Psychological correlates of vasectomy

Sandlow, Jay; Westefeld, John S.; Maples, Michael R.; Scheel, Karen R.

doi:10.1016/s0015-0282(00)01744-1

Cited by 43 publications

(31 citation statements)

References 17 publications

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“…Much of the existing research on vasectomy has primarily been located in the United States and United Kingdom, is often extremely dated, and is based in contexts where vasectomy uptake is comparatively low (Sandlow, Westefeld, Maples, & Scheel, 2001).…”

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confidence: 99%

‘I’m committed to her and the family’: positive accounts of vasectomy among New Zealand men

Terry

Braun

2011

Journal of Reproductive and Infant Psychology

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Background: More than 15 years ago, the International Conference on Population and Development (ICPD) identified men's involvement with reproductive and contraceptive tasks as vital for improving women's reproductive health worldwide. The uptake of vasectomy provides one measure of men's involvement in reproductive and contraceptive actions, but uptake requires the negotiation of a complex set of social and psychological meanings related to masculinity, sexuality and contraceptive involvement. The limited research in this area paints a largely negative picture around vasectomy, emphasising fears, side effects, and men being pressured into having the operation, but it is not the only account of vasectomy. Objectives: The aim of this research was to examine the accounts of New Zealand men who had undergone vasectomy. Method: Interviews with 28 men who had opted to have a vasectomy (16 had children; 12 did not) based in New Zealand, a country with a high rate of vasectomy, offer a more positive portrayal of the meanings and experiences of vasectomy. Results: Men referred to vasectomy as a positive reflection of their identities, and their choice to have it as exemplifying personal characteristics they valued. Such accounts disrupt the common-sense story of vasectomy as negative or difficult for men, and allow it to be positioned as a positive choice for heterosexual male reproductive involvement and responsibility

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confidence: 99%

‘I’m committed to her and the family’: positive accounts of vasectomy among New Zealand men

Terry

Braun

2011

Journal of Reproductive and Infant Psychology

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“…However, research evidence seems to suggest that for many men/couples the decision making process regarding a vasectomy can take some time: basically between a year and three years after the birth of their last child to complete (Sandlow, Westefeld, Maples, & Scheel, 2001). This statistic has not changed much in the last two to three decades (cf.…”

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confidence: 99%

“We have friends, for example, and he will not get a vasectomy”: Imagining the self in relation to others when talking about sterilization.

Terry

Braun

2013

Health Psychology

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Objective: The relatively recent interest in critical men's health research has largely focused upon men's experiences of managing or preventing ill health. There has been limited discussion on the decision making that men engage in with health practices that are not constructed as immediately imperative for their own well-being -such as vasectomy. Much of the research on vasectomy has tended to focus on the individualised decision making men, which can often decontextualize the process. This article seeks to address some of these absences.Design: This article reports on data from semi-structured interviews with twenty eight men who had had vasectomies (16 with children, 12 without). Data were analysed using Wetherell and Edley's synthetic approach to discourse analysis.Results: Talking about vasectomy provided an opportunity for men to make sense of the self and the decision making processes within a complex and relational understanding of masculinities.Rather than an individualised decision making process, many of the men's accounts were reliant on stories of other men who the participants could be compared against.Conclusions: Men made sense of an 'optional' health decision in relation to other men (both real and imagined), in order to help justify delays, or other 'trouble' in the decision making processes. Men's health initiatives and research may need to take this relational component of health decision-making into account.2

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“…2,3 Vasectomy reversal is requested by 2% to 6% of men to restore their fertility. [3][4][5] Furthermore, vasectomy reversal has been deemed an effective modality that has been widely embraced by the urologic community. [4][5][6][7][8][9][10][11] Until recently, the only treatment available for restoring fertility after vasectomy was reconstruction.…”

mentioning

confidence: 99%

“…[3][4][5] Furthermore, vasectomy reversal has been deemed an effective modality that has been widely embraced by the urologic community. [4][5][6][7][8][9][10][11] Until recently, the only treatment available for restoring fertility after vasectomy was reconstruction. 4,6 Treatment for patients with seminal tract obstruction is either microsurgical repair of the obstruction or sperm retrieval and in vitro fertilization (IVF) with intracytoplasmic sperm injection (ICSI).…”

mentioning

confidence: 99%

“…[4][5][6][7][8][9][10][11] Until recently, the only treatment available for restoring fertility after vasectomy was reconstruction. 4,6 Treatment for patients with seminal tract obstruction is either microsurgical repair of the obstruction or sperm retrieval and in vitro fertilization (IVF) with intracytoplasmic sperm injection (ICSI). [12][13][14][15] Surgical correction may be accomplished by microsurgical reconstruction of the vas and /or epididymis, but prior to performing the microsurgery, the female partner should be evaluated to determine if female infertility factors are present.…”

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confidence: 99%

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The best infertility treatment for vasectomized men: assisted reproduction or vasectomy reversal?

Pasqualotto¹,

Lucon²,

Sobreiro³

et al. 2004

Rev. Hosp. Clin.

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In men with prior vasectomy, microsurgical reconstruction of the reproductive tract is more cost-effective than sperm retrieval with in vitro fertilization and intracytoplasmic sperm injection if the obstructive interval is less than 15 years and no female fertility risk factors are present. If epididymal obstruction is detected or advanced female age is present, the decision to use either microsurgical reconstruction or sperm retrieval with in vitro fertilization and intracytoplasmic sperm injection should be individualized.Sperm retrieval with in vitro fertilization and intracytoplasmic sperm injection is preferred to surgical treatment when female factors requiring in vitro fertilization are present or when the chance for success with sperm retrieval and intracytoplasmic sperm injection exceeds the chance for success with surgical treatment.

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Psychological correlates of vasectomy

Cited by 43 publications

References 17 publications

‘I’m committed to her and the family’: positive accounts of vasectomy among New Zealand men

‘I’m committed to her and the family’: positive accounts of vasectomy among New Zealand men

“We have friends, for example, and he will not get a vasectomy”: Imagining the self in relation to others when talking about sterilization.

The best infertility treatment for vasectomized men: assisted reproduction or vasectomy reversal?

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