Public Perceptions of Vasectomy in China: A Social Media Content Analysis of User-Generated Narratives on Rednote

This study examines public perceptions of vasectomy in China through a content analysis of user-generated posts on Rednote, one of the country's most influential social media platforms. A total of 106 posts published up to August 2025 were analyzed, focusing on individual experiences, decision-making processes, postoperative outcomes, and emotional tone. The results show that vasectomy is predominantly portrayed in a positive light (92.5%), with most decisions made by men themselves (57.5%). The majority of patients were married with children, but a notable proportion consisted of Dual Income No Kids (DINK) individuals, reflecting shifting fertility intentions in China. Reported complications were rare, with only a few cases of persistent pain, contraceptive failure, or repeat surgery. Engagement metrics revealed highly skewed interaction patterns, where a small number of posts drove significant discussion and visibility. Geographically, most posts originated from economically developed coastal provinces. The findings suggest that social media narratives are reshaping public discourse around vasectomy, positioning it as a legitimate, responsible contraceptive option aligned with evolving cultural norms, gender equality, and modern lifestyle choices in urban China. Nevertheless, limitations include reliance on self-reported content and the platform's demographic skew toward younger, urban populations.