Totally- it's all about our own comfort with the risks involved, as with anything. The way I think of it (I'm not challenging you, rather, I'm kind of asking to be challenged so I know I've thought of everything) the major long-term complication of vasectomy is sexual dysfunction. Other issues, such as allergic reaction, epididymitis, chronic orchialagia, hematoma, sperm granulomas, etc. all are treatable and clear up over time. However, sexual dysfunction post-vasectomy has also been linked to psychological causes so while the V might be the instigating incident, it is not the cause of impotence. Re: who is performing the procedure. If you take a look at something like hematomas, there is a definite correlation between how many Vs are performed each year by the practitioner and the risk of hematoma. It varies from 1% for experienced urologists to upwards of 6% for less experienced doctors. So it might be worth finding a very experienced, highly recommended and respected urologist in the area and asking for specific numbers regarding complications, treatment options, etc. There is also a link between the type of vasectomy performed and certain complications.
ETA: I had read through that thread before (I think you had shared it previously in another thread) and while there are a few complications mentioned, those are all issues that have treatment options and go away with time, they're not at all permanent. And generally speaking, I try not to read a lot of anecdotal stuff... I trust the studies and just like with birth stories, it doesn't help me to read a lot of horror stories. You know? I might be insensitive to think that my DH can handle a few months of abdominal pain if need be.... But if he is comfortable with that risk, then so be it. I think it will be worth it for us in the long run because in our 4 years of marriage we've conceived two oops babies and it really affects our sex life when we're not pregnant. We're always worried about getting pregnant or having to use condoms (YUCK). So I feel like being free to enjoy intimacy again will be a boon for our marriage.
Originally Posted by Jaimee
I guess I'm less sure... I had read this thread a while back and would like dh to use the information contained there as a starting point for some research before just blindly doing it. When I think of the complications of birth I usually hear 5%, but most of these are minor complications easily dealt with by a trained professional. The major life/death complications are exceedingly rare in births that are allowed to progress naturally b/c birth is something that our bodies are designed to do. With vasectomies the risks may be rare as well, but it's not a natural thing so the complications then become something that the man is living with daily. Maybe you're right about the urologist thing, but I guess I sort of assumed that most people go to a recommended urologist these days. I dunno... the whole thing just bothers me, but then again I don't really have a valid alternative.
Edited by jbk21 - 10/4/11 at 12:34pm