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For some men making decision not to have children (or not to have more children) is simple. But when it comes to action to prevent that, it is just much easier to say than do. Do you trust your partner to take her contraceptive pill? Sometimes an 'accident' does happen and then the big decision about going through with the pregnancy becomes complicated. Natural law leaves the decision to have a child once it has been conceived firmly in the domain of the woman, so you will no longer have the final say about. You can use other birth control method- condoms. But this option is not 100% reliable under any circumstances and condoms can be inconvenient. Those reasons make many people in monogamous relationships choose to rely on the contraceptive pill. Condoms should be used as a matter of course for sexual activity where you have concerns about sexually transmitted diseases as well as pregnancy.. The most reliable method seems to be permanent sterilization - an operation called a vasectomy. Although it is a small operation it has big implications. You should discuss with your partner this issue very carefully before making final decisions. Keep in mind that it would be difficult if not impossible to reverse the operation. With all sexual matters there are emotional and practical issues to consider so it can be one of the most important decisions in your life. You should know answers to those questions to make the decision. What is a vasectomy? It is minor surgery to tie the 'tubes' what causes permanent sterility, because tying the tubes prevents sperm from getting out of your testicles. Will I be able to achieve an orgasm and ejaculation? Vasectomy does not affect the man's ability to enjoy sex, have orgasm or ejaculate. There will still be a fluid ejaculated, but there will be no sperm in this fluid. Is the operation difficult? No it is not. There is a small cut made in the upper part of the scrotum, under the penis. The tubes (vas deferens) are tied off and cut apart. The skin incision is stitched closed. Vasectomy is usually done in the surgeon's office and most men only have local anesthetic, so are awake during the operation. The procedure is painless and you should be able to return home immediately. Is vasectomy permanent? You should consider vasectomy as permanent and should be 100% sure you do not want future pregnancies. Although it can be reversed it is not recommended and it can jeopardize your health.