Vasectomy vs. Tubectomy: Factors Influencing Sterilization Choices in Couples Opting for Permanent Sterilization

Abstract

Background: worldwide, Permanent sterilization is the preferred method of contraception. The purpose of this study was to analyse the rate of acceptance of various surgical permanent sterilization methods among men and women opting for family planning and to find factors affecting the acceptance of tubectomy over vasectomy.
Materials and Methods: The study was carried out from March 2023 to May 2023.The study involved 500couples. All the couples who opted for permanent sterilisation were included for the study. Detailed counselling was provided about both male and female sterilisation procedures and the couple were advised to select the type of sterilisationprocedure and the reasons for not accepting the procedure were discussed. The results were analysed.
Results: Of the study population, 70% of male partners and 76% of female partners were between the ages of 20 and 30; 28% of male partners and 24% of female partners were between the ages of 30 and 40; and just 2% of male partners were older than 40. All 500 couples contemplating permanent sterilization were informed of vasectomy and tubectomy. Prior to therapy, 430 couples chose tubectomy, 10 couples chose vasectomy, and 60 were added after counselling, resulting in 430 couples choosing tubectomy and 70 couples accepting vasectomy. Vasectomy acceptability was low, and variables influencing this included side effects, impotence, family resistance, societal stigma, malignancy, and religious beliefs.
Conclusion: Despite being less intrusive and less expensive than tubectomy, the current study found that vasectomy is not widely accepted.