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Juniper 05-09-2009 02:49 AM

Sterilization
 
In honor of Mother's Day, ha ha ha!!!! I thought I'd pose this question here, because collectively it seems the Cellarites know everything, and I would like some personal advice.

Me and the hubby are both 41. We have two children, and judging from the fact they're now 13 and almost 11, we seem to be pretty happy as parents of two. That's all we planned to have. Yes, I am a planner; both times we said "hey, let's get me knocked up," and we did, down to the very month we chose. :)

Every now and then I get a little "twinge" that it might be nice to have another baby - but it is short-lived, because I am truly enjoying the idea of getting on with the rest of my life. I think it's not so much that I want a baby, it's that I feel sad to have that part of my life over, and to no longer say "well, maybe someday."

But facts is facts. Hub and I are done reproducing. I've been on the pill since I was 15, with breaks only for conception and delivery. Now it's the mini-pill because it's easier on those of us who have hypertension issues. I'd kind of like to stop taking it.

Hubby agreed to "get snipped" as we say. He agreed to this in theory, and was going to do it about three years ago during a vacation week but instead we ended up moving that week! It's not so much that he disagrees with the concept, but actually getting it done seems to be difficult for him. He says he's not scared, but I know he must be. He's got three friends (at least) who have done it and assure him it's fine, but there's another who says he's never been the same, regarding both performance and sensation. I dunno.

Now, last time I went to the doctor for my annual "girlie" exam the doc told me about this thing called Essure that will sterilize me without surgery - no invasive "get yer tubes tied" stuff. And now I'm thinking I should do that -- it seems easier for me than it would be for him, if only from the POV that I'm used to doctors poking around my genitals -- from my various reproductive experiences -- and he is not. This is some IUD-like gimmick they insert and the tubes close up around it, resulting in permanent sterilization.

I mentioned it to him today and he seemed a little offended that I would offer to do it instead; perhaps he will have a need to be the strong one and do this chivalrous act. OTOH, I find that I want to spare him the trouble, if only because I know I can deal with the minor discomfort it is supposed to cause and I don't have to worry about work schedules.

There is also a little worry that this Essure thing is fairly new, vs. the male vasectomy stuff they've been doing for quite some time.

Advice appreciated.

bluecuracao 05-09-2009 04:41 AM

I don't know--"Essure" still seems invasive, or worse. Apparently it's supposed to create scar tissue that blocks everything up? That just sounds wrong.

Looking on wikipedia, it says it's a form of IUD, and those things do carry a risk of puncturing you. IMO, It seems safer just to have the tube-tying procedure.

DanaC 05-09-2009 05:11 AM

Sounds fraught with potential downsides to me Juni. Like blue, I am a little uneasy about a procedure that's supposed to provoke scarring to prevent funtionality. *shakes head* personally? I wouldn't go any where near.


[eta] also, how guaranteed is it to prevent conception? A good friend of mine who has a coil (I think) had an ectopic pregnancy two years ago. A cousin of mine, likewise, had something along those lines happen to her in the late 90s.

Apollo 05-09-2009 05:33 AM

Honestly, I wouldn't let the idea of "scar tissue" scare you away. Scar tissue is just natural collagen fibres, and there's nothing dangerous about it. Although I agree it still seems a bit odd, realize that it's been on the market for seven years and I can't find any stories about any dangerous side effects, only ones about how it failed.

Just make sure your gyno has performed the procedure before and I think it would be safe. Also, it costs in the $1000 range, so it might be good to know if your insurance is going to cover it or not. Although I don't know if insurance usually covers vasectomies either, so it might not matter.

Good luck!

Shawnee123 05-09-2009 08:09 AM

Quote:

Hubby agreed to "get snipped" as we say. He agreed to this in theory, and was going to do it about three years ago during a vacation week but instead we ended up moving that week! It's not so much that he disagrees with the concept, but actually getting it done seems to be difficult for him. He says he's not scared, but I know he must be. He's got three friends (at least) who have done it and assure him it's fine, but there's another who says he's never been the same, regarding both performance and sensation. I dunno.
Juni, no one I've ever talked to who had a vasectomy has reported problems, and I know quite a few. This one person could have other issues. I did a quick look around on the net and have not been able to find many advices of complications other than this routine information:

http://www.urologychannel.com/vasect...ications.shtml

There was also an article about slight psychological issues such as an almost mourning for the loss of reproductive ability (understandable, maybe akin to what women feel in menopause) but I would think that would pass.

