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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

To think than more men should have vasectomies?

131 replies

BestBefore2000 · 01/03/2026 15:17

If they are definitely done with their family.
Why should it be on their partners/wives to have to keep on with hormonal contraceptives until 55?
But instead so many women just do this, having that responsibility on their shoulders for years, and increasing risks such as cancers and MH effects.
Stuff that!!

OP posts:
Hatty65 · 01/03/2026 15:59

I have absolutely no interest in what other people decide to do with their bodies. I cannot conceive of deciding that 'more women or more men should do this'.

It's entirely down to the individual how they decide to organise contraception, Any other opinion on this feels arrogant and patronising.

I think people should mind their own business about other folks' affairs.

Bushmillsbabe · 01/03/2026 16:00

BestBefore2000 · 01/03/2026 15:41

@UniquePinkSwan No. My body, my choice not to have sex. I would not accept running the risk of becoming pregnant again.

Absolutely. Apart from being very happy with our 2 daughters, my 2nd pregnancy triggered an autoimmune condition which is managed with a form of low dose chemotherapy. If I got pregnant I would have to have an abortion as the risk to both me and baby would be too great. Abortion is incompatible with our religious beliefs (I am absolutely pro choice for others) so our only choice is abstinence until DH gets the vasectomy. Anything else is too risky.

BestBefore2000 · 01/03/2026 16:02

@Hatty65 Have you ever stopped to think of the reasons why a man might not want a vasectomy? Or do issues of sexism and misogyny not bother you either?

OP posts:
BestBefore2000 · 01/03/2026 16:03

@Bushmillsbabe That can't be easy - sorry to hear that. Is he booked in soon? 🙏

OP posts:
Screamingabdabz · 01/03/2026 16:03

All of the men in our family and friends have had it done. It’s what decent men do when the family is complete. It’s a simple day procedure and men making excuses and putting it off are just selfish.

harri7284 · 01/03/2026 16:04

Too many of the men who wouldn’t consider vasectomies are the ones with one foot out the door with little commitment to their pre existing children wanting to keep their options open.

BestBefore2000 · 01/03/2026 16:04

@Screamingabdabz Agreed!

OP posts:
NoSoupForU · 01/03/2026 16:07

BestBefore2000 · 01/03/2026 15:59

@NoSoupForU Incorrect. Has a man told you that?!!
Vasectomies are highly effective, with a lifetime failure rate of approximately 1 in 2,000 (0.05%) after confirmed negative semen analysis.

You're splitting hairs to a very redundant level here. Both methods have an effectiveness rate well in excess of 99%. Both methods can fail but are almost certainly not going to.

And none of this makes even the tiniest bit of difference to the fact that if a man does not want to have a medical procedure he shouldn't have one. Likewise a woman.

Rather, if the woman is absolutely certain and adamant that she does not want to have (more) children, it is something she can take responsibility for in all but the absolute minority of cases. If she would prefer to be stubborn to make a point that's also her prerogative.

Ohyeahitsme · 01/03/2026 16:08

Kingdomofsleep · 01/03/2026 15:21

Yanbu but I also think more women could consider tube removal during c section, which I've had done. If you're having a c section and you know you don't want more kids, it's a short procedure that they can do straight after.

I'll never have to worry about contraception again.

I requested this and was denied - my female obstetrician advised that tubal ligation during c section has an increased risk of failure and complications due to how swollen and vascular (more filled with blood than normal) they are during and after pregnancy. If I was adamant on having it done, I'd need to wait 6 months post pregnancy. She recommended my husband get a vasectomy instead as it is lower risk and lower failure rates. Which is what we did.

Echobelly · 01/03/2026 16:11

I was reading some stats where I was both a but shocked, but also unsurprised, that globally far more women have surgical intervention to prevent conception than men having vasectomies, even though theirs option is much easier and less invasive. But then, they're not the ones getting pregnant, so they don't bother.

Fizbosshoes · 01/03/2026 16:12

My DH didnt chase up because I think he was put off by a long waiting list, and essentially being told the issue could be resolved easily by a different method.

...but its a bit ironic saying its invasive for men ....when pregnancy (even if you didnt go ahead with it) have much more of an impact on a women both during and well beyond birth!

harri7284 · 01/03/2026 16:13

@Kingdomofsleep I think the potential issue with that though is it’s a very emotionally loaded time and perhaps not the best time to make that decision. Vasectomy can be done when families are a little more settled and secure in their decision.

I personally would not have chosen to stop my ability to have further children during my birth. Obviously it should be a choice available, but I don’t think it’s as simple as vasectomy, emotionally speaking.

GertrudePerkinsPaperyThing · 01/03/2026 16:13

It’s an individual decision I think.

Maybe the fact that they’re available could be more widely published? Or more could be done to sort advertise some encouragement to men to have them/ remove any stigma they might feel.

But ultimately it’s for the couple to decide what works for them - with each person obviously having the final say over their own body.

If the man doesn’t want a vasectomy and the woman doesn’t want hormonal contraception, then there’s condoms or abstinence. None of the options is wrong.

The only thing that’s wrong is either party deciding that contraception is all the responsibility of the other person, or making a song and dance about the consequences of their own decisions.

bobby81 · 01/03/2026 16:14

My DH had a vasectomy when I was struggling with hormonal contraception. No hesitation, we discussed it & then he booked it. I agree OP & don’t understand why more men don’t do it.

slaintebab · 01/03/2026 16:20

I agree. I’m pregnant with our last baby now and DH is booked in for a vasectomy, hormonal contraception doesn’t agree with me and I’ve got pregnant accidentally on it, so I think it’s only fair that DH takes over on making sure I don’t get pregnant now.

