Vasectomy in Iran: All you need to know
Vasectomy in Iran is a method of permanent male sterilization. It is a minor operation that involves cutting and blocking the vas deferens tubes that carry sperm from the testes. It is performed under local anesthesia in the doctor’s office or in a hospital and lasts about 10 minutes. The doctor makes you benefit from the technique of anesthesia with micro-needle. This innovative technique, done using a needle the size of a hair, reduces the pain and anxiety associated with the “sting”. Your vasectomy will be completely or almost painless. The majority of men believe that “it’s less bad than going to the dentist!” Vasectomy does not affect sex drive or the ability to enjoy sex. And you will maintain your ability to have an erection and ejaculation naturally. The only difference is that semen will not contain sperm.
What is vasectomy?
Vasectomy is a surgical procedure for male sterilization or permanent contraception that cuts the tubes that carry the sperm from the testis. If men are completely sure they don’t want to have a child in the future, vasectomy is a good choice for them. It’s a permanent form of male birth control with nearly 99% effectiveness and is an outpatient surgery with a low risk of complications or side effects. It doesn’t affect sex drive or masculinity in any way. They will still have erections and ejaculate, but the semen won’t contain sperm.
During a vasectomy in Iran, the vas deferens exit out of the scrotum (that is, the envelope containing the testes) and are then blocked and cut, preventing the passage of sperm. This does not prevent ejaculation. It is the seminal vesicles located above the prostate, so higher than the site of the vasectomy, that produces most of the fluid that is ejaculated. The production of sperm by the testes continues after the vasectomy. However, the man’s testicles will produce less sperm over time, and his body will absorb the sperm produced.
Since sterilization is, in principle, a final decision for men, it should be carefully considered. The possibility of changes in living conditions that lead to the desire to have children again (Divorce, death of a partner, or a child) should also be considered.
Who is a good candidate for vasectomy in Iran?
- Individuals who want a permanent male contraception
- Men older than 30 years in a stable relationship appear to be the best candidates for vasectomy
What are the types of vasectomy in Iran?
It involves making two small cuts in the scrotum that are stitched up at the end of the procedure. This type of vasectomy is currently less used in Iran and the world.
It is a newer and now commonly used method of vasectomy in Iran that negates the need for a scalpel to cut skin. Instead, a special instrument makes a tiny hole in the skin of the scrotum above the vas deferens and small forceps open up the hole so that the surgeon can access vas deferens tubes. This method is thought to cause less bleeding, pain, and complications and requires no stitches.
What are pre-operative instructions for vasectomy in Iran?
Your doctor takes a full medical history and will ask about your circumstances and provide you with information and advice before agreeing to this procedure. You should do a vasectomy if you are sure you never want to have children, or do not want to have more children. If you have any doubts, think of another method of contraception until you are sure. You should not decide to take a vasectomy after a crisis or a major change in your life – for example, if your partner gave birth or just got pregnant.
If you have a partner, discuss this with her before deciding to perform a vasectomy in Iran. You should both agree to this procedure, if possible. You can perform a vasectomy at any age. However, your doctor may oppose this procedure if you are under the age of 30, especially if you have not yet had children. Your doctor has the right to refuse to perform the procedure or to refuse to refer you for it if he believes it is not in your interest.
Patients should avoid certain medicines include Aspirin, anti-inflammatory drugs, and herbal supplement before the vasectomy. Adults should stop smoking a few weeks before and after the surgery. Patients should take a shower on the day of surgery and wash the genital area thoroughly.
How is the procedure of vasectomy in Iran?
Vasectomy in Iran is a relatively rapid and painless surgical procedure. The tubes that carry sperm from the man’s testicles to his penis are cut, and then blocked or closed by heat. In most cases, you will be able to return to your home on the same day. This procedure usually lasts 15 to 30 minutes. You should wear loose, comfortable clothing.
Most vasectomies are performed under local anesthesia. This means that only the scrotum and testicles will be anesthetized, and you will be alert at the time of the procedure. You will not feel any pain, although you may feel a little uncomfortable. General anesthesia may be required in rare cases meaning that you will be asleep during the procedure. General anesthesia can be used if you are allergic to a local anesthetic or have a history of fainting easily. However, most people need only local anesthesia.
