ArticleGlobal health, science and practice2023
Down But Not Out: Vasectomy Is Faring Poorly Almost Everywhere-We Can Do Better To Make It A True Method Option.
Article in Global health, science and practice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed.
- Various dimensions of sexual self-concept in middle-aged men after vasectomy: a matched analysis.BJU international · 2026Article
- Understanding Sociocultural Factors Shaping Married Men's Vasectomy Decisions: A Qualitative Study in Bihar.Cureus · 2026Article
- Unexpected profiles in vasectomy demand during a national campaign in Bolivia: cross-sectional study and associations in age, number of children, and motivations for seeking vasectomy.Contraception and reproductive medicine · 2026Article
- Scoping review of barriers and facilitators to vasectomy uptake in Pakistan: a call for gender-equitable family planning.BMJ public health · 2026Article
- Research and Learning Priorities for a Surgical Obstetrics and Family Planning Project Implementing in Low- and Middle-Income Countries: Results of an Expert Consultation.Global health, science and practice · 2025Article
- Exploring Novel Inhibitory Compounds Against Phosphatase Gamma 2: A Therapeutic Target for Male Contraceptives.Current issues in molecular biology · 2025Article
- Vasectomy Procedures on the Rise in France From 2010 to 2022.Perspectives on sexual and reproductive health · 2025Article
- Barriers to acceptance of vasectomy among married males in India: A systematic review.Journal of family medicine and primary care · 2025Review
- The review of the long-term health risks associated with vasectomy.International journal of impotence research · 2025Review
- Male Hormonal Contraception-Current Stage of Knowledge.Journal of clinical medicine · 2025Review
- Comparing vasectomy techniques, recovery and complications: tips and tricks.International journal of impotence research · 2025Review
- Physicians' knowledge, attitudes, and beliefs regarding practices of male and female surgical sterilization procedures in Lebanon.Contraception and reproductive medicine · 2025Article
- Prevalence of vasectomy and tubal ligation: time series analysis Brazil, 2006-2019.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2025Article
- A Successful Multi-Component Program for Expanding Vasectomy Services by MSI Reproductive Choices Bolivia.Gates open research · 2025Article
- Is there a future for hysteroscopic sterilisation?Facts, views & vision in ObGyn · 2024Article
- Promoting Male Involvement in Family Planning: Insights From the No-Scalpel Vasectomy Program of Davao City, Philippines.Global health, science and practice · 2024Article
- A baseline audit of post-vasectomy follow-up at three Cape Town district health facilities.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2024Article
- The landscape of male contraception A narrative review.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2024Review
- Attitudes and practices regarding contraception among male students in a Nigerian tertiary educational institution: a cross-sectional study.Frontiers in reproductive health · 2024Article
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9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionDemand for vasectomy-1 of 2 contraceptive methods for men-has been low, with deep-seated myths, misconceptions, and provider bias against it widespread. Programmatic attention and donor funding have been limited and sporadic.
methodsWe analyzed vasectomy use in 84 low- and middle-income countries (LMICs) plus the 11 high-income countries with vasectomy prevalence above 1%. These 95 countries comprise 90% of the world's population. Data come from United Nations survey compilations, population estimates, and gender inequality rankings. We also reviewed recent articles on vasectomy and analyses of chronic challenges to vasectomy service provision.
resultsVasectomy use is 61% lower now than 2 decades ago. Of 922 million women using contraception worldwide, 17 million rely on vasectomy-27 million fewer than in 2001. In contrast, 219 million women use tubectomy-8 million more than in 2001. Of 84 LMICs, 7 report vasectomy prevalence above 2%. In 56 LMICs, no more than 1 in 1,000 women relies on vasectomy. Female-to-male disparities in permanent method use widened globally, from 5:1 to 13:1, and are much higher in some regions and countries (e.g., 76:1 in India). Countries with the highest vasectomy prevalence are among those with the highest gender equality and vice versa.
conclusionVasectomy use is surprisingly low globally and declining. Use remains negligible in almost all LMICs, reflecting low demand and program priority. For vasectomy to become an accessible, rights-based option, program efforts need to be holistic, ensuring an enabling environment while coordinating demand- and service-focused efforts. Vasectomy champions at all levels should be supported on a sustained basis. On the demand side, harnessing mass and social media to increase accurate knowledge and normalize vasectomy as a method and service will be particularly valuable. Evidence from Bolivia suggests relatively few trained providers and procedures could result in a country's attaining 1% vasectomy prevalence.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.