OB/GYN Dr. Lisa Masterson outlines two permanent contraceptive options with a young couple who have completed their family.
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Lisa Masterson: Let's see what happens in the men. So now we are going to look at giant male parts. What happens in a man is called vasectomy. So what you have here are the male parts. Then what happens is basically in the scrotum which has the testis and the epididymis here. There are these tubes where the semen travels from. Basically, these are called the vas deferens. We are going to cut area of the tube. We are going to suture it or tie it off and cut it or clip it. There are some procedures that don't have any scalpels or any needles and in that procedure that's how we keep the semen from fertilizing the egg there. So it's stopped and we take that little part there, we cut it out and then it heals and again there is a wall to keep it from happening. So that's what happens in the men. So we've seen the vasectomy in the men and the bilateral tube ligation or tube ligation in the women. But this is the difference and you're going to see in this chart here. So here is the tube ligation for the woman, the vasectomy for the men. Now basically failure rate for women 1 in 100 versus 1 in 1000 for male. So the failure rate is much higher. Now the recovery time is about the same, because they're procedures, but for the woman it's a major surgery. What does that mean; major surgery? It's a laparoscopic procedure. She is going to go under general anesthesia. There is a risk with general anesthesia. There could be injury to ball or bladder. There could be hemorrhaging problems. There could be pelvic pain problems in the future. Major surgery. Office procedure. Just takes a few minutes. Very low risk. Cost. $2,000, because it's a major surgery. Can even cost more sometimes. A vasectomy can cause $350 to $1,000. So a lot of times this can be four times higher than this procedure. What's really important though from a medical aspect and from the love aspect and your partner, is this right here, the fact that it's major surgery. She is putting her life at risk for something that's versus an office procedure. So, what do you guys think? Wes: You mentioned non-scalpel, non-needle procedures? Lisa Masterson: Yes. Wes: What that means? Lisa Masterson: We actually have those procedures on the show. A neurologist does the vasectomy, a gynecologist like myself does the tube ligation. So you would consult with a neurologist who does this type of procedure and again it's an office procedure versus her going under general anesthesia having a laparoscopic surgery. She did have two of your other beautiful babies, which comes with a lot of other surgeries. It's time. That's my medical information.

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