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Contraception: French men turn to vasectomy

This is a revolution in the national contraceptive landscape. With a long-standing resistance to vasectomy, French men are using this method of final sterilization en masse. In 2022, urological surgeons performed at least 30,288 operations to cut the vas deferens, which carries sperm from the testicles to the prostate, preventing them from reaching the penis. In 2010, only 1,940 people benefited.

These figures were published Monday 12 February, led by the Epi-Fare team Professor Mahmoud Zureik, who uses data from the healthcare system to study the behavior of the French. Alerted by urologists who noted an increase in the demand for vasectomies, especially among young adults, epidemiologists wanted to analyze the practice. It is all the more important that, unlike women, men have very few methods of contraception., claims Dr. Noemi Rolland, who led the study. Just one more, actually: condoms. “In distributing the contraceptive burden, it can be an important tool”continues Epifare, head of the “Women’s Health” program.

The magnitude of the result surprised the researcher. “Such a rapid development is rare in epidemiology”, he claims. In twelve years, the rate among men aged 20 to 70 increased from 9.8 vasectomies per 100,000 to 149.5. Rapid and constant evolution. Between 2010 and 2022, the number of interventions increased, except for a plateau observed in 2020. That year, the Covid-19 pandemic led to the postponement of many interrelated surgical procedures. is vitally important.

In the global male sterilization landscape, France has long been a poor student, lagging behind Anglo-Saxon countries, northern Europe and South Korea. Although the prevalence of vasectomy was directly related to indicators of gender equality, France was an exception. Undoubtedly, the effects of pronatalist policies are hardly compatible with irreversible actions, argues Noémie Rolland. However, theoretically, the vas deferens May be restored, return to normal remains uncertain. As a result, no campaign was conducted by health authorities. Urologists themselves were shunned, especially young people.

Source: Le Monde



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