Indications of No Scalpel Vasectomy in Minnesota

Vasectomy is a popular permanent sterilization surgical procedure. No scalpel vasectomy in Minnesota is a minimally invasive office procedure that makes a man sterile (unable to get a woman pregnant). Vasectomy may be recommended for men who are 100% sure they do not want to get a woman pregnant in the future.

A vasectomy is not recommended as a short-term form of birth control. A vasectomy reverse procedure is a much more complicated operation and very costly. So if the men in Minnesota are not sure about vasectomy, they should not do it.

Vasectomy is indicated for men in Minnesota who:
• Are in a stable relationship, and both partners agree that they do not want any more children. They do not want to use, or cannot use, other forms of birth control.
• Are in a stable relationship, and their partner has health problems that would make pregnancy unsafe for her.
• Are in a stable relationship, and one or both partners have genetic disorders that they do not want to risk passing on to their children.

Vasectomy may not be a good choice for the men in Minneapolis and St Paul areas who:
• Are in a relationship with someone who does not know whether or not they want children in the future.
• Are in a unstable or stressful relationship.
• Are thinking about having the operation just to please their partner.
• Want to have children later by storing their sperm or by reversing their vasectomy.
• Are young and still have many life changes ahead.
• Are single when they want to have a vasectomy. This includes men who are divorced, widowed, or separated.
• Do not want, or his partner does not want, to be bothered by having to use other forms of birth control during sexual activity.

Vasectomy Cost in Minnesota

Vasectomy costs are usually affordable and often covered under health insurance plans in Minnesota. Typically, vasectomy costs will be in the range of $700 to $1,000 in Minneapolis and St Paul areas, the suggested price range of a vasectomy includes your initial consultation, vasectomy procedure, and post semen analyses. The price can fluctuate based on where you live in Minnesota, the method of procedure, and other variables. Some clinics will include all of these in one price, while many may charge for each individually, so make sure to inquire about the price of consultation and post-op analysis when looking for potential doctors. In most cases, the cost is the same for the no scalpel vasectomy or a conventional vasectomy.

Vasectomy costs may differ depending on where the procedure takes place. Getting one at a doctor’s office under local anesthesia is usually the cheapest, as hospitals or surgical centers, while still a valid option, may cost more due to anesthesia or facility fees. Dr. Shu performs the no scalpel vasectomy in the brand new surgical suite in Edina, and we don’t charge any anesthesia fee or facility fee. Our vasectomy charge covers the semen analysis. Vasectomy in men is significantly less expensive than tubal ligation in women, which may be as much as five times more costly. Generally, this is because tubal ligation is a more complex surgery, performed in a hospital or surgery center and requiring a general anesthesia. A vasectomy is simpler, safer office procedure.

Most health insurance companies in Minnesota will cover vasectomy costs, but you should check it to make sure that your insurance company includes vasectomy benefits. If you do not have a health insurance plan, you may ask if the clinic may offer you a discount on your vasectomy cost. Our clinic usually offers a 20% discount for patients who pay in cash.

Pre-operative Vasectomy consultation in Minnesota

When men in Minnesota consider male sterilization, a preoperative interactive consultation is an important step in planning on vasectomy. Dr. Shu in One Stop Medical Center recommends that a preoperative consultation should be conducted in person, so the vasectomy consultation will be more effective.

The minimum and necessary concepts that should be discussed in a preoperative vasectomy consultation include the following: (based on American Urological Association Guideline)

vasectomy is intended to be a permanent form of contraception.

vasectomy does not produce immediate sterility.

• Following vasectomy, another form of contraception is required until vas occlusion is confirmed by post- vasectomy semen analysis (PVSA).

• Even after vas occlusion is confirmed, vasectomy is not 100% reliable in preventing pregnancy.

• The risk of pregnancy after vasectomy is approximately 1 in 2,000 for men who have post-vasectomy azoospermia or PVSA showing rare non-motile sperm (RNMS).

