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Updated: Jun 3, 2026

Optimizing the Modified No-Scalpel Vasectomy Technique
Published on: October 18, 2024
Vasectomy: the other (better) form of sterilization
Grace Shih1, David K Turok, Willie J Parker
1Department of Family and Community Medicine, University of California San Francisco, San Francisco, CA 94110, USA. shihg@fcm.ucsf.edu
Abstract:
Male sterilization (vasectomy) is the most effective form and only long-acting form of contraception available to men in the United States. Compared to female sterilization, it is more efficacious, more cost-effective, and has lower rates of complications. Despite these advantages, in the United States, vasectomy is utilized at less than half the rate of female sterilization. In addition, vasectomy is least utilized among black and Latino populations, groups with the highest rates of female sterilization. This review provides an overview of vasectomy use and techniques, and explores reasons for the disparity in vasectomy utilization in the United States.
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