I don't know. It seems that you have been dealing with the contraception responsibility for all this time: if he's willing to go through with it, I think you should let him. It's the least invasive and therefore less risky choice.

DanaC 05-09-2009 08:37 AM

It's possible that there is less anecdotal evidence of post-procedure problems, because men are less likely to go and seek advice for it. Also, I have heard of isolated cases of problems like those mentioned (loss of sensation etc).

The truth is there are risks to any such procedure, for either you or your fellah. There are risks in the pills you've been taking.

xoxoxoBruce 05-09-2009 09:48 AM

Tell him to get off his butt and git r dun. The one buddy that's claiming it's never the same needs a psychiatrist.

Pico and ME 05-09-2009 03:02 PM

My husband had it done about 8 years ago and has had zero problems. Juniper...let him do it.

monster 05-09-2009 03:07 PM

snip snip.

glatt 05-09-2009 03:22 PM

It makes more sense for him to do it because it's less risky for him. I've done it, and it's no big deal. You don't even need stitches anymore. Having said that, 90% of sex sensations are all in the head. So if your husband's head isn't in the right place regarding this, he may find he's got problems. They won't be physical problems, but they might be just as real. If he willing to do it, let him do it, but I wouldn't push him.

TheMercenary 05-10-2009 07:42 AM

Quote:

Originally Posted by Juniper (Post 564050)
Now, last time I went to the doctor for my annual "girlie" exam the doc told me about this thing called Essure that will sterilize me without surgery - no invasive "get yer tubes tied" stuff. And now I'm thinking I should do that -- it seems easier for me than it would be for him, if only from the POV that I'm used to doctors poking around my genitals -- from my various reproductive experiences -- and he is not. This is some IUD-like gimmick they insert and the tubes close up around it, resulting in permanent sterilization.

We do it at one place where I work. What do you want to know. You can PM me if you want.

DanaC 05-10-2009 08:45 AM

Juni, I just want to remind you of something you said in your opening post:

Quote:

I mentioned it to him today and he seemed a little offended that I would offer to do it instead; perhaps he will have a need to be the strong one and do this chivalrous act. OTOH, I find that I want to spare him the trouble, if only because I know I can deal with the minor discomfort it is supposed to cause and I don't have to worry about work schedules.
I'd say the highlighted line is the most important thing there.

Juniper 05-10-2009 11:36 AM

You all are right. Logically I know this, it is his turn and he'll be fine. But he wants ME to make all of the arrangements for him, because he just doesn't do that sort of thing. And I feel terribly guilty about it, as if I'm making a vet appointment to get my dog neutered. Yeah I know, different procedures, LOL! It just feels pushy and selfish. I can just hear him saying to his buddies, "my wife made me the appointment so I had to go..." which sounds a lot worse than it is. If he would make that phone call himself, I could deal with it better!

classicman 05-10-2009 02:19 PM

Just make the call. Its probably easier for HIM. I had mine done about 10 years ago. I'm very happy and have had ZERO issues.

xoxoxoBruce 05-10-2009 04:37 PM

Quote:

Originally Posted by Juniper (Post 564439)
I can just hear him saying to his buddies, "my wife made me the appointment so I had to go..." which sounds a lot worse than it is.

But don't you see, that's the perfect macho cop out. The guys will all nod in agreement and understand he didn't give up his manliness willingly. He should, however, tell you to go ahead and make the appointment... he doesn't have to tell them that. ;)

kerosene 05-10-2009 04:50 PM

My husband had his done 8 years ago. Before I met him. He has had no issues with it at all.