• Repeat vasectomy is necessary in ≤1% of vasectomies, provided that a technique for vas occlusion known to have a low occlusive failure rate has been used.

• Patients should refrain from ejaculation for approximately one week after vasectomy.

• Options for fertility after vasectomy include vasectomy reversal and sperm retrieval with in vitro fertilization. These options are not always successful, and they may be expensive.

• The rates of surgical complications such as symptomatic hematoma and infection are 1-2%. These rates vary with the surgeon’s experience and the criteria used to diagnose these conditions.

• Chronic scrotal pain associated with negative impact on quality of life occurs after vasectomy in about 1-2% of men. Few of these men require additional surgery.

• Other permanent and non-permanent alternatives to vasectomy are available.

Summary of Birth control methods and failure rates |Minnesota

Different types of birth control methods in Minnesota have large differences in effectiveness, but all birth control methods work the best if used correctly and every time you have sex. The vasectomy is one of the lowest failure rates among the birth control methods. The study showed the traditional vasectomy failure rate is 1-3 per 1000 cases; the failure rate would be less than 1 per 2000 in no scalpel vasectomy with the fascia clipping technique (fascia interposition).

Failure rates can be calculated statistically under a “perfect-use” condition. A “perfect-use” rate is where any rules and steps of the method are rigorously followed, and (if applicable) the method is used at every act of sexual intercourse. Therefore, actual failure rates are higher than perfect-use rates for a variety of reasons, including wrong instructions, handling mistakes, and mistakes/non-compliance from end users.

Birth control methods and failure rates (the number of pregnancies expected per 100 women)

Sterilization surgery for women: Less than 1 pregnancy

Sterilization implant for women: Less than 1 pregnancy

Sterilization surgery for men (vasectomy): Less than 1 pregnancy

Implantable rod: Less than 1 pregnancy

Intrauterine device: Less than 1 pregnancy

Shot/injection (Depo-Provera): Less than 1 pregnancy

Oral contraceptives: 5 pregnancies

Skin patch: 5 pregnancies

Vaginal ring: 5 pregnancies

Male condom 11-16 pregnancies

Diaphragm with spermicide 15 pregnancies

Sponge with spermicide 16-32 pregnancies

Cervical cap with spermicide 17-23 pregnancies

Female condom: 20 pregnancies

Natural family planning (rhythm method): 25 pregnancies

Spermicide alone: 30 pregnancies

Emergency contraception: 1 pregnancy

Importance to Follow Post Vasectomy Instructions in Minnesota

Vasectomy is a minimally invasive sterilization procedure for male patients in Minnesota, in which the vas deferens tube leading from each testicle is cut and sealed, preventing sperm from becoming part of the seminal fluid that leaves the body at sexual climax. Without sperm in the semen after the vasectomy is done, a man impregnate his female partner.

No scalpel vasectomy is the preferred method in male sterilization. The procedure is usually done in an office setting under the local anesthesia, and the procedure takes about 20 minutes. The semen analysis will confirm the effectiveness of a vasectomy in 3 months.

The immediate risks of vasectomy are bleeding and infection, but these risks are generally very low for vasectomies. The risks are even lower in our no scalpel vasectomy.  We have performed almost 200 no scalpel vasectomies in Minneapolis/St Paul area in the past years, and there have been no cases of infection or large hematoma (bleeding).

It is important to follow the post vasectomy instructions.

  • Discomfort should be mild, may take Tylenol or Ibuprofen as needed, normally strong pain relievers are not necessary. Get plenty of rest and stay off your feet. May use ice packs in the first few days.
  • You should wear a new scrotal support immediately after the vasectomy and for a few days afterward.
  • Contact your doctor immediately if you experience severe swelling or a growing mass related to bleeding, any sudden fever, chills, increasing pain, swelling or drainage, and lasting pain.
  • You should be able to take showers after a day or two. Do not take baths or submerge your body in water for a few days after surgery.
  • You should be able to return to work after three days. No strenuous activities or heavy lifting for 1-2 weeks.
  • It is recommended that you abstain from sex 1-2 weeks after the surgery. Keep in mind that until your doctor confirms that you are sterile, use an alternate form of birth control.