BillieWiper · 01/03/2026 16:21

It's up to them though and nobody should be bullied or coerced into operations or hormonal contraception. If grown adults can't come to an arrangement about how to not conceive then I guess they just don't have PIV sex. Or they probably shouldn't be together.

BruFord · 01/03/2026 16:21

Growlybear83 · 01/03/2026 15:57

I think it depends on which one in the partnership doesn’t want any more children. My husband would have liked a second child but I definitely didn’t, so I felt it was up to me to make sure I didn’t get pregnant again, and I would never have expected him to have had a vasectomy under those circumstances.

@Growlybear83 I agree that whoever has a procedure needs to be 100% sure that they don’t want any more children.

When discussing the op, I posed the question to him that if we split up or something happened to me, would he ever want more children with a new partner. He was adamant that he wouldn’t.

I felt the same way tbh and would have been willing to have a tubal ligation. We opted for a vasectomy on our doctor’s advice, because it’s a far more minor procedure- performed in minutes on a Friday morning and DH spent the weekend on the sofa with an ice pack being spoilt. 😂. He was fine by Monday.

Boomer55 · 01/03/2026 16:22

BestBefore2000 · 01/03/2026 15:17

If they are definitely done with their family.
Why should it be on their partners/wives to have to keep on with hormonal contraceptives until 55?
But instead so many women just do this, having that responsibility on their shoulders for years, and increasing risks such as cancers and MH effects.
Stuff that!!

It’s a personal choice as with women wanting to.be sterilised. 🤷‍♀️

BestBefore2000 · 01/03/2026 16:25

@NoSoupForU Here are the failure rates or both the coil and a vasectomy - what makes you think they are both the same when clearly they are not?
Vasectomy:
Vasectomies are highly effective, with a lifetime failure rate of approximately 1 in 2,000 (0.05%) after confirmed negative semen analysis. Permanent form of contraception.
Compared with...

OP posts:
Indianajet · 01/03/2026 16:25

Hatty65 · 01/03/2026 15:59

I have absolutely no interest in what other people decide to do with their bodies. I cannot conceive of deciding that 'more women or more men should do this'.

It's entirely down to the individual how they decide to organise contraception, Any other opinion on this feels arrogant and patronising.

I think people should mind their own business about other folks' affairs.

I agree entirely. No-one else's business.

BestBefore2000 · 01/03/2026 16:26

Coil:
Copper Coil (IUD): 0.6%–0.8% failure rate (approx. 1 in 100-150 women get pregnant over 5-10 years)
Hormonal Coil (IUS - e.g., Mirena): <0.1%–0.2% failure rate (less than 1 in 1000)

Not a permanent form of contraception with check-ups recommended.

OP posts:
BestBefore2000 · 01/03/2026 16:27

@Boomer55 With absolutely no sexism involved(!)

OP posts:
BestBefore2000 · 01/03/2026 16:31

@NoSoupForU A bit sad to think that you think a woman refusing to offer herself up for a Tubal Litigation, which is both more invasive and with far greater risk than her male partner having a vasectomy is being "stubborn", but unfortunately not surprising.
We must stop enabling these male attitudes!

OP posts:
jacks11 · 01/03/2026 16:35

I think men and women should take equal responsibility for their fertility. I don’t think that means men are obliged to have a vasectomy, any more than a woman is obliged to have tubal ligation or use hormonal contraception. A couple should be able to come to a mutually agreed form of contraception, which is acceptable to both of them. I’m really against telling other people what they should do with their own bodies, or having an expectation that someone does something with their body that they aren’t happy to do to suit their partner- be they male or female.

So no, I don’t think anybody should be telling men to have a vasectomy, any more than men should be free to tell women to use hormonal contraception/ have tubal ligation. If it is not ok for a man to expect a woman to use contraceptives she doesn’t want to take, it’s equally unacceptable to demand men have a surgical procedure they don’t want.

A vasectomy is a surgical procedure and whilst usually straightforward, is not without some risks and has to be considered permanent. Serious complications are rare, but they are a consideration- I know someone who has post-vasectomy chronic pain and it has had a horrendous impact on him and his family. I’m not saying no man should have one because of this risk, but having seen it first hand I can understand why some men might be reluctant.

Equally, a man must take control of his fertility- if he is absolutely sure he doesn’t want children/any more children, then he also needs to decide how best to ensure that. Obviously, that means vasectomy is an option worthy of consideration- but could also choose barrier methods, or indeed abstinence. He also has to respect his partners choices regarding her use of contraception and the consequences of both of those decisions.

That said, if a woman is sure that she will not want another child, under any circumstances, I think it should be more straightforward for her to get tubal ligation, if that is what she wishes. Your partner having a vasectomy only protects you with that partner, after all.

I have no time for men who don’t want any more children but won’t use a condom. Clearly, they are hypocritical. I agree that men who decide not to have a vasectomy have to accept that there may be consequences (one way or another) to their decision if their partner decides she is not using contraception either.

Equally, I find it a bit ridiculous that women treat it as some sort of quid pro quo, “I’ve taken it until now, so you’ve got to do this to pay me back” like it’s some sort of transaction. Women don’t solely use contraception for the sake of our partners- we do it to control our own fertility for our own sakes too. At least, I have. I took the pill and then had a mirena because it because it didn’t suit me to have a child at various points in my life. Yes, it also benefitted/suited my DH but I did not take it solely for his benefit, nor would I have taken it as his behest if I didn’t want to.

Simbaonedaythiswillallbeyours · 01/03/2026 16:35

The NHS won't fund tube tying surgery in my area. They'll provide councilling if I need an abortion for pregnancy caused by contraceptive failure though.

More men should have them as they can get them more easily.