Contraception is a big topic for many couples. Particularly when they've finished having children or don't want any in the first place, the discussion can turn to male sterilisation, or vasectomy.

What the procedure involves

The aim of a vasectomy is to stop sperm being transported through the spermatic cord. This way, the semen ejaculated during orgasm no longer contains any sperm, which prevents pregnancy. The procedure involves exposing and severing the two sperm ducts near the scrotum. The ends are sewn shut so that no sperm can get through. Don’t worry: a local anaesthetic is administered beforehand. The procedure is painless , except for a slight tugging sensation in the testicles.

Does a vasectomy affect your sex life?

A vasectomy simply prevents sperm from being released in the semen. But that doesn't mean that no fluid at all is ejaculated during orgasm following the procedure. Sperm only make up a small part of the ejaculate. Semen mostly consists of a mixture of the fluids secreted by what are known as the accessory reproductive glands, such as the prostate. A vasectomy merely alters the make-up of the seminal fluid; neither the sex drive nor the ability to achieve an erection is affected. Sexual activity can be resumed after a short recovery period. It's important to bear in mind, however, that there may still be sperm left in the sperm ducts or prostate following the procedure. Medical tests should be carried out to ensure that the seminal fluid doesn't contain any viable sperm before having unprotected sex. Between the vasectomy and the test, there should be at least 20 ejaculations.

What are the benefits of sterilisation?

Unlike traditional contraceptives, vasectomy is a one-time procedure and is effective for a lifetime. It's also considered to be one of the most reliable methods of contraception available. The procedure doesn't usually take longer than half an hour and costs between 600 and 900 francs. Supplementary insurance covers a large portion of the costs. 

Can a vasectomy be reversed?

Theoretically, it is possible to rejoin the ends of the severed sperm ducts but this operation is much more complex – and also more expensive. There is also no guarantee that the sperm ducts will grow back together again or that full fertility will be restored. Even after having a vasectomy, it's still possible to harvest sperm directly from the scrotum for artificial insemination if you decide you want more children.