Male sterilization in Thailand: a follow-up study

Abstract

SummaryA retrospective study of 185 Thai males who had been vasectomized at Ramathibodi Hospital, Bangkok, between January 1970 and March 1973 was conducted during the period May–July 1973. At the time of the vasectomy the mean age of the men was 33·5 years and the mean age of their wives was 29·9 years; they had a mean of 3·7 living children. The motivation for seeking a permanent method of fertility control was a combination of adverse economic pressures, a degree of rationality in family building, and worry over additional pregnancies. Only a few of the men experienced any medical complications as a result of the operation, and the most significant factor associated with health was fatigue. Few changes in mental health, social relationships, or personal habits occurred as a result of the operation. Post-vasectomy changes in sexual relations were found to be minimal; if occurring at all, such changes were usually improvements. Taking into consideration the age of husband and wife, duration of marriage, and number of living children, the demographic impact of vasectomies in Thailand seems to be greater than that in other developing countries where comparisons can be made.