No-Scalpel Vasectomy

Do you want more children?

The number one consideration is whether the male partner is certain he is no longer wishes to have children. This decision is usually made in conjunction with a partner who agrees. If there is any uncertainty, it is best to hold off. Although technically vasectomies are reversible, it is recommended we think of them as irreversible. Why? Because vasectomy reversals are complex, time consuming, expensive, and the best possible outcome is a 50% pregnancy success rate.

How old are you?

Your age doesn’t determine whether you’re a candidate, but your life stage often shapes the clarity of your decision.
Are you in a season of transition — moving, changing careers, starting or ending a relationship?
 

Or are you settled and confident about the direction of your life? Sometimes men in their 20s or early 30s benefit from extra reflection, not because they’re making the “wrong” choice, but because it ensures the decision supports the life they want long-term.​

What is your partner status?

Whether you’re married, partnered, dating, co-parenting, or not currently in a relationship, it’s important to consider how a permanent contraceptive decision fits your personal circumstances.
 

If you’re in a committed relationship, have you discussed how a vasectomy aligns with your shared goals?
If you’re single, how do you imagine future relationships unfolding, and would a permanent birth control decision support or complicate those plans? There’s no right or wrong here — just honest reflection.

Have You Discussed Birth Control With Your Partner?

Many men come to me because their partner is experiencing side effects from hormonal birth control, or because the emotional and physical responsibility of contraception has become unbalanced. 
 

It’s also important to ask:
How does your partner feel about a permanent option?
Are you both on the same page about your family’s future?
Open, thoughtful conversations often bring a sense of clarity and relief before surgery ever enters the picture.

Could Other Birth Control Methods Work for You?

If you’re unsure or feel pressured (by circumstance, family, or even fatigue), it’s worth exploring whether reversible options might meet your needs in the short term.
If you’re feeling rushed, stressed, or conflicted, that’s typically a sign to slow down. I want patients to feel grounded and confident — not hurried — when making this choice.
 

A vasectomy is wonderful for men who feel certain; if you’re not there yet, your body is telling you something worth listening to.

How Might This Decision Impact Your Wellbeing and Lifestyle?

I often ask men:
“What would it mean for your life to know you never have to worry about an unexpected pregnancy again?”
 

For many, the answer is a sense of freedom, safety, and peace. For others, especially those in changing relationships or uncertain phases of life, the answer is more complex — and that’s okay. Think about your values, your long-term goals, your emotional needs, and the kind of life you’re building. A vasectomy should support your wellbeing, not complicate it.