Currently, more than 50 million men have done vasectomy (sterilization). This is about 5% of married men of reproductive age. In contrast, female sterilization as a method of birth control purchased 15% of households.
Vasectomy - operation that makes a man sterile (unable to conceive a child). This is the most common method of lifetime male contraception. According to statistics, in the United States to such surgery was subjected to every six men over 35 years. In some countries, only female sterilization and oral contraceptives surpass the popularity of vasectomy. Male sterilization - a simple, no influence on sexual satisfaction, relatively safe and almost 100% effective method of protection from unwanted pregnancy. However, preventing pregnancy, vasectomy does not protect against sexually transmitted infections.
The essence of the procedure
The essence of vasectomy is to prevent the penetration of sperm into the seminal fluid released during sexual intercourse.
Sperm containing male reproductive cells produced in the testes. Moving on the vas deferens, it gets in other testicular cancer, where it mixes with seminal fluid. As a result of vasectomy vas deferens cut or blocked. Thus getting sperm in seminal fluid is prevented: it is simply "recycled" by the body. Naturally, no sperm conception is impossible.
Existing technology
Usually surgery takes 30-45 minutes. In a traditional approach with one hand, introduce scrotal pain. Then the doctor makes it 2 small incisions and cuts the vas deferens or removes a small portion of them. The ends of the duct tie, and the incisions in the scrotum stitched. The same is done with the other side.
Sometimes surgery done without incisions on the scrotum. Special tool for the doctor makes a small hole, slightly stretches the skin, cuts and ties the ends of the vas deferens. In this case, less blood loss, does not require stitches. This new method, it is less painful and causes fewer complications than traditional surgery.
Will it hurt?
The operation most commonly used local anesthetic, which makes the procedure virtually painless. There have been some discomfort from the injection of the anesthetic, and when the doctor pulls the duct through the incision. After surgery, you will feel bad for several days. At least 1 day appointed by bed rest. Operation without a scalpel is not so painful. Special truss that supports the scrotum, cold compresses and pain relievers that do not contain aspirin, ease your condition. Follow your doctor's instructions about the limitations of physical activity.
Complications
Operations of both types can cause complications. Serious side effects are rare. Typically, they are associated with infection (as you can add it through the incision and through the puncture). Tell your doctor about possible signs of infection: fever, bleeding, pus from the allocation of the section, severe pain and inflammation.
Other possible problems:
* Bruising (soon after the surgery proceeds). In rare cases a hematoma. In this case, requires medical supervision.
* In 18% of cases after the operation of the vas deferens continues to leak a small amount of semen. As a result, under the skin near the site of incision may form a tumor (granuloma). Granuloma usually resolves itself, but sometimes requires surgery.
* More rarely, there is an abscess. It is eliminated by suction of pus through an incision in the scrotum. Also required treatment with antibiotics.
* Very rarely ends of the vas deferens again grow together (recanalization). Most often this occurs within 4 months after surgery. Recanalization makes it possible pregnancy.
Does the operation fail to pass?
Yes, but the probability of the unhappy outcome - 0,2%.
When you can often have sex after surgery?
It depends on you and the doctor's decision. At first, the need to continue to protect themselves, as well as to ensure that sperm no longer allocated to require 8-10 weeks and 15-20 ejaculations. Learn about the onset of complete sterility may be through the analysis of seminal fluid. The sample fluid can be obtained by masturbation or use a special condom during normal sexual intercourse. Laboratory studies obtained specimen can say whether there erupts in orgasm fluid sperm.
Until then, until the analysis does not show the absence of sperm, will have to use other means of protection.
Reduces whether vasectomy sexual pleasure and potency?
Erection, orgasm and ejaculation, most likely, will be the same, and as before. Most men say they enjoy even increased, because after surgery they no longer have to worry about a possible pregnancy. Many people do not notice any changes. Sometimes there is a slight decrease in sexual desire. Extremely rarely, men lose the ability to erect. This is, rather, to the emotional state before the operation.