Except that now he wants to get it reversed!

classicman 05-10-2009 07:57 PM

:eek:

DucksNuts 05-11-2009 05:32 AM

I met a guy the other week that has had it done and reversed....3 times!!! 2 different wives, weird, he doesnt seem to see it as a problem, except for the $8k he has forked out the last couple of times.

Undertoad 05-11-2009 09:06 AM

Just install a goddamn valve already!

monster 05-11-2009 10:01 AM

:lol: that would be a neat solution

TheMercenary 05-11-2009 10:41 AM

Quote:

Originally Posted by Juniper (Post 564439)
You all are right. Logically I know this, it is his turn and he'll be fine. But he wants ME to make all of the arrangements for him, because he just doesn't do that sort of thing. And I feel terribly guilty about it, as if I'm making a vet appointment to get my dog neutered. Yeah I know, different procedures, LOL! It just feels pushy and selfish. I can just hear him saying to his buddies, "my wife made me the appointment so I had to go..." which sounds a lot worse than it is. If he would make that phone call himself, I could deal with it better!

Don't forget that you still need protection for up to a month post his procedure and then he still will need a sperm count prior to having sex unprotected. I have seen more than one person show up prego because they didn't wait or check.

ZenGum 05-11-2009 11:48 PM

Quote:

Originally Posted by Undertoad (Post 564729)
Just install a goddamn valve already!

Quote:

Originally Posted by monster (Post 564752)
:lol: that would be a neat solution

You thought you were joking, didn't you?

Quote:


Radio-controlled sperm 'tap' turns off vasectomies

A radio-controlled contraceptive implant that could control the flow of sperm from a man's testicles is being developed by scientists in Australia.

The device is placed inside the vas deferens - the duct which carries sperm from each testicle to the penis. When closed, it blocks the flow of sperm cells, allowing them to pass again when it is opened via a remote control. The valve could be a switchable alternative to vasectomy, the researchers say.

Although women can choose from several long-term contraceptive methods, for men vasectomy is really the only option. With this procedure, the vasa deferentia are cut or blocked, a process that requires surgery and can require a week of recovery. The procedure cannot be reliably reversed, leaving some men to later regret their decision.

Now, a team from the University of Adelaide, Australia, may have come up with a more easily reversed alternative. They have designed a small radio-controlled valve that would "push-fit" snugly inside the vas deferens and block the passage of sperm.

The silicone-polymer valve can be flipped between open and closed positions with a pulse of radio waves. A set of conducting "fingers" on the valve act as antennae and convert the signal's energy into sound waves that travel through the polymer and create stresses inside the device.

Remote control
"Since it is flexible, the polymer either contracts or expands as a result, and this movement allows the valve to be opened or closed as needed," explains team leader Said Al-Sarawi.

"It will be like turning a TV on and off with a remote control," added team founder Derek Abbott, "except that the remote will probably be locked away in your local doctor's office to safeguard against accidental pregnancy or potential misuse of the device."

To secure the device against accidental activation, the device works in a similar way to a car's remote key-fob. Each valve responds only to a radio-frequency signal with a unique code.

Another advantage of the microvalve is that would not require open surgery, unlike a vasectomy. The 800 micron-long device could simply be inserted using a hypodermic needle. "The procedure could be performed in a special clinic rather than in a hospital," says Abbott.

The researchers have finished the design of all parts of the valve, and are convinced it will work effectively. The next step is to test it in the lab with a tube of pressurized water. After that, trials could begin in live sheep and pigs, they say.

'Grace period'
One potential problem, however, is that after a while the valve may clog with protein and remain shut, rendering the man permanently infertile.

"We would only propose the device to men who were thinking of having a full vasectomy anyway," said Abbott. "But, unlike in an actual vasectomy, he would have a 'grace period' where the procedure can easily be reversed." How such a device affects gender politics would also make a fascinating social study, he added.

Men who regret a vasectomy can often only have children using donor sperm, says Natalie Gamble, associate with UK law firm Lester Aldridge.

"Although the law protects families conceiving with the help of a sperm donor, this type of conception has significant legal and emotional implications," she adds. " I am sure men will welcome the chance to control their fertility more flexibly, and to preserve the chance to have their own genetic child."

