• July 30, 2020
  • Geoff Cashion

Contraception is a practice taken by a man, woman, or couple to avoid pregnancy.

Traditionally this role has been left to the woman in the relationship to worry about but fortunately, that is changing and we now often see men taking the lead.

If we leave aside abstinence and the “rhythm method” (pulling out) the contraceptive options for men are really limited to vasectomy (permanent) and condoms.

For women the options are greater:

1. Sterilisation:

a. Hysterectomy (removal of the uterus)– generally reserved for women with other issues such as fibroids, cancer, or endometriosis. A hysterectomy is not usually performed solely for contraception.

b. Tubal Ligation – Often referred to as “getting the tubes tied” tubal ligation is a surgical procedure where clips are placed on the fallopian tubes to cause sterilisation. Sometimes the tubes are removed completely. Tubal ligation is major surgery and is performed under a general anaesthetic in a hospital or day surgery.

The disadvantage of both of these forms of sterilisation is that it involves surgery and they are not simple procedure that can be completed in your GPs rooms. Recovery time is greater and there are more significant potential complications than vasectomy.

2. Hormonal contraception

All hormonal contraception for women has the same goal – to turn off a woman’s ability to make eggs (ovulate) capable of fertilising with sperm to make a baby.

a. Long-acting contraception– this includes devices placed in the uterus (Mirena) or under the skin (Implanon), or a needle given every 3 months called a “depot”. These slowly release hormones to stop ovulation.

b. Short-acting contraception – the pill. The pill is taken every day and is either a combination of estrogen and progesterone or progesterone on its own (the ‘mini pill’).

This downside to hormonal contraception is really all about the potential side effects. While a lot of women will have no issues, some will experience:

– Increase bleeding

– Mood changes

– weight gain

– headaches

3. Barrier Contraception

These include:

– Diaphragm

– Cervical Cap

It’s important when you consider having a vasectomy you are fully informed of the alternatives available to you and your partner for contraception.

Vasectomy, while not 100% risk-free, does offer advantages over other forms of contraception given it is :

– a simple procedure that can be performed in your doctor’s office, such as at a vasectomy clinic in Gold Coast.

– it does not involve any hormonal changes ie. it does not affect testosterone levels.

– men will still produce sperm – it just won’t end up in the ejaculate.

For more information on vasectomy and how we at Vasectomy Australia can help, call 1800 SNIPME (1800 764 763) or email us at info@vasectomyaustralia.com.au.

Geoff Cashion

About The Author

Geoff Cashion

Dr Cashion was born in Brisbane and grew up in Rockhampton. After graduating in medicine from the University of Queensland in 2002 he spent many years working in emergency medicine and general practice. He completed training in the No Scalpel Vasectomy technique under Dr Doug Stein in Florida with further training undertaken in Australia. Opening Vasectomy Australia, he has grown it into one of the largest providers of Vasectomy in Australia, while still performing more than 3500 vasectomies a year himself.