x Eve Woman Wellness Readers Lounge Leisure and Travel My Man Bridal Health Relationships Parenting About Us Digital News Videos Opinions Cartoons Education E-Paper Lifestyle & Entertainment Nairobian Entertainment Eve Woman Travelog TV Stations KTN Home KTN News BTV KTN Farmers TV Radio Stations Radio Maisha Spice FM Vybez Radio Enterprise BULK SMS E-Learning Digger Classified The Standard Group Corporate Contact Us Rate Card Vacancies DCX O.M Portal Corporate Email RMS
Login ×
BTV
VAS
DCX
RMS

Family planning options for the man who wants to take charge

Health - By Nancy Nzalambi | April 14th 2020 at 12:00:00 GMT +0300
A man produces over 1,500 sperms per second (Photo: Shutterstock)

When Dr Phil McGraw was 29, he had a vasectomy. At the time his wife was pregnant and he had made up his mind that he didn’t want more children. Six years later, he would walk back into the clinic and demand for a reversal. Six months later, his wife was expectant.

“Having the procedure at such a young age was the biggest mistake I ever made.”

It is for this reason that doctors advise that when going for some long term family planning measures, you need to be absolutely sure. Vasectomy offers 99 per cent effectiveness and is suitable for men who are certain that they do not want any more children. According to Marie Stopes Kenya, this male sterilisation surgical procedure takes approximately 15 minutes and its failure rate is about 1 in 2,000 men. The Kenya Obstetrical and Gynaecological Society reports that only one per cent of Kenyan men have undergone vasectomy despite its high effectiveness and surgical simplicity. However, since most vasectomies are performed in private facilities rather than in the public health system, the statistics could be an underestimation.

It is estimated that 40 percent of pregnancies globally are unplanned. In addition, most women are shunning hormonal contraceptives due to associated side effects. The modern man has grown more aware of the struggles their female partners go through and is more willing to take up family planning options. The options are nevertheless limited for men. Condoms, withdrawal (coitus interruptus) and vasectomies are the most readily available artificial methods men can use. A man produces over 1,500 sperms per second which makes it challenging to come up with the most suitable reversible family planning method for men. But not to worry, there are options in the pipeline that will give the man more options and power over how many children he can have.

The modern man is more willing to take up family planning options (Photo: Shutterstock)

Watch out for:

1. The contraceptive gel

The Kenyatta National Hospital is the site for a study whose mission is to develop a safe and effective contraception for men. The ongoing study involves the daily application of nestorone and testosterone combination gel on the shoulder. Nestorone is a synthetic version of the hormone progesterone. The gel on trial is supposed to penetrate into the body and suppress spermatogenesis (maturation of spermatozoa) to a point where a man cannot impregnate a woman. The gel is expected to provide a reversible, safe and self-delivered means of family planning to men. Even though the gel is not available in the market right now as it is still on trial, it is anticipated that no changes in libido will be experienced in men who use it. Researchers are touting it as the most promising new male family planning method. The results of this trial are expected in 2022.

2. The male pill

The everyday birth control pill for men that has been tested in America will be a game changer in the area of family planning. The dimethandrolone undecanoate (DMAU) pill has been termed as safe and does not cause low sex drive as most men would fear. Through daily administration, the DMAU pill suppresses testosterone levels to castrate level; meaning, sperms cannot be produced. However, longer trials are needed to ascertain if sperm production can be stopped completely. Even though DMAU was well tolerated in young healthy men during trial, long term effects on body organs is not clearly understood.

The male pill prevents the production of sperms without lowering sex drive (Photo: Shutterstock)

How vasectomy is done

It is a pretty easy surgery, where the surgeon feels the scrotum for the vas deferens. Once he gets it, he makes a small nick, picks it up, holds the tube on both ends and cuts in the middle. He then burns both ends of the cut tube to seal them. However, the success rate of the reversal reduces over time. There are no regulations regarding age, but the spouse must give elaborate consent by coming in to sign before the procedure is done. After the procedure, one will feel some moderate pain and should avoid strenuous tasks for at least two days.

Vasectomy is not castration

According to research conducted by IntraHealth, a section of men equate vasectomy to castration. Castration involves the surgical removal of the testes. This leads to loss of masculinity since the testosterone producing organs are removed. In a vasectomy, a man gets to keep his testes, and his masculinity; only the vas deferens—ducts that transport sperm-- are clipped. The fear that vasectomy will lead to reduced sexual ability is a myth that has become a barrier in men’s view of vasectomy.

Nancy Nzalambi is a public health research scientist working at The NHIF

Be The First To Comment

Top Stories

#Confessions: My wife slept with a young guy twice on a trip and it makes me feel sick
Relationships - By Mirror


Five relationship red flags you shouldn’t ignore
Girl Talk - By Esther Muchene


Five reasons you could be struggling to lose belly fat
Wellness - By Esther Muchene


4 ways to break a soul tie
Relationships - By Jennifer Karina


How to get rid of dark elbows and knees naturally
Hair - By Christine Koech


Seven natural alternatives for black hair dye
Hair - By Renee Wesonga


I just had a miscarriage, what do I need to clean up? How to deal with the aftermath
Health - By Dr Alfred Murage


7 Benefits of using eggs for facial treatment
Skin Care - By Naomi Mruttu


How long to keep opened syrups
Health - By Dr Ombeva Malande


4 ways you can treat a vaginal itch at home
Health - By Wanja Mbuthia


Latest Stories

Twins, 19, become first in world to have gender reassignment surgery together
Health - By Mirror


'Is the Covid vaccine safe for people with allergies?'
Health - By Mirror


10 secret health hacks doctors tell their friends - advice everyone should know
Health - By Mirror


Five ways to prevent migraines
Health - By Audrey Masitsa


Woman shares five-minute sleep trick that she swears 'cured her insomnia'
Health - By Mirror


Three people die in Ebola outbreak after falling ill with vomiting and diarrhoea
Health - By Mirror


Wuhan lab at centre of Covid storm 'designed cages to breed bats for virus experiments'
Health - By Mirror


Why you have joint pain and how to ease it
Health - By Esther Muchene


Five ways to manage COVID-19 symptoms at home according to experts
Health - By Esther Muchene


Hand sanitiser use in pandemic could trigger widespread resistance to disinfectants
Health - By Mirror


Stay Ahead!

Access premium content only available
to our subscribers.

Or Login With Your Standard Account
Support independent journalism

Please enter your email address to continue

Support independent journalism
×
Create An Account
Support independent journalism
I have an account Log in
Reset Password
Support independent journalism
Log in