00:00We're going to discuss further form of contraception in order to prevent further fatherhood.
00:06This week, we're going to talk about vasectomy.
00:15If you look at the word itself, vas, it's a tube that links the spermatic conductions of the sperms
00:23from the testicle to the prostate.
00:25And that tube itself, if it's segmentally cut off, it's a condition or a terminology used for a vasectomy
00:33which is a form of sterilisation.
00:37Vasectomy is quite variable and in acceptance in different countries.
00:41For example, in New Zealand and Australia, it is a very popular form of sterilisation
00:46and also a form of contraception.
00:49But somewhere in Japan and also in South Asia, it's not as common
00:54because culturally, it's not acceptable in a more male-dominant society.
01:00So exactly how is it done?
01:01In fact, many people are quite fearful of vasectomy because they think vasectomy actually is a castration.
01:10Wrong!
01:10Vasectomy is only a small removal of a segment of a tube preventing the sperm passage
01:17from the testicle to the outside world.
01:19So your testicle remains intact.
01:22In fact, your ejaculation remains intact, your climax remains intact, orgasm remains intact
01:28and your sex drive libido remains intact.
01:32So the procedure itself will require a small amount of local anaesthetic in the scrotum
01:38and a small 6mm incision, exteriorisation of the vas, cut both ends, tie both ends, two stitches across it
01:47and both testicles done.
01:49That is how vasectomy is done.
01:52Vasectomy only has failure rate if, let's say, somebody hasn't completely evacuated all the remaining sperms
01:59and one sperm perhaps actually being transmitted and then into the vagina and causes pregnancy.
02:07Therefore, checking sperm viability after vasectomy after about three months is absolutely crucial.
02:14If there's something called recarnulation, i.e. the nature finds its way to form the two ends of the vas that's cut
02:22to actually make the transmissions of the sperm possible again,
02:28it might happen in one in 2,000 men who undergo vasectomy.
02:34So, vast majority of this is due to either infection or hematoma formation.
02:39Therefore, it's crucial to check the sperm quality once, at least three months after the procedure
02:46and after that, the chance of recarnelation drop quite significantly.
02:51So, how effective is it?
02:53Once you have no sperm, there's no chance of actually causing pregnancy.
02:58So, therefore, such sterilisation is near 100% safe in the form of contraception.
03:04For the final week of June, we are pacing the Lyme's light on women again
03:10and this time we're discussing possibility of using IUCD.
03:15You need to stay tuned for next week's Putting Dr. G on the Spot.
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