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Tubal Ligation vs. Vasectomy Part 2: Which one works best?!

Doctor Rich

5,183 views

The surgical gloves are off for part 2 of my (friendly) debate with urologist Dr. Speir! In this video, we continue our discussion comparing vasectomy vs. tubal ligation —and which partner should get the snip.

This time, I deliver the one-two punch in the case for tubal ligation: patient readiness, reversibility, and the potential to get valuable information during the procedure. The most effective procedure is the one that happens… and the woman often needs less persuasion to have it done! In the event of unforeseen life events, tubals have a good rate of reversal success, and unknown conditions are sometimes discovered during laparoscopy.

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8 Comments

@adrianabravo5803 4 years ago (edited)

I think another point that should be addressed is the “permission” for these procedures. I have never wanted kids and often think about getting tubal ligation. My OBG pushed birth control for years and when I finally snapped back about getting this procedure done instead, she looked at me like I was crazy and shut me down really quick since I’m young and don’t have kids. However if my partner walked in and wanted a vasectomy it would be a lot easier to get it done, no hoops to jump. I really wish I had more options than using birth control that have infinite maybes and most likely side affects.

@yourlocalskateparkshaman 4 years ago

Doctor, would you consider talking about the effectiveness of each sterilization method? Unfortunately, whenever I go to research tubal ligation or vasectomy I'm always seeing results on how to reverse it and I DON'T WANT TO REVERSE MY STERILIZATION. It's especially infuriating for people like me who don't want kids ever. I need advice on how to stay sterile.

Can you do a video on which vasectomy is best for young men? I heard that no scalpel is more prone to failure rates for younger patients but feel free to correct me. Or can you do a video on the types of tubal ligations and which method is the most secure for young women? I've heard the bands and clips have the highest failure rates. Also, can you discuss bisalpingectomy?

I'm looking forward to seeing your channel grow.

@KbombMilla 4 years ago

But what about long term issues. I know multiple women who regret their tubal because of period cramps that are much worse than before. From what I’ve heard, there aren’t many doctors that acknowledge that part of a tubal, but why are so many women in more pain, years after tubal ligation?

@lamarrharding4776 4 years ago

I had a no needle, no scalple vasectomy. All juice no seeds! Walked out feeling the same as walking in, no bruising, swelling, infection, scab, itching, bleeding, stitches or pain. 6 minutes from drop your pants and lay back on the table, to pull your pants up, I watched the whole proceedure. One week with no pool or hot tub, three months to sperm check and declared STERILE ! ! ! If you want no more kids it's the greatest!

@mesfinmelese4350 4 years ago

Thank you for educating us Doctor.
I have two questions,
1. I have heard vasectomy has long term effect to cause prostate cancer. Is it problematic for the sperm not removed during ejaculation ? What is your view on the long term side effect of vasectomy on this issue?

2. After Tubal ligation , what will happen to the eggs? Is there any side effect for the eggs stored there for the rest of women’s life? Can you explain the science here please?

Thank you,