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Here we discuss all about vasectomy vs tubal ligation. There is no significant difference in efficacy between the two treatments; both have a success rate of greater than 99 percent. Experienced vasectomy surgeons, on the other hand, often have success rates of better than 99.9%, equating to failure rates from less than 1 in 1000.

What is a Vasectomy?

Vasectomies are typically performed under local pain medication. A surgeon will remove the Vandevere’s, the tube that transports sperm through your testicles to the penis. This makes it impossible for sperm to escape your body. The surgeon will either burn or tie the ends of the vas ferns after cutting them. Two minor cuts are made to each side for the surgeon to access the vas. The surgeon stitches the wounds shut at the end. This is a newer type of vasectomy that does not require stitches. The surgeon will clamp the vas to remove it from the outside.

This type of vasectomy requires no stitches and has a quicker recovery. It doesn’t matter which vasectomy procedure you choose; you will need to rest for several days. Your doctor will likely suggest that you restrict strenuous activities and ice the area to reduce swelling. It is essential to check that your sperm levels are not elevated by further testing. Vasectomy should not limit your sex drive.

Seminal fluid can still be produced after the procedure and released during ejaculation. The only difference is that it won’t contain Sperm. Vasectomy reversal may be possible but is more complex. In a reverse procedure, the surgeon reconnects vas deferens for sperm-seminal fluid mixing to occur again.

Vasectomies Prons

Vasectomies can have many pros and cons, as with all medical procedures. When compared to tubal ligation, vasectomies have clear pros. They are faster, safer, and cheaper. Vasectomy can be performed under local anesthesia in around 10 to 30-minutes. This makes it safer and more comfortable than tubal surgery, which can occur under general anesthesia. Because vasectomies can be done outpatient, you can return to work in under an hour. It takes very little recovery time. You can return to work 24 hours following the procedure.

You can resume light activities within two or three days. Vasectomies don’t affect testosterone levels or the appearance of semen. Vasectomies can also be reversed with a success rate of 99%. This is why they are a good choice for couples who are sure they won’t have more children. Vasectomy reversals can be reversed, which may seem optimistic for some. However, permanent birth control should be considered when considering this procedure.

Cons of Vasectomies

One disadvantage of a vasectomy is that it can be permanent. While some cases may allow for a vasectomy to be reversed, they can also cause several complications. Your fertility could not return, even if everything goes according to plan. Vasectomy reversals, which can be expensive, complicated, and risky, are not guaranteed to work. Vasectomy should not be considered unless the individual is confident that they will not have more children.

The downside of a vasectomy is that some men may feel ongoing pain in their testicles that persists after the initial swelling and bleeding. Vasectomies cannot prevent sexually transmitted disorders. If a man is not living in a monogamous relationship, they will still need to use STD prevention condoms.

What is Tubal Ligation?

Tubal ligation involves cutting or blocking the fallopian tubes which transport a woman’s eggs from her ovaries into her uterus. This procedure is often done with a tiny camera called a “laparoscope” and a bright light called a laser. First, the surgeon makes small incisions around the abdomen. The surgeon may also inflate the area using gas to improve the view. Next, the laparoscope will be inserted to block the fallopian tubules. Then, they can either tie them off, clamp them, or burn them. Finally, the incisions at the end are sewn up.

Tubal ligation uses general anesthesia. However, some surgeons can use local or even spinal anesthesia. After surgery, the woman will be in the recovery room for a few hours. She may then be discharged the same day. However, there may be some discomfort from the gas, so she will need to rest at her home for several more days. After that, she might need to return for her stitches to be removed. Tubal ligation shouldn’t affect a woman’s sexual drive, just like a vasectomy. It should not also affect her periods. Tubal ligation may sometimes be reversed.

Tubal Ligation prons

Tubal ligations are a permanent method for birth control. However, this procedure is also safe and well-tolerated. Tubal-ligations can be performed immediately. A man may not become fully sterile until three months after a vasectomy. It also allows women to continue using their birth control methods (e.g., remembering to take a tablet). Unlike some birth control methods that alter hormone levels in women, Tubal ligation does not change their levels of estrogen or progesterone. People may become more interested in sex if birth control isn’t on their minds.

