Learn about contraceptive alternatives To vasectomy

Vasectomy is definitely not the only safe form of contraception. There are plenty of alternatives. Also, there have been great developments on the contraceptive market.

Modern LARCs as reversible safe contraceptive alternatives to vasectomy

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Dr Kittel, surgeon

Patients not entirely sure about their vasectomy decision should definitely look into so called “LARCs”, which stands for Long Acting Reversible Contraceptives. While Vasectomy is the only safe contraceptive for the man (condoms are not safe in terms of contraception, but are one of the few options in terms of sexually transmitted illnesses), there are a number of safe contraceptives for ladies. 2 of the best ones are the Mirena Coil and the Nexplanon Implant. Interestingly female sterilisation is not considered very safe anymore, certainly less safe than the implant and probably also than the Mirena Coil.

Find below a summary of other contraceptive methods at a glance, but for more up-to-date and modern information, please look at the FSRH website here.

Safety Profile Of A Vasectomy Compared With Other Forms Of Contraception

Contraceptive Method Failures per 1000 women over 10 years*Comment Failure User Dependent?
Pill100-300Combined Pill considered overall safer than Mini PillYES
Condoms?100-500Highly User DependentYES

Implant (Nexplanon)

? (nearly) as safe as vasectomy?Considered Very Safe & Safest Female Contraception – change every 3 yearsNO
Depo Injection14Use usually only recommended for up to 3 years due to Osteoporosis risk, but very good for period control.NO
Female Sterilisation18Failure rates higher than previously thought. Considered permanent.NO
Vasectomy0.5-0.05**1st figure before, 2nd figure after Semen Sample Confirmation of Sterility.
Considered permanent
NO
Mirena Coil (IUS)11Very Safe Female Method with additional benefits of reduction of periods and Endometrial CancerNO
Copper Coil (IUD)18Non-Hormonal, good for up to 10 years. Slightly increased risk of ectopic pregnancy.NO
Cap, Female Condoms etcUnclear, but higherHighly user dependentYES
WithdrawalUnclear, but higherHighly user dependent. Considered riskyYES

**figures researched in good faith and based on John Guillebauds contraceptive research / work, but can vary depending on a multitude of factors