There are two types of vasectomy:
- In the conventional vasectomy, the doctor will make one or two small incisions in the scrotum (the skin sac that surrounds your testicles) to access the efferent vessels on the scrotum using a scalpel (a surgical knife). A small portion of the efferent vessels will be cut and removed. The urologist can close the ends of the arteries with a catheter and suture the incision. The doctor will then perform the same operation on another testicle through another incision in the scrotum or the previous incision. For both testicles, when the efferent vessels are closed, the doctor will use a few stitches or skin adhesives to close the incisions on the scrotum.
- The other type is called no-scalpel vasectomy, and it is a modern technology that is now commonly used. In this type of vasectomy in Iran, a small hole is made on one side of the scrotum. The surgeon finds the vas deferens and pulls it out of the hole. The vessel is then cut and a small part of it will be removed. The end of the efferent vein will be burned or knotted and the vessel will be returned to its place. This process will then be repeated on the other testicle. Since the holes are very small, no stitches are needed.
Your doctor will choose the best vasectomy technique for you. After vasectomy in Iran, many people return home the same day and fully recover in less than a week.
What are post-operative instructions for vasectomy in Iran?
Swelling, bruising, and pain are common for a few days after vasectomy in Iran. Most patients require only over-the-counter medications for pain control. Aspirin and Ibuprofen-type medicines should be avoided for 7 days pre- and post-vasectomy to prevent potential bleeding problems. Patients should support the scrotum with a bandage and tightfitting underwear for at least 48 hours after the procedure.
Patients should rest for 24 hours after vasectomy in Iran. It is recommended to apply cold compresses to the scrotum for 2 days. They should avoid lifting and heavy work for a week or so. Sexual activity is also avoided for a week or so. Remember, a vasectomy doesn’t protect against sexually transmitted diseases.
After a vasectomy, contraception is required until sperm are cleared, which typically takes 30 ejaculations or 12-16 weeks, whichever comes first.
What are the potential complications of vasectomy in Iran?
Vasectomy in Iran or anywhere else, especially when the no-scalpel technique is used, is considered a very safe operation. However, like any operation, there is a small possibility of certain complications such as bleeding, bruising and infection (around 1%), testicular discomfort (congestive epididymitis) which occurs a few weeks after the vasectomy and usually lasts a few days (around 5%), a painful scar nodule on the duct (granuloma, approximately 1%), and chronic pain which is very rare (approximately 0.1%).
Based on studies of thousands of men, vasectomy does not cause health problems such as cardiovascular disease or cancer. Some controversy has arisen regarding the relationship between vasectomy and prostate cancer. Analysis of currently available studies has not established that vasectomy causes prostate cancer and the medical community recognizes that vasectomy is not a risk factor for this.
As for the sexual function, it remains unchanged. You will continue to have erections and ejaculations as before the vasectomy, except that the ejaculated fluid will no longer contain sperm. Remember that sperm only represent about 2% to 3% of ejaculation. You will not have any difference in the sensations either.
How effective is vasectomy in Iran?
Vasectomy is one of the most effective birth control methods. Pregnancy is considered to occur on average in 15 to 20 in 10,000 couples within a year of vasectomy, compared to 1,400 in 10,000 when the contraceptive method relies on condoms, and 500 with an oral contraceptive.
However, sterilization is not obtained immediately after the operation, because sperm may remain in the various channels. It is generally considered that sterilization is obtained after about thirty ejaculations, or after 3 to 4 months. After the procedure, it is therefore essential to use another method of contraception until the absence of sperm in the semen is confirmed by analysis.
As soon as there is no longer any sperm in the semen fluid, it is possible to give up the other contraceptives. It is considered that the vasectomy is irreversible, that is to say, that the vasectomized man will not be able to have any more children during his life.
Is a vasectomy reversible?
Vasectomy is considered a definitive and therefore irreversible method of contraception. There is an operation to “undo” the vasectomy and restore the flow of sperm (a vasovasostomy), but it is a complex operation with a success rate of only about 30-40%. Men wishing to have a vasectomy in Iran are therefore asked to consider that their choice will lead to permanent sterility.
Are there any effects on sex life?
Men sometimes refrain from sterilization because they fear that their sexual life will be impaired. However, this concern is completely unfounded: Hormone production in the testicles, potency, sexual pleasure, and also the ability to have an orgasm are not affected by sterilization. The amount of ejaculate remains almost the same, as the seminal fluid is mostly produced in the prostate and other glands and only consists of five percent sperm cells. The testicle also continues to produce sperm even after the vasectomy, but they have broken down again shortly after their passage into the now-closed sperm duct.