Cons of Tubal Ligation

Comparing a tubal ligation to vasectomy is a mistake. Tubal ligations require more extensive surgery. They require general and hospital anesthesia. It is possible to have complications. It’s also more complicated than a vasectomy. A week of recovery is needed. There are also chances of pain. Other cons include that tubal ligation can fail at times depending on age and the inability to protect against STDs.

A tubal ligation will cost you more than a vasectomy. Because this is a permanent procedure, women should be sure they don’t want more children before having a tubal ligation. One of the significant downsides to this procedure, particularly for younger women who are pregnant, is the possibility of regret. It would help if you considered future life changes when considering permanent birth control methods.

Here are a few Reasons: (vasectomy vs tubal ligation) which one is the Better Option?

  • No-Scalpel Vasectomy is a less complicated procedure than tubal. There can be significant recovery time, with upper and lower body pain, bleeding, and discharge lasting four days. A no-scalpel process, an outpatient procedure, takes approximately one hour from preparation to completion. Patients can return to their normal activities within a few hours. Typically, discomfort and pain can be controlled with ice packs or other over-the-counter pain relievers.
  • No scalpel vasectomy has a much lower price. 
  • Tubal Ligation can cost up to $5,000. No-scalpel vasectomy costs can range from $600 to $1,000 depending on the location and practitioner.
  • The risk of complications from vasectomy vs tubal ligation procedures is lower when skilled surgeons perform. But, due to the nature of tubal ligation, there are more chances of complications than with no/scalpel/cystectomy. Ectopic pregnancy can also be a possibility with tubal ligation. This refers to a pregnancy occurring outside the uterus, usually in the fallopian tube. If untreated medically, these pregnancies may prove to be dangerous.
  •  Both procedures have a high success percentage of approximately 99%. However, the success rate for vasectomy is slightly lower at around 99.9% and a failure ratio of less than one per 1000. Tubal ligation, on average, has a failure ratio of 0.25 to 0.5% depending on age.
  • After a vasectomy, a backup birth control method is required to ensure there is no sperm in the sperm-carrying tube. It is essential to see your surgeon within 8-12 months for the best outcome.
  • Both vasectomy vs tubal ligation are highly effective. Studies that examined the failure rates for tubal and vasectomy showed they were among the most effective methods to prevent pregnancy. Vasectomy is preferred because tubal ligation requires women to cease using contraception after turning a particular stage of life.
  • Vasectomy and tubal ligation are considered permanent procedures. It is possible to reverse the results of either. However, these reversal options are expensive and not guaranteed to work. At least half of couples have experienced a successful pregnancy following a reversal. Success rates are dependent on several factors, such as the type of surgery and age. If you are unsure if you want children, you can consider other birth control methods like the implant (IUD).
  • The responsibility for birth control is not solely on women. Male partners should work together to find safer and better methods. For example, vasectomy vs tubal ligation has fewer complications, lower costs, and is more accessible than tubal surgery. To make informed decisions, you must speak with your doctor before making any decision. St Pete Urology is here to help couples make the right decisions regarding birth control.
  • Vasectomy is performed using a local anesthetic. It usually takes about 20-30 minutes. The patient can usually leave the hospital within minutes of the end of the procedure.
  • The no-scalpel vasectomy procedure is painless and requires no scalpel. The process is done through a pothole opening. A tiny instrument pokes into your scrotal sac to open it a little. You will experience five times fewer infections, fewer hematomas, and other benefits. The procedure is virtually painless and allows you to return to your usual routines faster than a conventional vasectomy.
  • Tubal ligation, however, requires general sedation and is more complex than a vasectomy. It must be done in an operating room. Every relationship dynamic is unique and complicated. Because of this, the best procedure for them will be determined based on their individual goals and lifestyle. But, no-scalpel vasectomy is more straightforward, safer, more affordable, and yields similar results.


The final decision is up to your lifestyle and personal choice between vasectomy vs tubal ligation. Vasectomy is preferable to most couples as it has lower complications, is more straightforward, and costs less. However, tubal ligation is still a safe and reliable way to sterilize a baby. This is why many women opt for tubal ligation. If you suspect that you may be highly fertile, you can opt for both procedures.