Vasectomy makes a man sterile, but not impotent. It does not affect the level of male hormones in the blood. Hormones are responsible for the growth of beard, deep voice, and sexual desire, still to be worked out. Hormones continue to circulate in the blood, so all the male sexual characteristics remain. And even the amount of fluid released during ejaculation, will remain almost the same: the sperm is only 2-5% of the volume of seminal fluid.
Whether reversible vasectomy?
Yes. Modern development of microsurgery has increased the efficiency of operations to restore the vas deferens. However, guarantees the success of such an operation, no one gives. It is very difficult, expensive ($ 10 000 - 15 000) and takes about 2 hours. Operation Restore semyavyvodyaschego channel want to make a 2-6% previously sterilized males. The most common causes - remarriage, death of a child or a desire to have children due to increased prosperity.
Performing the inverse operation
There are 2 types of operations: vasovasostomy and epididmovazostomiya. In vasovasostomy eliminated what had been done with the vasectomy, that is, the ends of the vas deferens stapled together.
Epididmovazostomiya - much more complicated operation, requiring the microsurgeon vast experience and skill. It is made in the case, if the sperm does not enter the vas deferens due to inflammation of the epididymis - the channel located behind the testis. During the operation vas deferens attached directly to the epididymis.
The effectiveness of inverse operations
According to studies, 90% of sperm starts to stand out with ejaculation. In 50% of couples, after a man doing an operation to restore semyavyvodyaschego channel (vasovasostomy), partner can get pregnant. The effectiveness of the reverse operation depends on the time that has elapsed since the vasectomy. The faster a man decides to reverse the operation, the greater the chances of success.
Rx West Virginia
Friday, September 18, 2009
Sexual disorders: why they are difficult to diagnose?
There is no precise definition of what "normal" sex life. Everyone is doing in different ways: the frequency and characteristics of sexual contact. The frequency varies from several times a week to several times a year. Sexual contact - not necessarily intercourse. It is not necessary and the onset of orgasm in each partner. Almost every person there are periods of cooling in sex. The lack of a single "standard" normal sexual life can be difficult to say whether the pair had a sexual problem or not.
There are three criteria for determining whether the difficulties encountered by the couple, sexual problem:
* The problem is permanent or recurring nature (this is not a random incident, but the situation is repeated for a long time).
* The problem is the human stress: it is its very frustrating and disturbing.
* The problem entails difficulties in interpersonal relations and violates the understanding of sexual partner.
The latter two criteria are most important. For many people, change of libido or decrease in sexual function do not cause stress and do not affect the relationship with a partner. In this case, sex is no problem. Meanwhile, for people who, because of these changes greatly affected, the sexual problem.
Another difficulty is that the sexual problem is not any one reason, but the totality of physiological and psychological factors. Normal sexual function involves the passage of all stages of sexual intercourse:
* Initiation
* Blood flow to the genitals (an erection in men, lubrication and increase the allocation of reproductive organs in women).
* Orgasm
* Condition of pleasure and satisfaction.
Failure at any stage of this cycle may be caused by a complex of reasons, and they all can cause sexual problems.
Role of diabetes, smoking, etc.
By sexual problems can cause such reasons:
* Diabetes
* Cardiovascular disease
* Neurological disorders (stroke, traumatic brain or spinal cord, multiple sclerosis)
* Injuries or surgery to the pelvic organs
* Side effects of medicines
* Chronic disease (renal or hepatic insufficiency)
* Violations of the hormonal environment
* Alcohol and drug use
* Smoking
* Age-related changes
Psychological causes:
* Stress at work
* Worries about problems in the family or relationships with other people
* Mental disorders (depression, increased anxiety)
* The previous bad sexual experience
Very often a chain reaction of these reasons. Concomitant diseases and disorders cause people to worry about their sexual function, and this only exacerbates the problem.
