SEXUALITY

Normal Anatomy

Normal Sex

Erection: How?

Impotence

Ejaculation

GENITAL SURGERY

Length Enhancement

Diameter Enhancement

Corection of Curvature

Body Sculpturing

Accidents - Trauma

Emergencies

 

 

Contraception

Males can control their fertility and paternity by many available options. Male contraception is a chance for the male to actively share the responsibility of family planning, especially considering that female contraceptive methods are not totally safe.

Among the tools for male contraception are coitus interruptus, safe period, condoms and vasectomy.

1-Coitus interruptus

Coitus interruptus is ejaculation outside the vagina at the end of a normal vaginal intercourse.

Despite its simplicity, coitus interruptus requires dexterity and self-discipline,  reduces sexual pleasure and has a failure rate of upto 18%

2-Periodic Abstinence

 This is when sex is practiced only at specific periods of every month when pregnancy is least likely to occur:  limits sexual activity to so-called “safe days”.

Those days are the ones immediately after arrest of menstrual blood. 13 days abstinence (no sexual activity) are required on average.    The methods’ safety increases with the number of days of abstinence from intercourse.

Unfortunately, this method is highly inaccurate and pregnancy may occur in 20% of couples.

 3-Condoms

History:

 Early Egyptian drawings show men wearing condoms. In 1200 BC fish bladders were used at the Minoan court to prevent disease and pregnancies. In 1564 the Italian anatomist Fallopio described linen bags saturat­ed with medication to be used to avoid venereal disease.

In the 17th century condoms were first, used in England for birth control. It is not certain whether the name derives from the English physician Condom who recommended lamb intestines for contraception. The method was quickly exported to France and became widely used in Paris. They were known There as “capote anglaise”, while in England they were called “French letters”.

The latex-based condom was made possible by the American Charles Goodyear (1800—1860) after he invented the process of vulcanization. The first large-scale manufacturer (150,000 condoms daily) was in 1920.

CONS

l       in 7-13 % of cases the condom may tear during intercourse

l       12 out of 100 couples will conceive during the first year of condom use

l       This is considerably better than the 85% of conceptions arising from unprotected intercourse, but ranges far behind the 3 % achieved by female oral contraceptive methods.

l       The older the condom, the higher the risk of damage

l       Apparently sexual practice also plays a role -as some couples always report a higher rate of tearing than others

l       couples in stable relationships consider condoms only as a temporary contraceptive method.

l       The acceptability of condoms varies greatly with cultural factors. It is estimated that in Japan almost four fifths of couples practicing contraception use condoms. In Africa, however, their use is less than 1%

l       Since the beginning of the AIDS epidemic and the call for “safe sex” the condom has gained greatly in popularity as a means of preventing the risk of infection.

l       Their effectiveness in preventing HIV infections, however, is notably less than that of preventing pregnancies (fail in 31%).

 

4-Vasectomy and ITS REVERSAL

Vasectomy is the process of disconnecting "vas deferens" the internal canal that transports sperm from the testis to the exterior. Man still ejaculates semen but it is devoid of sperm. It is a minor surgical procedures and has no effect on sexual function. It is surgically reversible.

History of Vasectomy:

At the end of the 19th century, vasectomy was performed to preserve youth and vigour, rather than to prevent conception.

In the 20’s and 30’s a series of nations passed laws justifying sterilization for eugenic reasons. So did the Third Reich.

Vasectomy as a means of contraception became pop­ular in the 60’s, first in The USA, then in Europe and Third World nations.

Acceptance Today:

l       Countries with particularly rapid population growth like India and Thailand established vasectomy camps

l       In The USA sterilization was the form of fertility control most frequently chosen by married couples over 30 years of age.

l       In Germany a frequency of about 50.000 vasectomies per year can be extrapolated

Surgical Techniques of Vasectomy:

Under anaesthesia (local or general), skin of the scrotum is cut for 5mm on either side. The vas deferens is pulled out, cut, and the cut ends are ligated, cauterized and replaced into the scrotum away from each other.

The procedures requires approximately 10-15 minutes. One leaves the hospital one hour afterwards and can resume daily activities the next day, but should resume sex after 3 weeks minimum, and only after the semen analysis shows that semen is devoid of sperm.

When correctly performed, vasectomy is among the safest contraceptive methods. Failure rate lies below 1%

 

Vasectomy Reversal

Undoing vasectomy is possible though surgery "vasectomy reversal" or through IVF/ICSI (tube babies).

Basically, vasectomy reversal is re-attaching the cut end of the vas deferens on one or both sides. The diameter of the vas deferens is 1-2 mm. Its inner cavity is 1/10mm in diameter. This very narrow lumen makes re-attaching the vas a challenging -but possible- process.

There are two ways to re-attach the vas, conventional and microsurgical.

Conventional Vasectomy Reversal:

The cut ends are attached with sutures passing through the full thickness of its wall. Approximately six sutures are placed, all around the circumference. No microscopic magnification is used. Success rate close to 87%.

Microsurgical Vasectomy Reversal:

The cut ends are re-attached by VERY fine sutures under microscopic examination. This enables placing two rows of sutures: one around the inner wall, and another around the outer wall. Success rate is much higher, close to 99%, but profound experience and expansive equipment are required, which makes its cost much higher than that of the conventional way.

     

Intellectual Property Registration number 00320, Ministry of Communication, Egypt