Snip, snip.
Though there are multiple techniques for this type of procedure, it always involves cutting or exercising part of the vas deferens. Dr. Philip Werthman, director of the Center for Male Reproductive Medicine, explained that sperm are made in the testicles, then go through an organ called the epididymis that turns into the vas. A vasectomy is considered to be a safe, cost-effective, permanent contraceptive solution that is 99.9% effective at preventing pregnancy.
“The easiest place to get to the vas is in the scrotum because it's sitting there under the skin, and the skin on the scrotum is very elastic,” he said. This elasticity is the crux of the no-scalpel technique for vasectomies that Werthman has been doing for nearly 30 years, requiring no more than a local anesthetic to numb the area.
Werthman tells patients who are considering vasectomies that although reversals are possible, they should consider the procedure permanent. “To that end, there's the ability to go and freeze sperm in a sperm bank and store it as an insurance policy, and then of course the ability to take out sperm directly from the testicle, which is a very minor procedure, and use that with in vitro fertilization later on down the road,” he said.
Reversals are less likely to be covered by insurance, which Werthman assumes may be because it is cheaper for insurance companies to cover a vasectomy than the costs of a hospital birth. He also suggested that even if you have to pay out of pocket in cash for a vasectomy, the amount of money you would save throughout life on birth control or condoms more than covers the cost.
The Affordable Care Act requires most insurance to cover contraception methods like the pill, IUDs, and tubal ligation. However, insurance companies are not required to cover vasectomies, making it unaffordable to some who want it. One man told BuzzFeed News that he’s wanted to get the procedure since Justice Ruth Bader Ginsburg died because he anticipated this day, but his insurance doesn’t cover the procedure and it’s too expensive for him to pay for out of pocket.
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