Psychosocial aspects of vasectomy in Latin America

Goldsmith, A; Goldberg, R

doi:10.1080/00224497409550862

Cited by 8 publications

(9 citation statements)

References 19 publications

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“…Early formulations of the psychological effects of vasectomy were based on the Freudian concept of castration anxiety, 6 a view that has been endorsed by some researchers. 11 , 12 However, most research has been atheoretical, and has focused on sexual and marital complications following vasectomy. Studies of other psychological sequelae are fewer.…”

Section: Discussionmentioning

confidence: 99%

Post-vasectomy depression: a case report and literature review

Shaik¹,

Rajkumar²

2014

Mental Illness

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Vasectomy is a commonly performed and relatively safe procedure, with low reported rates of psychological morbidity, though there is some variability across studies. Depression following a vasectomy is relatively infrequent. A married man aged 30 developed a chronic depressive episode, lasting four years and resistant to an adequate trial of fluoxetine, following a vasectomy. His depression was heralded by a post-operative panic attack, and was accompanied by medically unexplained symptoms and the attribution of all his symptoms to the procedure – a belief that was shared by his family. Psychological complications of vasectomy have generally been studied under four heads: sexual dysfunction, effects on marital relationships, chronic post-operative pain, and other complications including anxiety and depression. These complications have generally been reported at higher rates in developing countries, and are linked to poor knowledge about the procedure and inadequate pre-operative counseling. The implications of the existing literature for the patient’s current complaints, and the mechanisms and risk factors involved, are discussed in the light of existing research. Suggestions for the prevention and treatment of post-vasectomy depression are also outlined.

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Section: Discussionmentioning

confidence: 99%

Post-vasectomy depression: a case report and literature review

Shaik¹,

Rajkumar²

2014

Mental Illness

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“…10 Early formulations of the psychological effects of vasectomy were based on the Freudian concept of castration anxiety, 6 a view that has been endorsed by some researchers. 11,12 However, most research has been atheoretical, and has focused on sexual and marital complications following vasectomy. Studies of other psychological sequelae are fewer.…”

Section: Discussionmentioning

confidence: 99%

“…32 The origins and determinants of these psychological and sexual problems are complex. Setting aside the debatable but replicated finding that some men view vasectomy as a symbolic castration, 11,12 men who have undergone a vasectomy experience a variety of psychological changes. These include concerns about masculinity and male identity, 5 fears of spousal infidelity, 33 fears about the loss of living children through death or divorce, 34 and conflicts with religious and moral values.…”

Section: Discussionmentioning

confidence: 99%

Post-vasectomy depression: a case report and literature review

Shaik

Rajkumar

2014

Mental Illness

View full text Add to dashboard Cite

Vasectomy is a commonly performed and relatively safe procedure, with low reported rates of psychological morbidity, though there is some variability across studies. Depression following a vasectomy is relatively infrequent. A married man aged 30 developed a chronic depressive episode, lasting four years and resistant to an adequate trial of fluoxetine, following a vasectomy. His depression was heralded by a post-operative panic attack, and was accompanied by medically unexplained symptoms and the attribution of all his symptoms to the procedure -a belief that was shared by his family. Psychological complications of vasectomy have generally been studied under four heads: sexual dysfunction, effects on marital relationships, chronic post-operative pain, and other complications including anxiety and depression. These complications have generally been reported at higher rates in developing countries, and are linked to poor knowledge about the procedure and inadequate pre-operative counseling. The implications of the existing literature for the patient's current complaints, and the mechanisms and risk factors involved, are discussed in the light of existing research. Suggestions for the prevention and treatment of post-vasectomy depression are also outlined.

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“…Reports from several Latin American countries indicate that when male sterilization services are offered, many men will accept the procedure (19)(20)(21)34). Despite the considerable advances in female sterilization technology, vasectomy remains a simpler and easier technique and has fewer complications.…”

Section: Vasectomymentioning

confidence: 99%

Advances in Sterilization Equipment

McCann

Morrow

Goldsmith

1978

Intl J Gynecology & Obste

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From the array of sterilization procedures that are safe, simple and effective, the service provider must select procedures that fit his or her logistical criteria, which include the cost and maintenance of equipment, availability of supplies, and training of the requisite personnel. In this paper, these criteria are discussed for each of the various sterilization procedures. Information about female sterilization equipment for conventional postpartum laparotomy, minilaparotomy, colpotomy, laparoscopy, and culdoscopy is presented, together with facts about the related tubal occlusion techniques. The standard ligation techniques for male sterilization are compared with the newer electrocoagulation and thermocoagulation methods. A variety of methods for both female and male sterilization that are in the research stage are also mentioned. It is concluded that, from a programmatic point of view, vasectomy and postpartum ligation via laparotomy are the optimal sterilization procedures. For women who have not recently been pregnant, minilaparotomy with a standard tubal ligation technique is recommended, except in large teaching hospitals where laparoscopy can be performed efficiently.

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Psychosocial aspects of vasectomy in Latin America

Cited by 8 publications

References 19 publications

Post-vasectomy depression: a case report and literature review

Post-vasectomy depression: a case report and literature review

Post-vasectomy depression: a case report and literature review

Advances in Sterilization Equipment

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