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Vasectomy in the United States, 1991 and 1995
R J Magnani1, J M Haws, G T Morgan
1School of Public Health and Tropical Medicine, Tulane University Medical Center, New Orleans, La. 70112, USA. magnani@mailhost.tcs.tulane.edu
American Journal of Public Health
|February 13, 1999
Summary
The vasectomy-prostate cancer controversy did not significantly impact vasectomy rates in the US. However, vasectomy use has plateaued in the 1990s, indicating a potential shift in reproductive health practices.
Area of Science:
- Urology
- Reproductive Health
- Public Health
Background:
- Recent publications have raised concerns about a potential link between vasectomy and prostate cancer.
- This controversy has generated public and professional discussion regarding the safety and acceptance of vasectomy.
Purpose of the Study:
- To evaluate the impact of the vasectomy-prostate cancer controversy on vasectomy acceptance and practice in the United States.
- To analyze trends in vasectomy procedures before and after the controversy emerged.
Main Methods:
- National probability surveys of urology, general surgery, and family practices were conducted.
- Data were collected in 1992 and 1996 to assess changes in vasectomy rates and practice patterns.
Main Results:
- No significant differences were observed in the total number of vasectomies performed between 1991 and 1995.
- Population rates and the proportion of practices offering vasectomy remained stable during the study period.
Conclusions:
- The study found no conclusive evidence that the prostate cancer controversy affected vasectomy acceptance or practice in the US.
- Vasectomy utilization appears to have stabilized in the 1990s, suggesting a leveling off rather than a decline in its use.
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