In the event of a serious sexual difficulties, we must first find out whether they relate to medication, violation of hormonal background, neurological problems, mental disorders (depression, increased anxiety), or trauma. If you found any of these reasons, it can be addressed by a doctor. Otherwise, the need to analyze the relationship of the pair. Sexual problems can be situational in nature. This means that the difficulties arise only with a particular partner, and only in certain situations. In such cases, both partners is recommended consultation with a psychologist or therapist.
Rx Alaska
There are three criteria for determining whether the difficulties encountered by the couple, sexual problem:
* The problem is permanent or recurring nature (this is not a random incident, but the situation is repeated for a long time).
* The problem is the human stress: it is its very frustrating and disturbing.
* The problem entails difficulties in interpersonal relations and violates the understanding of sexual partner.
The latter two criteria are most important. For many people, change of libido or decrease in sexual function do not cause stress and do not affect the relationship with a partner. In this case, sex is no problem. Meanwhile, for people who, because of these changes greatly affected, the sexual problem.
Another difficulty is that the sexual problem is not any one reason, but the totality of physiological and psychological factors. Normal sexual function involves the passage of all stages of sexual intercourse:
* Initiation
* Blood flow to the genitals (an erection in men, lubrication and increase the allocation of reproductive organs in women).
* Orgasm
* Condition of pleasure and satisfaction.
Failure at any stage of this cycle may be caused by a complex of reasons, and they all can cause sexual problems.
Role of diabetes, smoking, etc.
By sexual problems can cause such reasons:
* Diabetes
* Cardiovascular disease
* Neurological disorders (stroke, traumatic brain or spinal cord, multiple sclerosis)
* Injuries or surgery to the pelvic organs
* Side effects of medicines
* Chronic disease (renal or hepatic insufficiency)
* Violations of the hormonal environment
* Alcohol and drug use
* Smoking
* Age-related changes
Psychological causes:
* Stress at work
* Worries about problems in the family or relationships with other people
* Mental disorders (depression, increased anxiety)
* The previous bad sexual experience
Very often a chain reaction of these reasons. Concomitant diseases and disorders cause people to worry about their sexual function, and this only exacerbates the problem.
In the event of a serious sexual difficulties, we must first find out whether they relate to medication, violation of hormonal background, neurological problems, mental disorders (depression, increased anxiety), or trauma. If you found any of these reasons, it can be addressed by a doctor. Otherwise, the need to analyze the relationship of the pair. Sexual problems can be situational in nature. This means that the difficulties arise only with a particular partner, and only in certain situations. In such cases, both partners is recommended consultation with a psychologist or therapist.
Rx Alaska
Erectile dysfunction: a short campaign against illiteracy
What is it?
Simply put, erectile dysfunction (impotence) - a condition where the penis is excited enough. The term "erectile dysfunction" is used to describe the complete inability to have erection, erection of instability and a tendency only to short erection. In other words, erectile dysfunction - is a persistent inability to achieve erection necessary for sexual intercourse. Erection - a complex process that involves emotions, blood circulation system and three independent unit of the nervous system.
How dangerous is erectile dysfunction?
Erectile dysfunction (ED) usually signals of serious deficiencies in the body.
Causes of erectile dysfunction (ED)
The causes of ED are many. They can be divided into six groups:
* Psychological. According to experts, in 10-20% of cases in the occurrence of erectile dysfunction play a role of psychological factors: stress, anxiety, guilt, depression, low self-esteem and fear of failure in bed.
* Medication. Reduce sexual desire leads smoking, alcohol and drugs. Potency can affect reception of conventional drugs (antidepressants, tranquilizers, drugs for peptic ulcer disease, allergies, to lower blood pressure, suppress appetite). Consult a physician if there are any among your medications such funds.
* Vascular disease, circulation disorder. Atherosclerosis arterial wall becomes less elastic. This can lead not only to heart attack or stroke, but also to a deterioration of blood supply to the penis.
* Neurological disorders. The state of the nervous system may affect diabetes, injuries and diseases of the spinal cord, prostate surgery, or lower regions of the colon.