Most Important Question to ask before Vasectomy in Minnesota

The practice of vasectomy was pioneered in 1900s, but for many years the vasectomy procedure was used sparingly, especially after oral contraceptives were invented for women in the 1950s; many men were uncomfortable with the idea of elective surgery on their sexual organs. But today, vasectomy is becoming more frequent among men in Minnesota and the US, and men are more comfortable with the vasectomy procedure as education about vasectomies becomes more widely available online. Men realize that the idea that vasectomies will lower sex drive or libido is a myth; two vas deferens are cut in the vasectomy, preventing any sperm from exiting the body through the penis. All other functions of the testes are still intact. Even sperm is still produced, but it is absorbed by the body.

The most popular vasectomy technique in the Minneapolis and St. Paul areas is no scalpel vasectomy, it requires work off for only 2- 3 days compared that of 1-2 weeks with traditional vasectomy, and it is also much less invasive and more affordable than tubal litigation on women.

No scalpel vasectomy is an affordable, reliable form of male contraception that is more practical than other permanent alternatives in Minnesota. But men must know that sterilization is not immediate after vasectomy. Even after the vas deferens are cut, there is still sperm lingering in your system that can be present in semen. It will take several months before sterility is complete. You should use birth control until your physician determines you are completely sterile.

Still, vasectomies are permanent, so it is important to be informed before you decide to get one. There is the most important question one must consider:

Do I want any more children in the future? Vasectomies are more or less permanent. Once the procedure is done, it’s done. It is possible to have vasectomies reversed in Minnesota, but to do so is prohibitively expensive, unreliable, not to mention that sperm production will never be the same as it was before. Do not getting vasectomies if you are not absolutely sure that you want it, and do not assume you can reverse it.

Biological implications After Vasectomy|Minneapolis & St Paul

The patients who had the vasectomy in Minnesota often ask where the sperms go after vasectomy. Here is the explanation for biological implication after vasectomy.

After a vasectomy, the path that sperm travels is interrupted because the vas tube running from testes to the penis is no longer connected. Sperm that is produced is broken down by the body. The epididymis’s membranes absorb the liquid created, while solids substances are further broken down by macrophages and absorbed into the bloodstream. With the increase of stagnant sperm, the membranes of the epididymis increase in size to absorb more liquid. The immune system increases the amount of macrophages to handle an increase of solid waste.

The testes are still very much alive and functioning; a group of cells with the special function, called Leydig cells, continue to produce a class of androgen hormones, including testosterone, androstenedione and dehydroepiandrosterone (DHEA), which continue to be absorbed into blood. These functional cells in the testes are not affected by vasectomy. Leydig cells are named after the German anatomist Franz Leydig, who discovered them in 1850.

Vasectomies are, for all intents and purposes, permanent. Reversal vasectomy in the Minneapolis and St Paul areas are costly, have a considerably lower success rate, and often do not restore the sperm count and/or motility to pre-vasectomy levels.

Confirmed, properly performed vasectomies ensure life-long sterility with almost no chance of making a woman pregnant. No scalpel vasectomy in Minnesota is a simple, safe office procedure done under the local anesthesia. It does not, however, prevent the transmission of STDs.

Vasectomy in Minneapolis

With so many options available in terms of birth control for women, many men in Minnesota inquire regarding the availability of other options for male birth control excluding the usual abstinence, condoms, withdrawal before ejaculation, and vasectomy. We would predict that with the fast development of modern medical science in 21th century, just as women do, men will soon be able to simply take a pill to control the release of their sperm.

