Males’ perception and motivation for Vasectomy

Abstract

Background: The population of Pakistan has increased from 34.0 million in 1951 to 220 million in 2020 making it the 6^th most populous country. Vasectomy is the least accepted contraceptive method in Pakistan. The objective of the study was to explore the perception and motivation of males towards vasectomy.

Methods: This qualitative study with phenomenology design was conducted at the Family Planning Center of JPMC, Karachi. The ultimate sample size was five. Males of age > 30 years, having at least one alive child were included. Informed consent was taken. Open-ended questions regarding concepts of family planning (vasectomy) religious and its social implications were asked. The interviews were transcribed and double-checked. Coding of the data was done and themes and subthemes were generated.

Results: The age ranged from 32 to 45 years. Only one participant was a graduate. The participants were well motivated for vasectomy having a clear concept of its impact on family life and quality of the sexual relationship. With an idea of two children (a boy and a girl); they were of the view that more children will compromise their capability of giving children a better life. They believed vasectomy is forbidden in religion, yet they opt for it keeping the comfort of children upfront. They believed that male vasectomy is a better option than female tubal ligation.

Conclusions: Vasectomy was regarded as a benign procedure and well accepted by the study participants. They were clear about its impact on life.