Is female ligation better than male ligation?

"male stab" is not difficult to pierce, individual has drawbacks.

Contraceptive measures include birth control technology and sterilization technology. Birth control technology refers to safe period contraception, contraceptive, birth control ring, tool contraception (such as condoms) and other methods, after stopping contraceptive measures best dildo , fertility can be restored. Sterilization techniques refer to permanent contraceptive measures such as vasectomy for men (ligation, adhesive occlusion, occlusion, etc.) and tubal sterilization for women (of which ligation is the most common. People habitually refer to them as "male ligation" and "female ligation" and other permanent contraceptive measures.

"male ligation" is through the scrotum or pubic symphysis before the skin incision, the left and right sides of the vas deferens are removed 0.5 cm, and then ligate the two broken ends and embedded, so as to artificially block the normal discharge of sperm, to achieve the purpose of sterilization. The operation is simple and easy (follow-up, you can go home after operation), with mild injury, less bleeding girl using vibrator , less pain, economical and practical, high contraceptive rate (more than 98%), little impact on the body, no weakening of labor, no impact on sexual function. Therefore, the surgical object is easy to accept, easy to popularize and popularize.

However, the "male ligation" is not perfect, and individual patients may have surgical complications, including recent bleeding, infection, long-term painful nodules of the vas deferens and epididymal stasis, and about 2% of sterilization failures (postoperative rebirth).

Why do these complications occur? This is related to the characteristics of the male reproductive system. First of all, because the skin of the scrotum is dark, moist and wrinkled, it is easy to breed bacteria; and it is very delicate and can be burned by irritating disinfectants, limiting the use of some highly effective disinfectants. This may increase the risk of intraoperative contamination and postoperative infection. Secondly, the spermatic cord tissue around the vas deferens has loose structure and rich blood vessels, which is easy to damage and bleed during the operation, but the effects of self-hemostasis and compression hemostasis are poor, which increases the risk of bleeding. In addition, the film wrapped around the vas deferens is rich in nerve tissue. If the separation is incomplete or infected, painful nodules may occur at the ligation site after the operation.

In addition, after vasectomy, the sperm produced by the testis and the fluid produced by the epididymis continue to produce, but can not be discharged normally and gather in the epididymal duct and a small segment of the vas deferens near the testis. In general, the epididymis of most people has a strong absorption function, which can decompose and absorb liquid and dead sperm, so that the production and absorption are in dynamic balance, and the disease will not occur. However, in the epididymis of a very small number of people, due to various reasons sexshop , the absorption function is reduced, and the production of sperm and fluid exceeds absorption, which forms high pressure in the epididymis and even breaks the thin epididymal duct, causing epididymal swelling, nodules and swelling and pain. form epididymal siltation.

"female bandage" is also simple and has fewer complications.

"female ligation" is to make a small incision in the middle of the lower abdomen to enter the pelvis, cut off the left and right fallopian tubes by 1cm and 2cm respectively, fold and ligate the two broken ends, so that the egg can not meet with sperm and achieve the goal of infertility. This operation is not difficult, the operation is simple, easy to implement, the injury to the patient is small, the bleeding is less, the pain is light, it has no adverse effect on the body, does not interfere with sexual function, and even beneficial (relieves the worry about pregnancy mentally). Compared with "male tie", the advantage of "female tie" is that the sterilization effect is better, and the failure rate is only 0.2%. And because of the physiological characteristics of women, the end of the fallopian tube is connected with the broad abdominal and pelvic cavity, the peritoneum has super absorptive capacity, and there is no phenomenon of egg siltation; in addition, the abdominal skin is easy to be thoroughly disinfected during the operation, therefore, the probability of postoperative complications is lower.

Of course, it also has its shortcomings. First of all, you need to stay and observe for 2-3 days after the operation, and remove the abdominal sutures before you can go home. Secondly, there are also very few patients with complications. For example: before operation, the bladder may be damaged if the bladder is not emptied or the incision is too low; when laparotomy, if the operation is not careful or the intestines adhere to the peritoneum, the intestines may be damaged; when extracting or dissociating the fallopian tube, if the action is not careful, mesosalpinx tear or hematoma may occur; in addition, postoperative infection or abdominal incision bleeding may occur; there may also be long-term complications such as intestinal adhesion, pelvic congestion syndrome and so on. However, as long as the surgeons strictly grasp the surgical indications and contraindications, strengthen the sense of responsibility, careful examination before operation, strict disinfection, skilled operation and gentle action, these complications can basically be avoided.

In short, the benefits of two kinds of sterilization far outweigh the risks, simple and safe, and the incidence of postoperative complications is very low. However lesbian vibrator , compared with the two, "male ligation" is easier and "female ligation" has fewer complications. It is reported that from 1980 to 2004, nearly 80,000 cases of "male ligation" surgery and 34 cases of long-term complications occurred in a county in southwest China, while about 40,000 cases of "female ligation" surgery occurred, only 5 cases of long-term complications occurred.

As a doctor, I have the obligation to explain the pros and cons of the operation and the relevant knowledge to the patients; as the object of the operation, they have the right to understand the general knowledge and informed choice of the operation. After listening to my detailed explanation, the couple repeatedly analyzed and weighed the pros and cons of "male tie" and "female tie". In the end, the wife won the dispute between husband and wife and became a "female tie" as she wished.
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