There are actually much medical research being done in this field; such a market has a high demand. A number of research groups across the globe have tried different alternatives to male birth control. These include injected plugs, heat methods, pharmaceuticals, hormonal therapy, and obstruction of the vas deferens. Despite promising developments, these treatments are experimental , and not approved by FDA. Reversible inhibition of sperm under guidance (RISUG) got more attention recently; phase III clinical trials are underway in India. RISUG works by injecting the polymer into the vas deferens, the polymer prevents the sperm from fertilizing an egg.

Many people in Minneapolis and St Paul areas are still misinformed about vasectomy; it is not as painful and inconveniencing as one may believe. Modern developments in vasectomy have reached a point where a vasectomy can be done in a doctor’s office in less than 20 minutes, using only local anesthesia. The procedure is incredibly simple and pain free- it involves making a small incision in the scrotum, where the vas deferens are severed and prevented from joining back together. Discomfort afterwards is minimal and patients can quickly return to their everyday lives. The patient who gets a “no-scalpel” vasectomy typically feel no change in libido, as vasectomies cause no physical change in sensation, testosterone levels, blood flow to the penis, amount of semen, or satisfaction of an orgasm. The only difference is that the semen has no sperm in it.

Simply put, no scalpel vasectomy is a safe, simple, and convenient method of male birth control with few drawbacks.

If Your Family is Complete Then Consider a No-Scalpel Vasectomy | Minneapolis

If you are a male who is not interested in having any more children, then you may be interested in getting a vasectomy in Minneapolis. A vasectomy is a form of sterilization that involves blocking the vas deferens, which are the tubes that carry sperm. This procedure also prevents sperm from entering the semen. The no needle, no scalpel vasectomy is the most popular form of this procedure.

One of the many great things about this vasectomy is that it does not take that long to perform. In fact, this procedure can be completed in just 20 minutes. Discomfort, tenderness and swelling are common side effects of this procedure, but they usually go away within a few days. You can return to your regular routine in about seven days.

The effective rate of the no scalpel vasectomy in St. Paul area is nearly 100 percent. However, before you decide to have sex with your partner without using contraceptive, a sample of your semen will have to be tested to make sure that it is free of sperm. You can still get your partner pregnant if your semen has sperm in it. The cost of a vasectomy ranges from $700 to $1,000. You may not have to pay anything out-of-pocket if this procedure is covered by your health insurance.

This procedure will not have an effect on your ability to enjoy sex. The production of male hormones will continue after you get this procedure. A small percentage of men do experience problems with ejaculation or erections, but doctors believe that is most likely an indication of a psychological problem.

It is possible to reverse this procedure if you change your mind about having children. However, it is important to be cognizant of the fact that a reversal may not restore your fertility. The effectiveness rate of a vasectomy reversal is only around 60 percent.

Anti-vasectomy Bills in Some States, not in Minnesota

In a ploy to get people to take a serious look at the right for a woman to make decisions about her own body, an anti-vasectomy bill was introduced by state representative Yasmin Neal in the early February 2012. She is quoted as saying, “If we legislate women’s bodies, it’s only fair that we legislate men’s,” said Neal, who said she wanted to Write a bill that would generate emotion and conversation the way anti-abortion bills do. “There are too many problems in the state. Why are you under the skirts of women? I’m sure there are other places to be.”
This bill was written in response to a new anti-abortion bill that was introduced in Georgia that contained a prison sentence of 1-10 years for abortions done after 20 weeks of pregnancy. It is currently illegal for abortions to be performed after 20 weeks unless the life or health of the mother will be in jeopardy.

Many people feel that this bill is making light of a very serious topic and are disappointed in the approach of using an anti-vasectomy bill to make a political statement. Even Representative Neal admits that she has no problems with men getting vasectomies. Whether you agree with them or not, you have to admit this is a pretty clever way to make a point. She is definitely getting the attention that she wanted. It is not likely however that this bill will get any serious debate. Other states are also following suit with the same tactic. In the late February, 2012, Rep. Stacey Newman, D-St. Louis, also filed a bill that would prevent men from vasectomies unless needed to avert serious injury or death. We didn’t hear any anti-vasectomy bills in Minnesota.

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