Permanent birth control methods compared to help you determine which method is best for your relationship. 

 There is almost always a debate once a couple decides to choose a permanent method as to who will have the procedure done and which way is the better and safer method.  I am going to attempt to help answer some questions to help you and your spouse or partner make the best possible decision. 

While I am providing this information, it is under the assumption that both parties are healthy and there are no medical problems that would cause complications in the procedure.  If you think there are any complications which would cause problems then I strongly urge you to seek the advice of a doctor before making any final decisions.  Most doctors also require a consultation before they will agree to perform the procedure. 

A vasectomy tends to be a very simple procedure that takes approximately 30 minutes during a doctor’s appointment using very basic pain relief.  A tubal ligation is typically a procedure performed on a day surgery basis.  A vasectomy typically means to refrain from heavy lifting for approximately 48 hours following the procedure, while a tubal ligation involves avoiding heavy lifting for a week after the procedure. 

A vasectomy tends to have a 1 percent failure rate, while tubal ligation has a failure rate closer to 2 percent.  While the failure rate for women still is only approximately 1 in 1,000 it is still a higher risk.  A vasectomy does have a risk of bleeding and infection, however the risk associated with a tubal is much higher.  It is very important with both procedures to carefully follow the after care procedures to reduce the possible infections. 

Medical studies are considering that many women who have a tubal ligation before age 30 are at an increased chance of needing a hysterectomy.  There are no complications typically associated with a vasectomy that are long lasting.  There is typically no change in sexual behavior or desire after either procedure for a medical reason.  There are some people who do experience difficulties; however, these are typically an emotional issue and not medical related.

One of primary considerations for couples is the costs.  A typical vasectomy costs approximately $600 with some as inexpensive as $250 and others as expensive as $1,000.  On the other hand, a tubal ligation can easily start at $1,000 and rise quickly and easily up to $30,000.  As you can see, there is a huge difference in prices.  This is largely based upon the fact that a vasectomy is a procedure performed in a doctor’s office, while a tubal ligation is required to be performed in a hospital with other surgical staff present, which adds often thousands to the bill. 

Each couple is likely to make a decision that is different from other couples because your decision is based upon your own unique lifestyle and desires.  Please realize that while both procedures are technically from a medical standpoint reversible, there are serious hazards to attempting to reverse either one.  Choose and decide carefully if a permanent birth control method is truly for you.