Male Sterilisation: Changing the Culture of Families
Western culture is still predominantly heterosexual revolving around the concept of the nuclear family or extended family. Why then do men present themselves for surgical sterilisation? Does vasectomy relate to the high divorce rate and what is the social impact? Vasectomy is often a taboo topic by virtue of the fact that it is a permanent procedure - a man making a choice about his future fertility. What are the choices then, for a man who enters into a new relationship where children are an expectation?
Because such reproductive decisions impact profoundly upon family life, should preference be given to the values of those who will live with the consequences? (Bartels, 1991). Ethical issues arise when we deal with contraceptive, sterilisation and fertility methods. Are the reproductive technologies driven by commercial factors or are they a service that is client focused? If the technologies are client driven, in what circumstances (born out of social pressures) do the clients present themselves?
- Reproductive reasoning
- Contraceptive options for men
- Vasectomy - the statistics
- Fertility technologies
- Why men present for vasectomy
- Outcome- psychology post-sterility problems
- The impact of sterilization on the family
- Ethical considerations
- Duty of the health care professional
- Suggested reading