OB/GYN Dr. Lisa Masterson talks about permanent birth control options for men and women, specifically the differences between tubal ligation and vasectomy procedures.
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Lisa Masterson: I am here with Patti and Wes who have some family planning questions for me today. Thank so much for coming. Patti: Thank you for having us. Lisa Masterson: Yeah. What are your questions? Patti: We are proud parents of two beautiful babies and at this point we feel that our family is complete and we've been weighing different permanent birth control options and it's always been an argument with -- but a discussion. Lisa Masterson: Tell me is what the argument is. Patti: No, dialog. Lisa Masterson: Dialog. I know what that dialog is. Patti: About, I had the children, I carried them, I delivered them, and we thought that he should take it for the team and have vasectomy. Lisa Masterson: And is that what you thought that you should just take it for the team? Wes: Well, at first I did, I will be honest and we talked about this last night. I did say when we had our first, when we had our son that, yeah, you go ahead and have them and I will take care of it, but more and more as I am hearing things and I am starting to get some concerns myself and I think any man that has the questions on their mind just wants to know all of their options and try to decide what's going to be the best option, because I don't think that I had and you should be having it works in this case. So just looking for all the answers. Lisa Masterson: As an obstetrician it actually works for me, very well. But there are reasons behind that and the idea is we are going to show you those reasons. Because they are very different procedures the tubal ligation for the woman and basically also cutting tubes to stop sperm and semen from causing any fertility in women, those are two different procedures that occur and they actually have different risks and things with them. So what I am going to do today is tell you about those procedures, the risks, and then you can make an informed decision, you know what, what I think. But you will find out why I think about that afterwards. So I am going to go over here to our wall here and show you exactly what happens, because I don't think a lot of people know. We are going to start with what happens with the woman. So we are going to put some woman parts up here. I don't know if you've ever seen women's part that big. So basically you've got your uterus and your bladder, you've got your tubes and your ovaries. It's this part that we are concerned with. So this is the giant complex of the tube and the ovary right here and what you're going to see to begin with is what happens with fertilization. The ovary releases the egg into the fallopian tube and the sperm travels up here in the fallopian tube and they meet and they start the beginnings of a baby. So we are going to take a look at how that happens. Here is the egg traveling down and then here is a little sperm going. They're going to meet. Bam! Look at that, they fall in love and they make a baby. So what happens to stop that process, because we have decided we have enough beautiful children is we look at this little area right here in the tube and we basically make a blockage so that they egg can't get into the uterus and the sperm that you saw before can't get to the egg and they can't unite anymore. So we put up a wall. We are going to show you how you do this. That area that I showed you before we are going to tent it up, we are going to put a suture around it, cut it off. Now you can see the egg can't get there and the sperm can't get there and this will make scar tissue later on. And they can't get together anymore. They're blocked off.