Weekend Herald

More men get the snip — fewer women get tubes tied

- Martin Johnston

Kiwi men are doing their bit for family planning, with an increasing percentage having “the snip”, while fewer women are having their tubes tied, a new study indicates.

The proportion of women aged 35 to 54 who say they have relied on a man’s vasectomy for contracept­ion has increased sharply from 26 per cent in the mid- 1980s to 40 per cent.

The proportion who have had tubal ligation fell from 22 per cent to 8 per cent.

“From the findings of the current study, the prevalence of use of permanent methods of contracept­ion ( vasectomy and tubal ligation) in New Zealand has not changed in the last 30 years,” the Canterbury and Otago University researcher­s say in The New Zealand Medical Journal.

“What has changed is a couple’s choice of sterilisat­ion procedure, such that with the fall in the prevalence of tubal ligation there is a compensato­ry rise in the prevalence of ever- use of vasectomy.

“The shift to vasectomy may be due to ease of performing the proce- dure, lower risk of complicati­ons and change in men’s attitude towards sterilisat­ion.”

However the true rate of vasectomy may have been under- reported in the survey, which relied on women’s knowledge and recall about their male sexual partners.

A study in the late 1990s found that 44 per cent of men aged 40 to 74 had had a vasectomy.

The study found ever- use ( use at some point) of oral contracept­ive pills rose from 75 per cent of women, to 89 per cent. Contracept­ive injections rose from 10 to 15 per cent; intrauteri­ne devices from 17 to 20 per cent; and condoms from 24 to 64 per cent.

The great increase in the use of condoms may be related to sexual transmitte­d infections.

Auckland women’s health advocate Lynda Williams said, “I think women know and so do men that a vasectomy is a much quicker procedure and easier to recover from than a tubal ligation.

“I think more women now are prepared to discuss vasectomy with their partners than probably was the case in the 80s.”

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