How to enjoy your married life and avoid pregnancy? Many couples who are not thinking about having children probably have this problem. Today, we’re going to talk about the most effective methods of birth control. When it comes to birth control, most people think of women first. Most people first think of women, IUD (commonly known as “IUD”) has become the main form of contraception for women. However, IUDs are harmful to the lining of a woman’s uterus. In addition, female sterilization is also a common method, however, this surgery to enter the abdominal cavity, the woman’s body to interfere with the large, surgery or reversal of the operation may cause bleeding, infection, pelvic adhesions, ectopic pregnancy and other complications. Doesn’t the male have a responsibility for contraception? The best way to care for her is for men to take the responsibility of contraception themselves. 65% of women believe that men should play a more active role in choosing contraceptive methods, and 75% of women want men to ensure that contraception is practiced. Although condoms are a very safe and effective method of male contraception, the dullness of sensation caused by condoms tends to deter many people. This article recommends – male vasectomy as the best form of contraception for couples after having two children. 1. What is the global situation of male vasectomy? The percentage of male vasectomies in the United States, Canada and Australia is much higher than the world average. This is mainly due to the fact that both countries have gone through several gender equality campaigns, and men taking the initiative to take on the responsibility of contraception has become one of the symbols of masculinity, and a “good family man” in the eyes of people around them. Vasectomy is probably the most performed urological procedure in the world, with Canada (15.3%), Australia (10.4%), Switzerland (8.3%), Spain (8%), and China (7.2%) reported to be the five countries with the highest number of vasectomies performed globally. Globally, about 28 million men have been ligated, and in the United States, about 500,000 men undergo vasectomy each year, which is equivalent to 11% of spouses being sterilized by vasectomy. 2.What are the pros and cons of the various forms of contraception commonly used by men? The “Bill’s Index” is an indicator for assessing the effectiveness of contraceptive methods. The lower the Bill’s Index, the higher the effectiveness and reliability of the contraceptive method. For example, if 100 adult women use a particular method of contraception and 2 women become pregnant within 1 year, the Bill’s Index for that method is 2. 3.What are the advantages of vasectomy? (1) First of all, its operation is simple, the operation time is short (10~15 minutes), and the recipient of local anesthesia with spermatic cord block has no pain at all, and even does not see any bleeding; (2) Due to the shallow anatomical position of the vas deferens, it can make all the operations carried out under the direct vision, and it avoids the use of a sharp instrument to enter the scrotum to operate blindly and so on, so as to avoid the unnecessary tissue damage and the resulting hematoma and infections, and so on, and it is proved to be very safe in practice. Practice has proved to be very safe (3) the end of this operation does not need to close, not to remove the thread, basically can not see the wound after a few days, the probability of postoperative infection and other complications is relatively low. 4.Does ligation affect sexual function? (1) This method does not damage the testicles, and the seminiferous tubules and interstitial cells of the testicles can still continue to produce sperms and secrete sex hormones to maintain the normal sexual function of men and the secondary sexual characteristics of men. Therefore, it is superfluous to worry about loss of sexual ability, impotence, premature ejaculation or even becoming unmanly after vasectomy. On the contrary, before the surgery, some men were worried that the woman would get pregnant, and they were afraid during intercourse, so their sexual performance was not good. After the surgery, the burden of thought is gone and the sexual desire is stronger than in the past. (2) Some people worry that they will not be able to ejaculate after vasectomy and that this will affect their sexual pleasure, which is also unnecessary. Because semen is a mixture of sperm and seminal plasma, of which the seminal plasma secreted by the prostate, seminal vesicles, urethral bulbous glands, etc. accounts for 90% of the total volume. Therefore, there is absolutely no need to worry that there is still fluid coming out. (3) It will also not affect the production of new spermatozoa because the spermatozoa that do not run out will be broken down and absorbed by the surrounding cells, and will not affect the subsequent new spermatozoa produced. Many men feel that their sexual function has declined after ligation, in fact, this is more of a psychological effect, always feel that they are less something, the more worried, the more they care, the more they care, the worse the performance. 5. Is it easy to have a child after ligation? Nowadays, the success rate of vasectomy-vasectomy anastomosis has been greatly improved, with the help of microscope, it can reach 99% of recanalization rate; in addition, even if the effect of recanalization is not good after a long period of time, it is feasible to use the second-generation in vitro fertilization (IVF) technology, and it is feasible to conceive through the way of testicular sperm retrieval and the second-generation IVF technology. 6.How long is it safe to have intercourse after vasectomy? After vasectomy, there is a point to note, within the first 3 months after vasectomy, semen may still contain a small amount of residual sperm, wait until three months or at least 10 times of sperm discharge, preferably after the semen test confirms that there is no sperm, in order to say goodbye to the condom. Because these sperm are present in the distal tubes before ligation, contraception must still be used for intercourse during this time. After the birth of the second child, most families have completed their own birth plan, therefore, whether from the perspective of fairness or from the perspective of gender ratio, as the dominant family, the man should take the initiative to assume the responsibility of contraception, which is the best way to care and love his wife, and from the perspective of professionalism and the long term, the best contraceptive method is still vasectomy.