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The author, Dr. Donald Snyder, performs both vasectomy and Essure Tubal Ligation.

Tubal verses Vasectomy – Part III

Comparing Effectiveness: Tubal Ligation verses Vasectomy

Dr. Donald Snyder

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For the male
When considering pregnancy after surgery, for male birth control condoms fail between 2% (correct use) and 15% (typical use), and these failure rates are generally unacceptably high for somebody who has completed his/her family. Vasectomy surgery failure rates vary from 2% to 0.03% for pregnancy, depending on the way the vas deferens are blocked during the procedure. The vas deferens (also called vas tubes) carries the sperm to the ejaculate. The other major contributor to surgery success is the skill and experience of the physician performing the vasectomy. The more surgical procedures the doctor performs, the better he becomes at closing the ends. Generally it is accepted that the best method utilizes cautery with fascial interposition, where one end of the vas is buried, as compared to using clips or ties on the vas.

For the female
For traditional tubal ligation, a pregnancy after surgery means failure. The failure rate average is 1.85% (18.5/1000) and ranges from 7.5/1000 (post partum partial tubal removal) to 36.5/1000 (spring loaded clips used on tubes). The most common technique (laparoscopic tubal cautery) fails 25/1000 or 2.5%. These rates include pregnancies within 10 years after tubal ligation, and about half of these pregnancies end up being ectopic (tubal) pregnancies.

When comparing traditional tubal ligation to the Essure™ tubal procedure, it is important to know that pregnancy rate, after Essure is much lower (better). The failure rate for Essure is 1/1000 or 0.1%. These tubal ligation success rates compare favorably to vasectomy. All failures have been traced to protocols not being followed by either patients or doctors, so there have been filely no device related failures.

Adiana™ is a newer, similar procedure to Essure™ but its failure rate (1.1% to 1.8%) is about the same as a "tubal", and has failed at times even when protocols were followed properly. Adiana is no longer being manufactured as of April, 2012.

Also read about:
Other birth control methods and the percentage of accidental pregnancy

Comparing Regret and Reversal: Tubal verses Vasectomy

For the male
If you make arrangements for sperm banking prior to your vasectomy, you may be able to overcome regret without having to undergo vasectomy reversal surgery. Reversal of a vasectomy is possible, but is costly and the likelihood of a successful vasectomy reversal, resulting in pregnancy decreases as time goes by.

For more:
Vasectomy Success Rates and Their Determinants
FAQ: How do time (vasectomy age) and other factors impact the vasectomy
reversal success rate?

What determines whether a vasectomy reversal is successful?

For the female
"Tubal" reversals can be accomplished with major surgery to restore fertility at a high cost and significant rates of failure to restore fertility.

The Essure™ and Adiana™ tubal procedures cannot be reversed. Although in vitro fertilization may be able to be successful after one of these procedures, it is not FDA approved for this situation.

Tubal Ligation verses Vasectomy - Contents

About the decision: tubal ligations vs. vasectomy
Shared considerations, pros and cons, advantages and disadvantages

Comparing complications
Comparing the recovery period

Comparing effectiveness
Comparing regret and reversal

Comparing the waiting period
Comparing cost

Tubal v. Vasectomy Summary
About the author, Dr. Donald Snyder

Article Source
With appreciation, this article has been written and submitted by Dr. Donald Snyder, a Gynecologist in Indianapolis, Indiana. He offers his patients no-needle, no-scalpel vasectomy and Essure™ tubal ligation.
Learn about his vasectomy practice
Learn more about Donald Snyder

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