculations.
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