Suitability for a Vasectomy : A guide to Vasectomy

Your suitability for vasectomy will be decided during the consultation with the surgeon. He or she will take various factors into account which include your age, medical history and your reasons for surgery.

A vasectomy is usually for life so the surgeon will want to be sure that you are aware of this and have given it some careful thought. He/she will also check that you are in good shape before surgery and that there are no underlying health problems.

Can single men have a vasectomy?

Yes but if you are under 30 (or under 25 in some cases) then you may find that surgeons are reluctant to operate as they feel that you might regret having this surgery. Your circumstances could change in the future which might cause you to want to start a family.

If you are looking to be treated via the NHS but are refused surgery on these grounds then you will have to approach a private clinic.

So what could exclude you from vasectomy surgery?

Possible exclusions include:

• Being too young for surgery e.g. under the age of 25. Some surgeons may not consider you for surgery as you could change your mind later on. They may advise you to discuss your desire for a vasectomy with an advisor before considering surgery.
• You have had surgery previously in that area, for example an orchiopexy. An orchiopexy is performed to treat an undescended testicle.
• You have undergone a vasectomy before followed by a reversal operation.
• A tumour or lump in your testicle which has not been removed.
• Pressure from your spouse/partner and/or family.

These are guidelines only as every case is judged on its individual merits and there are always exceptions to the rule. If you are not suitable for a vasectomy then there will be a good reason for this refusal.

Is there an alternative?

If you are not suitable for a vasectomy then possible alternatives include a tubal ligation (women only) or contraception.

But a tubal ligation is more expensive and riskier than a vasectomy.

Find out more in our alternatives to a vasectomy section.