Vasectomy Regret or Lack Thereof

# Background Vasectomy is a procedure that results in permanent yet reversible sterility and remains a great contraceptive option for many. Previous research studies have highlighted frequency of vasectomy utilization, defining characteristics of individuals who opt for this method, various surgica...

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Main Authors: Danyon J. Anderson, Morgan Lucero, Stephen Vining, Charles Daniel, Jamal Hasoon, Omar Viswanath, Alan D. Kaye, Ivan Urits
Format: Article
Language:English
Published: Open Medical Publishing 2022-09-01
Series:Health Psychology Research
Online Access:https://doi.org/10.52965/001c.38241
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author Danyon J. Anderson
Morgan Lucero
Stephen Vining
Charles Daniel
Jamal Hasoon
Omar Viswanath
Alan D. Kaye
Ivan Urits
author_facet Danyon J. Anderson
Morgan Lucero
Stephen Vining
Charles Daniel
Jamal Hasoon
Omar Viswanath
Alan D. Kaye
Ivan Urits
author_sort Danyon J. Anderson
collection DOAJ
description # Background Vasectomy is a procedure that results in permanent yet reversible sterility and remains a great contraceptive option for many. Previous research studies have highlighted frequency of vasectomy utilization, defining characteristics of individuals who opt for this method, various surgical techniques, and the risks and benefits associated with the procedure. What remains to be defined is why or why not individuals may experience post-vasectomy regret and whether the previous characteristics correlate. # Objective The objective of this review is to synthesize information regarding reasons individuals may regret their vasectomy and seek reversal, what options exist for accomplishing the reversal, and patients' fertility prognosis post-vasovasostomy. # Methods This review utilized a combination of secondary and tertiary data analysis across a wide scope of academic databases pertaining to the topic of interest. # Results Typically, most males who have sought a vasectomy are satisfied with their decision, however, approximately 6% of this population seeks reversal. Key factors influencing vasectomy regret include age at the time of vasectomy, parental status, pre- and post-operative relationship status, unresolved physical and psychosexual problems, and development of chronic scrotal pain following the procedure. Few options exist for vasectomy reversal including microsurgical reconstructive vasectomy reversal (VR) and sperm extraction for in vitro fertilization. There is no guarantee that fertility will be restored in any case but a major predictive factor for success is the time interval prior to reversal. # Conclusion Vasectomy is intended to be a permanent form of contraception; however, a minor chance remains that individuals may experience post-operative regret due to various factors. This warrants proper comprehensive counseling by the patient's provider regarding benefits and risks, procedural outcomes, opportunities for reversal, and fertility prognosis.
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spelling doaj-art-22a571fe6d724bc9893f85fb334d39592025-02-11T20:30:31ZengOpen Medical PublishingHealth Psychology Research2420-81242022-09-01103Vasectomy Regret or Lack ThereofDanyon J. AndersonMorgan LuceroStephen ViningCharles DanielJamal HasoonOmar ViswanathAlan D. KayeIvan Urits# Background Vasectomy is a procedure that results in permanent yet reversible sterility and remains a great contraceptive option for many. Previous research studies have highlighted frequency of vasectomy utilization, defining characteristics of individuals who opt for this method, various surgical techniques, and the risks and benefits associated with the procedure. What remains to be defined is why or why not individuals may experience post-vasectomy regret and whether the previous characteristics correlate. # Objective The objective of this review is to synthesize information regarding reasons individuals may regret their vasectomy and seek reversal, what options exist for accomplishing the reversal, and patients' fertility prognosis post-vasovasostomy. # Methods This review utilized a combination of secondary and tertiary data analysis across a wide scope of academic databases pertaining to the topic of interest. # Results Typically, most males who have sought a vasectomy are satisfied with their decision, however, approximately 6% of this population seeks reversal. Key factors influencing vasectomy regret include age at the time of vasectomy, parental status, pre- and post-operative relationship status, unresolved physical and psychosexual problems, and development of chronic scrotal pain following the procedure. Few options exist for vasectomy reversal including microsurgical reconstructive vasectomy reversal (VR) and sperm extraction for in vitro fertilization. There is no guarantee that fertility will be restored in any case but a major predictive factor for success is the time interval prior to reversal. # Conclusion Vasectomy is intended to be a permanent form of contraception; however, a minor chance remains that individuals may experience post-operative regret due to various factors. This warrants proper comprehensive counseling by the patient's provider regarding benefits and risks, procedural outcomes, opportunities for reversal, and fertility prognosis.https://doi.org/10.52965/001c.38241
spellingShingle Danyon J. Anderson
Morgan Lucero
Stephen Vining
Charles Daniel
Jamal Hasoon
Omar Viswanath
Alan D. Kaye
Ivan Urits
Vasectomy Regret or Lack Thereof
Health Psychology Research
title Vasectomy Regret or Lack Thereof
title_full Vasectomy Regret or Lack Thereof
title_fullStr Vasectomy Regret or Lack Thereof
title_full_unstemmed Vasectomy Regret or Lack Thereof
title_short Vasectomy Regret or Lack Thereof
title_sort vasectomy regret or lack thereof
url https://doi.org/10.52965/001c.38241
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