“Life presents many choices, the choices we make determine our future.” —Catherine Pulsifer

What happens when you’re done having kids and want to make sure that you never have another one? Well, you’re left with a decision. 

Does he get a vasectomy or does she get a tubal ligation?

Since both of these require a “procedure” you must understand what each one of these procedures is all about. 


With the “no-scalpel” method, a small puncture hole is made on one side of the scrotum. Your health care provider will find the vas deferens under the skin and pull it through the hole. Then the vas deferens is cut and a small section is removed. The ends are either cauterized or tied off and put back in place. Generally, this is performed under local anesthetic.

Since the vas deferens are the tubes that carry sperm the surgery means a man will still produce semen. However the semen is no longer able to mix with the sperm.

Recovery for a vasectomy includes rest for 24 hours, and then you take it easy for 2 to 3 days. 

After 10-20 ejaculations, you’ll need to visit the doctor and take a test that shows there are no sperm left. If you don’t you may still be able to get your wife pregnant until you get the all-clear. 

Tubal Ligation

During a tubal ligation, the fallopian tubes are cut, tied or blocked to permanently prevent pregnancy. The egg is prevented from traveling from the ovaries through the fallopian tubes.

Sperm is also blocked from getting to the egg. It’s performed under general anesthetic (so they put you under) or it can also be done as part of a c-section. 

Recovery is usually about a week for laparoscopic surgery or of course paired with a c-section it’s going to be longer. 

Now that you know the facts, you need to sit down and have a conversation. You need to discuss what’s best for you as a couple. When you understand what each procedure means, then you can evaluate what makes sense for both of you. 

You also need to decide if you are 100% ready to not be able to have kids again. 

Whatever decision you come to it needs to be right for both of you. Don’t forget that you need to focus on what’s the best decision for the two of you.

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