Vasectomy demographics and postvasectomy desire for future children: results from a contemporary national survey

Various demographic factors were identified to influence vasectomy prevalence (6.6%), and 19.6% of vasectomized men desired future children, revealing a need for additional counseling on permanent contraceptive methods.

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Authors

Vidit Sharma, B.A., Brian V. Le, M.D., Kunj R. Sheth, M.D., Sherwin Zargaroff, M.D., James H. Dupree, M.D., Robert E. Brannigan, M.D.

Volume 99, Issue 7, Pages 1880-1885, June 2013

Abstract

Objective:

To describe the longitudinal demographics and family planning attitudes of vasectomized men using the National Survey for Family Growth (NSFG).

Design:

Retrospective cohort analysis of the NSFG using descriptive statistics, national projections, and multivariable regressions.

Setting:

In-home survey.

Patients:

NSFG sampled 10,403 men aged 15-45 on family planning attitudes from 2006-2010.

Interventions:

None.

Main Outcome Measures:

Vasectomy and desire for children.

Results:

There were an estimated 3,646,339 (6.6%) vasectomized men aged 18-45 in the US. Upon multivariable regression the following factors increased the odds of having a vasectomy: currently married (Odds Ratio, OR, 5.011), non-immigrant status (OR 4.405), being an adoptive parent (OR 2.774), Caucasian (OR 2.380), atheistic (OR 2.123), graduate education (OR 1.441), and increased age (OR 1.096). The odds of having a vasectomy directly correlated with the number of children. Surprisingly, an estimated 714,682 (19.6%) vasectomized men in the US desire future children. The only significant risk factor for post-vasectomy regret was frequent attendance at religious gatherings (OR=16.6). 71,886 (2.0%) of vasectomized men reported having a vasectomy reversal.

Conclusions:

This study highlights the importance of preoperative counseling for permanency of vasectomy and reveals an opportunity to counsel couples about vasectomy vs. tubal ligation.

Read the full text at: http://www.fertstert.org/article/S0015-0282(13)00323-3/fulltext


Fertility and Sterility

Editorial Office, American Society for Reproductive Medicine

Fertility and Sterility® is an international journal for obstetricians, gynecologists, reproductive endocrinologists, urologists, basic scientists and others who treat and investigate problems of infertility and human reproductive disorders. The journal publishes juried original scientific articles in clinical and laboratory research relevant to reproductive endocrinology, urology, andrology, physiology, immunology, genetics, contraception, and menopause. Fertility and Sterility® encourages and supports meaningful basic and clinical research, and facilitates and promotes excellence in professional education, in the field of reproductive medicine.

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