Impact of vasectomy on the sexual satisfaction of couples: Experience from a specialized clinic

Abstract

IntroductionVasectomy is the simplest, safest, and most effective form of definitive fertility control in men [1]. Vasectomy is used for 10% of contraception worldwide but only for 2% in Germany [2]. The aim of this study was to investigate the impact of vasectomy on the sexual satisfaction of sterilized men and their partners.Material and methodsVasectomized men and their partners were surveyed by means of the IIEF (International Index for Erectile Function) and the FSFI (Female Sexual Function Index) questionnaires. A total of 294 couples were surveyed; 90 men answered the IIEF, and 74 women answered the FSFI. The results of the questionnaires were compared to a historical comparison group. The men were also surveyed with a not validated questionnaire, which was returned by 95 men. The two-sample t-test for independent samples, the chi-squared test, and the Wilcoxon-Mann-Whitney test were carried out.ResultsThe vasectomized men had significantly better results than the healthy historical comparison group in the IIEF domains of erectile function, orgasm, sexual desire, and intercourse satisfaction. For the female partners of the sterilized men, there were almost no significant differences in any questions of the FSFI in comparison to the control group. A significant difference was observed only in the domain ‘arousal’.ConclusionsVasectomy does not have a negative impact on the sexual satisfaction of the affected couples. In fact, sexual satisfaction improved for the sterilized men, while the satisfaction of the women was not reduced by the vasectomy.

Scoping Review: Analisis Vasektomi sebagai Faktor Risiko Disfungsi Seksual pada Pria

“…Dari tabel di atas, dapat diketahui bahwa hanya dua artikel yang dapat menyimpulkan bahwa vasektomi dapat meningkatkan fungsi seksual (14) (15). Pada penelitian yang dilakukan Bertero dkk (14) memperlihatkan bahwa aspek kepuasan seksual dan gairah seksual mengalami peningkatan yang signifikan yang menyimpulkan bahwa pria merasa lebih aman dan percaya diri selama berhubungan seksual pascavasektomi karena tidak adanya kekhawatiran akan hamilnya pasangan.…”

“…Penelitian yang dilakukan oleh Engl dkk (15) menunjukkan bahwa pria yang divasektomi memiliki fungsi ereksi, fungsi orgasme, hasrat seksual, dan kepuasan hubungan seksual yang lebih baik dibandingkan dengan kelompok pembanding. Alasannya juga diduga karena tidak adanya kecemasan terhadap kehamilan yang tidak diinginkan (15). Kekhawatiran pada pria yang disebabkan oleh stres dan ketakutan dapat berujung pada pelepasan neurohormone seperti adrenalin dan noradrenaline yang dapat mengakibatkan kontraksi pada cavernous smooth muscles dan menyebabkan ketidakmampuan untuk mempertahankan ereksi yang cukup lama untuk menyelesaikan hubungan seksual (9) (14).…”