* Deterioration of hormonal background. The level of male sex hormone testosterone is reduced due to endocrine disorders and other diseases, such as cirrhosis of the liver.
* Diseases, injuries of the penis. Erectile dysfunction may cause Peyronie's disease or priapism. In the first case, for whatever reason is the proliferation of tissue and chordee. Priapism - a prolonged erection, gradually oppressive sexual function. One of the causes of priapism injections of drugs that enhance sexual potency. In the event of a prolonged painful erection, seek immediate medical help.
Diagnosis
Dissatisfaction with the quality of erections (especially when there is a clear deterioration) - cause to undergo a medical examination and to identify possible causes of ED. Many men are erections in his sleep. If nocturnal erections persists, emotional reasons are excluded.
What?
More often than men because of nocturnal erections do not wake up. Therefore, to check whether there are or not, may need a special device. If an erection during the night there, the doctor will look for possible medical reasons, ranging from what medications you are taking.
Viagra (sildenafil) was originally developed for the treatment of ischemic heart disease, but in clinical trials, patients noted the occurrence of erections. In addition to Viagra, there are two drugs for oral administration: Levitra (vardenafil) and Cialis (tadalafil). All three means of increasing blood flow to the penis and maintain an erection sufficient for sexual intercourse. The effect of taking Viagra and Levitra, there is 1-2 hours after ingestion. Thanks to Viagra, sexual function improved in four out of five patients. Effects Cialis persists for 36 hours. In order for any of these drugs began to operate, need sexual stimulation. All these funds have side effects: headache, runny nose, upset stomach.
After the sexual act is the outflow of blood from the penis, and he returns to normal. Levitra improved erections in 85% of men. This drug helps to improve the potency of patients with diabetes and those who had surgery on the prostate gland. The drug is contraindicated in people with acute heart disease, those taking medicines that contain nitrates (drugs on cardiac chest pain) or alpha-blockers (drugs used to treat prostate disease and hypertension). Acting together, these medicines can trigger a sharp decline in blood pressure. Drugs that enhance sexual potency, are dangerous for people suffering from coronary heart disease, heart failure and hypotension, or those taking drugs to lower blood pressure.
Before the market these drugs with erectile dysfunction were struggling with injections, which were administered directly to the member before intercourse. This method still exists. When done correctly, this procedure is efficient enough. But sometimes such injections and other medications for the treatment of erectile dysfunction cause priapism, or enduring a prolonged erection. Use should be with caution.
Sometimes the urethra before intercourse pellet injected drug, which acts like tablets and injections.
Erection can be maintained with the help of mechanical devices: vacuum pump that provides blood flow to the penis, or a rubber cuff, worn on the base of the penis and prevent the flow of blood from him.
Finally, special devices may be introduced into the penis by surgery. This semi-rigid structures - hard enough for intercourse, but the extent of flexibility to be discreet, underwear. More complex devices can blow and inflate with the pump, implanted in the scrotum.
Memo
* Impotence may be a sign of serious illness.
* The presence of nocturnal erections indicates psychological rather than medical nature of erectile dysfunction.
* Admission of drugs can cause impotence.
* Virtually all types of impotence are treatable one way or another. Often after this is achievable normal orgasm.
Rx Delaware
Simply put, erectile dysfunction (impotence) - a condition where the penis is excited enough. The term "erectile dysfunction" is used to describe the complete inability to have erection, erection of instability and a tendency only to short erection. In other words, erectile dysfunction - is a persistent inability to achieve erection necessary for sexual intercourse. Erection - a complex process that involves emotions, blood circulation system and three independent unit of the nervous system.
How dangerous is erectile dysfunction?
Erectile dysfunction (ED) usually signals of serious deficiencies in the body.
Causes of erectile dysfunction (ED)
The causes of ED are many. They can be divided into six groups:
* Psychological. According to experts, in 10-20% of cases in the occurrence of erectile dysfunction play a role of psychological factors: stress, anxiety, guilt, depression, low self-esteem and fear of failure in bed.
