FOR UROLOGISTS

Helping you make the right choice

 

Comparing Vasectomy with Other Options

 

 
METHOD COMMENT
Abstinence Very difficult for many couples to follow
Implant This involves implantation of a small rod into the inner surface of the upper arm. Slowly releases hormones. It is expensive and must be replaced every 3 years.
IUD
Intra-Uterine Device
An implant placed into the uterus by a gynecologist. Slowly releases hormones. May be expensive, and requires replacement every 3-10 years depending on brand.
Depo Shot Female injection or shot. Must be given every 3 months.Side effects include irregular bleeding, weight gain and osteoporosis (decreased bone density). 6% failure rate.
Tubal Ligation
(female sterilization)
Invasive surgical procedure. Permanent. Done under general anesthesia.
Oral Contraception
"The Pill"
Must be taken daily. Not tolerated by all women. Can increase risk of blood clots, which may be life threatening. 9% failure rate.
Vaginal Ring Inserted into the vagina and must be replaced monthly. Slowly releases hormones, which may increase risk of blood clots. 9% failure rate.
Diaphragm with Spermicide Requires fitting by a doctor. Requires use of spermicide, which may decrease spontaneity. 12% failure rate.
Condoms May be inconvenient, ruin spontaneity, decrease quality of intercourse. 18% failure rate.
Vaginal Sponge May be inconvenient, ruin spontaneity. 12-24% failure rate.
Withdrawal Decrease pleasure from intercourse. 22% failure rate.
Fertility awareness, “Rhythm method” Requires very careful attention to monthly cycles and cycles must be regular. Difficult to perform effectively. 24% failure rate.
Vaginal Spermicide Inconvenient, ruin spontaneity. 28% failure rate.
Vasectomy Safe, effective, permanent. Inexpensive as this is a one time expense. Greater than 99% effective.