Another thing that Urologists try to sell whenever possible are vasectomies.
What they downplay is the so-called "post-vasectomy pain syndrome".
While vasectomy is often displayed by urologists and feminists alike as a super-easy hardly-at-all-a-surgery, it is way more traumatizing and dangerous than it seems. The images used in the patient consent forms are simply wrong! They don't just "snip" the vas deferens that are freely floating in your sack. As you can feel for yourself, there is only one string connecting each testicle to the rest of your body. This string is called "spermatic cord" or "ductus deferens" and besides the vas deferens also contains the blood supply for your testicle, lymphatic pathways, and nerves. The urologist first has to pull out and dissect this spermatic cord which is a very delicate issue and should make it clear to you why the patient consent form lists possible outcomes like "testicular atrophy" (= your testicle shrinks or completely dies because the surgeon accidentally cut off its blood supply) or heavy hematoma (bleeding in the sack).
What alternatives are there?
The most obvious one is condom use, but I assume not many men in a long-term relationship are interested in that, because it significantly reduces sensation during intercourse and spontaneity in lovemaking.
The withdrawal method is much safer than you would expect. It's not suitable for teenagers who are too shy to buy condoms in the store - they will surely mess up and get their partner pregnant! But if you are sexually experienced and can control your excitement and the time when you ejaculate, the risk of unwanted pregnancy is comparable to that of condom use (PEARL index of 4).
https://en.wikipedia.org/wiki/Comparison_of_birth_control_methods
Please note that I do not consider withdrawal safe if you want to ejaculate several times during a single lovemaking session. You could try to flush out the urethra by peeing in between, but it remains a somewhat risky venture.
The most effective way to resolve the issue of sperm from the last ejaculation being present in your system is not to ejaculate at all. While this may sound like not much joy to the average man, you can actually train yourself to orgasm without ejaculating and make love for as long as you and your partner want.
One book I can recommend is the "Multi-Orgasmic Man".
If you want to learn more about it and are not afraid of a little spirituality, inquire at Tantra schools! Many (but not all!) teach it. In disagreement with the traditional "Ojas" philosophy, which only recommends ejaculating if you want to conceive a child, I recommend ejaculating 1 time per week to flush out your prostate and prevent future problems in this area.
What about the pre-cum?
Many books that instruct men on non-ejaculation are still cautious and warn them that the pre-cum may contain sperm. There isn't much research on this topic as no company would sponsor it.
I personally had my pre-cum tested at a sperm lab and they could not find a single sperm, while I otherwise have excellent sperm quality.
One study found that there might be differences between individual men because some had consistently sperm in their precum while others didn't. But they also mention that the differences may originate in how well men are able to tell cum from pre-cum as the samples were collected by the men in privacy. Never underestimate how stupid some people are. So you either have to trust that there's no sperm in your pre-cum or have it tested yourself.
Involve your partner!
Involve your partner to reach a PEARL index (likelihood of conceiving a child) comparable to a vasectomy. You may not be aware of it, but a vasectomy does not have a PEALR index of zero. This highly invasive and dangerous procedure does not guarantee you won't father a child, even if the surgery was performed correctly! Think "spontaneous recanalization":
Nevertheless, a vasectomy makes pregnancy highly unlikely. The same level is possible when non-ejaculation is combined with an effective contraceptive for your partner.
Gynefix
Gynefix is a very small copper chain IUD that provides reliable contraception without the usual side-effects of hormonal contraceptives or conventional IUDs. It allows for spontaneous lovemaking and lasts for 5 years, while the woman can always have it removed to be fertile the next month.
Unless a doctor is trained in using Gynefix, they will advise their patient against it, trying to sell hormonal IUDs or other big pharma products that they make more money with. The manufacturer Contrel has more information about Gynefix and a list of trained Gynecologists in Germany, Austria and Belgium.
What they downplay is the so-called "post-vasectomy pain syndrome".
While vasectomy is often displayed by urologists and feminists alike as a super-easy hardly-at-all-a-surgery, it is way more traumatizing and dangerous than it seems. The images used in the patient consent forms are simply wrong! They don't just "snip" the vas deferens that are freely floating in your sack. As you can feel for yourself, there is only one string connecting each testicle to the rest of your body. This string is called "spermatic cord" or "ductus deferens" and besides the vas deferens also contains the blood supply for your testicle, lymphatic pathways, and nerves. The urologist first has to pull out and dissect this spermatic cord which is a very delicate issue and should make it clear to you why the patient consent form lists possible outcomes like "testicular atrophy" (= your testicle shrinks or completely dies because the surgeon accidentally cut off its blood supply) or heavy hematoma (bleeding in the sack).
What alternatives are there?
The most obvious one is condom use, but I assume not many men in a long-term relationship are interested in that, because it significantly reduces sensation during intercourse and spontaneity in lovemaking.
The withdrawal method is much safer than you would expect. It's not suitable for teenagers who are too shy to buy condoms in the store - they will surely mess up and get their partner pregnant! But if you are sexually experienced and can control your excitement and the time when you ejaculate, the risk of unwanted pregnancy is comparable to that of condom use (PEARL index of 4).
https://en.wikipedia.org/wiki/Comparison_of_birth_control_methods
Please note that I do not consider withdrawal safe if you want to ejaculate several times during a single lovemaking session. You could try to flush out the urethra by peeing in between, but it remains a somewhat risky venture.
The most effective way to resolve the issue of sperm from the last ejaculation being present in your system is not to ejaculate at all. While this may sound like not much joy to the average man, you can actually train yourself to orgasm without ejaculating and make love for as long as you and your partner want.
One book I can recommend is the "Multi-Orgasmic Man".
If you want to learn more about it and are not afraid of a little spirituality, inquire at Tantra schools! Many (but not all!) teach it. In disagreement with the traditional "Ojas" philosophy, which only recommends ejaculating if you want to conceive a child, I recommend ejaculating 1 time per week to flush out your prostate and prevent future problems in this area.
What about the pre-cum?
Many books that instruct men on non-ejaculation are still cautious and warn them that the pre-cum may contain sperm. There isn't much research on this topic as no company would sponsor it.
I personally had my pre-cum tested at a sperm lab and they could not find a single sperm, while I otherwise have excellent sperm quality.
One study found that there might be differences between individual men because some had consistently sperm in their precum while others didn't. But they also mention that the differences may originate in how well men are able to tell cum from pre-cum as the samples were collected by the men in privacy. Never underestimate how stupid some people are. So you either have to trust that there's no sperm in your pre-cum or have it tested yourself.
Involve your partner!
Involve your partner to reach a PEARL index (likelihood of conceiving a child) comparable to a vasectomy. You may not be aware of it, but a vasectomy does not have a PEALR index of zero. This highly invasive and dangerous procedure does not guarantee you won't father a child, even if the surgery was performed correctly! Think "spontaneous recanalization":
Nevertheless, a vasectomy makes pregnancy highly unlikely. The same level is possible when non-ejaculation is combined with an effective contraceptive for your partner.
Gynefix
Gynefix is a very small copper chain IUD that provides reliable contraception without the usual side-effects of hormonal contraceptives or conventional IUDs. It allows for spontaneous lovemaking and lasts for 5 years, while the woman can always have it removed to be fertile the next month.
Unless a doctor is trained in using Gynefix, they will advise their patient against it, trying to sell hormonal IUDs or other big pharma products that they make more money with. The manufacturer Contrel has more information about Gynefix and a list of trained Gynecologists in Germany, Austria and Belgium.
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