* Medication. Reduce sexual desire leads smoking, alcohol and drugs. Potency can affect reception of conventional drugs (antidepressants, tranquilizers, drugs for peptic ulcer disease, allergies, to lower blood pressure, suppress appetite). Consult a physician if there are any among your medications such funds.
* Vascular disease, circulation disorder. Atherosclerosis arterial wall becomes less elastic. This can lead not only to heart attack or stroke, but also to a deterioration of blood supply to the penis.
* Neurological disorders. The state of the nervous system may affect diabetes, injuries and diseases of the spinal cord, prostate surgery, or lower regions of the colon.
* Deterioration of hormonal background. The level of male sex hormone testosterone is reduced due to endocrine disorders and other diseases, such as cirrhosis of the liver.
* Diseases, injuries of the penis. Erectile dysfunction may cause Peyronie's disease or priapism. In the first case, for whatever reason is the proliferation of tissue and chordee. Priapism - a prolonged erection, gradually oppressive sexual function. One of the causes of priapism injections of drugs that enhance sexual potency. In the event of a prolonged painful erection, seek immediate medical help.
Diagnosis
Dissatisfaction with the quality of erections (especially when there is a clear deterioration) - cause to undergo a medical examination and to identify possible causes of ED. Many men are erections in his sleep. If nocturnal erections persists, emotional reasons are excluded.
What?
More often than men because of nocturnal erections do not wake up. Therefore, to check whether there are or not, may need a special device. If an erection during the night there, the doctor will look for possible medical reasons, ranging from what medications you are taking.
Viagra (sildenafil) was originally developed for the treatment of ischemic heart disease, but in clinical trials, patients noted the occurrence of erections. In addition to Viagra, there are two drugs for oral administration: Levitra (vardenafil) and Cialis (tadalafil). All three means of increasing blood flow to the penis and maintain an erection sufficient for sexual intercourse. The effect of taking Viagra and Levitra, there is 1-2 hours after ingestion. Thanks to Viagra, sexual function improved in four out of five patients. Effects Cialis persists for 36 hours. In order for any of these drugs began to operate, need sexual stimulation. All these funds have side effects: headache, runny nose, upset stomach.
After the sexual act is the outflow of blood from the penis, and he returns to normal. Levitra improved erections in 85% of men. This drug helps to improve the potency of patients with diabetes and those who had surgery on the prostate gland. The drug is contraindicated in people with acute heart disease, those taking medicines that contain nitrates (drugs on cardiac chest pain) or alpha-blockers (drugs used to treat prostate disease and hypertension). Acting together, these medicines can trigger a sharp decline in blood pressure. Drugs that enhance sexual potency, are dangerous for people suffering from coronary heart disease, heart failure and hypotension, or those taking drugs to lower blood pressure.
Before the market these drugs with erectile dysfunction were struggling with injections, which were administered directly to the member before intercourse. This method still exists. When done correctly, this procedure is efficient enough. But sometimes such injections and other medications for the treatment of erectile dysfunction cause priapism, or enduring a prolonged erection. Use should be with caution.
Sometimes the urethra before intercourse pellet injected drug, which acts like tablets and injections.
Erection can be maintained with the help of mechanical devices: vacuum pump that provides blood flow to the penis, or a rubber cuff, worn on the base of the penis and prevent the flow of blood from him.
Finally, special devices may be introduced into the penis by surgery. This semi-rigid structures - hard enough for intercourse, but the extent of flexibility to be discreet, underwear. More complex devices can blow and inflate with the pump, implanted in the scrotum.
Memo
* Impotence may be a sign of serious illness.
* The presence of nocturnal erections indicates psychological rather than medical nature of erectile dysfunction.
* Admission of drugs can cause impotence.
* Virtually all types of impotence are treatable one way or another. Often after this is achievable normal orgasm.
Rx Delaware
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