Joe Hofmeister is president of US firm Shepherd Medical Company, which is also working on male contraceptive devices. "Consumer market research performed by an independent third party for Shepherd confirms a strong patient desire for a permanent-yet-reversible male contraceptive such as the microvalve or other such system."

Look for it being marketed as the "Down-Under stop-cock". :lol:

binky 05-12-2009 12:00 AM

My husband had a vasectomy after our youngest daughter was born (at 38, and after 2 c-sections, I was DONE going under the knife!). Not only did it not cause us any sexual problems, but not having to worry about using birth control actually jazzed up our sex life.

xoxoxoBruce 05-12-2009 12:54 AM

Quote:

Originally Posted by ZenGum (Post 564983)
You thought you were joking, didn't you?
Look for it being marketed as the "Down-Under stop-cock". :lol:

Years ago I saw an article about how they could install what amounted to a tiny stopcock and let the incision heal. The doctor would have to make another incision to turn it back on if you changed your mind, but it could be done and cheaply.

glatt 05-12-2009 07:44 AM

That radio controlled valve would just be begging to be hacked by evil genius pranksters. Instead of copying your key fob in a walk by rfid sniffing session, they would be making you fertile again, without your knowledge.

wolf 05-12-2009 01:25 PM

Quote:

Originally Posted by xoxoxoBruce (Post 565001)
Years ago I saw an article about how they could install what amounted to a tiny stopcock and let the incision heal. The doctor would have to make another incision to turn it back on if you changed your mind, but it could be done and cheaply.

I was just thinking about what may have been the same article. There was a really fabulous picture of the teensy weensy gold? valves, so I'm guessing it was in Life Magazine or something similar.

(weird how recall works, sometimes, but I'm also remembering that the tiny little guys were photographed balanced on someone's fingertip)

SteveDallas 05-12-2009 02:53 PM

Quote:

Originally Posted by glatt (Post 565063)
That radio controlled valve would just be begging to be hacked by evil genius pranksters. Instead of copying your key fob in a walk by rfid sniffing session, they would be making you fertile again, without your knowledge.

I would never be comfortable with this... if I had it done I'd need to get full-blown snippage. (My wife had her tubes tied after the second kid.)

Pooka 05-12-2009 03:42 PM

There is a laproscopic version of a tubal now... it is an out patient procedure.

I had the real deal when I had my C-section... have never looked back... glad I did it all in one...

We basically had a bet going to see who was getting fixed... C-section... me... natural birth and Flint would be sitting on ice packs... you already know who lost. Flint was relieved...

classicman 05-12-2009 03:59 PM

When I had mine done about oh 15 years ago, I was told about all this pain and ice and blah blah blah - Missed two days of work - the day I had it done and the next. No big deal, no ice no killer meds. It was done laproscopically and that was it. Three small incisions. I was "back in the saddle" in less than two weeks.
No one should fear the scope - The nurse who shaved the "area prior to surgery - YES, but not the scope.

Tiki 05-12-2009 08:31 PM

My ex-husband got a vasectomy, and for a couple of years afterward had a severe shooting pain in his testicles at ejaculation... and then a few years later a friend of mine had it done and experienced the same thing. It's not a common side effect, but it is a documented one, and something to be aware of.

I have an IUD. This is my third IUD, and I'm really happy with it overall. However, my youngest daughter was conceived on an IUD that had been in place for two years, so I'm well aware that there is a possibility of failure... it's simply that this is the best option for me right now.

ZenGum 05-13-2009 02:48 AM

Quote:

Originally Posted by Tiki (Post 565263)
..... had a severe shooting pain in his testicles at ejaculation..


:lol:


Sorry.

DanaC 05-13-2009 03:05 AM

So you should be Zen *stern look*

ZenGum 05-13-2009 06:26 AM

*ashamed*




*giggles*

ZenGum 05-13-2009 06:30 AM

So anyway, a woman is talking to her neighbour.

"I have to be really careful not to get pregnant" she says.

"Why?" asks the neighbour "didn't your husband just have a vasectomy?"

"He did" she replies "that's why I have to be really careful!"


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