Vasectomy: A study of psychosexual and general reactions

Kohli, K. L.; Sobrero, Aquiles J.

doi:10.1080/19485565.1973.9988057

Cited by 12 publications

(6 citation statements)

References 3 publications

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“…The findings of Zeigler, Rodgers and colleagues in the 1960s (see Rodgers, Ziegler, Altrocchi, & Levy, 1965;Rodgers, Ziegler, & Rohr, 1963;Ziegler, Rodgers, & Kriegsman, 1966;Ziegler, Rodgers, & Prentiss, 1969) established much of the 'taken for granted' assumptions we now have about vasectomy, which were followed (and further developed) by a handful of key references through to the early 1980s (e.g., Bourgeois & Audebert, 1974;Dias, 1983;Kohli & Sobrero, 1973;Kohli & Sobrero, 1975;Mumford, 1983). Interest in vasectomy arose again with the work of Miller and colleagues in the early 1990s (Miller, Shain, & Pasta, 1990, 1991a, 1991b, 1991c, their work helping to establish another small flurry of activity (e.g., Ringheim, 1993;Rogstad, 1996;Vernon, Ojeda, & Vega, 1991).…”

Section: Existing Research On Vasectomymentioning

confidence: 93%

“…In fact, the overall orientation of research typically tended toward being negative, with research findings emphasising such features as: the historical social stigma associated with vasectomy (e.g., Kohli & Sobrero, 1973, fear of pain (e.g., Groat, Neal, & Wicks, 1990), 'adverse psychological changes' (Ziegler et al, 1969, p. 53), sexual 'dysfunction' (e.g., Ziegler et al, 1969) or regret (e.g., Miller et al, 1990Miller et al, , 1991aMiller et al, , 1991b. Concerns about men being 'pressured' into the operation, both by partners and 'vasectomarketing' also pervaded research, and was often treated as the cause of many negative psychological effects (e.g., Miller et al, 1991a;Wolfers & Wolfers, 1973.…”

Section: Existing Research On Vasectomymentioning

confidence: 99%

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‘I’m committed to her and the family’: positive accounts of vasectomy among New Zealand men

Terry

Braun

2011

Journal of Reproductive and Infant Psychology

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Background: More than 15 years ago, the International Conference on Population and Development (ICPD) identified men's involvement with reproductive and contraceptive tasks as vital for improving women's reproductive health worldwide. The uptake of vasectomy provides one measure of men's involvement in reproductive and contraceptive actions, but uptake requires the negotiation of a complex set of social and psychological meanings related to masculinity, sexuality and contraceptive involvement. The limited research in this area paints a largely negative picture around vasectomy, emphasising fears, side effects, and men being pressured into having the operation, but it is not the only account of vasectomy. Objectives: The aim of this research was to examine the accounts of New Zealand men who had undergone vasectomy. Method: Interviews with 28 men who had opted to have a vasectomy (16 had children; 12 did not) based in New Zealand, a country with a high rate of vasectomy, offer a more positive portrayal of the meanings and experiences of vasectomy. Results: Men referred to vasectomy as a positive reflection of their identities, and their choice to have it as exemplifying personal characteristics they valued. Such accounts disrupt the common-sense story of vasectomy as negative or difficult for men, and allow it to be positioned as a positive choice for heterosexual male reproductive involvement and responsibility

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Section: Existing Research On Vasectomymentioning

confidence: 93%

Section: Existing Research On Vasectomymentioning

confidence: 99%

‘I’m committed to her and the family’: positive accounts of vasectomy among New Zealand men

Terry

Braun

2011

Journal of Reproductive and Infant Psychology

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“…Men with long-standing, pre-vasectomy sexual dysfunction do not generally show improvement after the procedure. 6,26 In parallel with the effects on male sexual functioning described above, most researchers have reported an improvement, 12,14,[26][27][28] or no change, 15,17 in marital satisfaction or stability and these improvements have generally been in the sexual domain. However, it has been observed that, in the presence of pre-operative marital disharmony or conflict, difficulties tend to persist or worsen following a vasectomy.…”

Section: Discussionmentioning

confidence: 91%

“…With regard to sexual functioning, several authors have reported either no effect, [13][14][15][16] or a slight improvement in sexual performance following the procedure. 17,18 Most of this information is based on patients' own reports, though other authors have reported a variety of sexual side effects, including erectile dysfunction in 2-5%, 19,20 premature ejaculation in 16.7%, 20 and decreased libido in 4-19%. 19,21,22 Studies of vasectomy acceptors in India have reported rates of sexual dysfunction ranging from 3.3%-21.7%.…”

Section: Discussionmentioning

confidence: 99%

Post-vasectomy depression: a case report and literature review

Shaik

Rajkumar

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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“…With regard to sexual functioning, several authors have reported either no effect, 13-16 or a slight improvement in sexual performance following the procedure. 17 , 18 Most of this information is based on patients’ own reports, though other authors have reported a variety of sexual side effects, including erectile dysfunction in 2-5%, 19 , 20 premature ejaculation in 16.7%, 20 and decreased libido in 4-19%. 19 , 21 , 22 Studies of vasectomy acceptors in India have reported rates of sexual dysfunction ranging from 3.3%-21.7%.…”

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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Vasectomy: A study of psychosexual and general reactions

Cited by 12 publications

References 3 publications

‘I’m committed to her and the family’: positive accounts of vasectomy among New Zealand men

‘I’m committed to her and the family’: positive accounts of vasectomy among New Zealand men

Post-vasectomy depression: a case report and literature review

Post-vasectomy depression: a case report and literature review

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