What is more effective at preventing pregnancy, removing the entire vas deferens or removing the testicles?

What is more effective at preventing pregnancy, removing the entire vas deferens or removing the testicles?

Answers from doctors (6)


Both would be effective, but the removal of testicles would result in severely low testosterone levels and the health risks associated with those levels

Answered by Mark J. Saslawsky, MD - Memphis Office (View Profile)

Both would be effective, but the removal of testicles would result in severely low testosterone levels and the health risks associated with those levels

Published on Jul 11, 2012


More About Doctor John C. McHugh, MD

Published on Apr 18, 2019

Both are equally effective, but you would not remove the testicles for sterility. The testicles also produce testosterone, which is not affected by a vasectomy. The epigram "killing a fly with a shotgun" comes to mind!

Answered by John C. McHugh, MD (View Profile)

Both are equally effective, but you would not remove the testicles for sterility. The testicles also produce testosterone, which is not affected by a vasectomy. The epigram "killing a fly with a shotgun" comes to mind!

Published on Jul 11, 2012


More About Doctor Theodore V. Benderev, MD

Published on Mar 01, 2016

Both should be equally effective, but unusually drastic. Removing the testicles would result in the removal of the primary source of testosterone in the body. Removing the entire vas deference would require both scrotal and abdominal surgery. While both of these surgeries would be expected to result in a greater certainty of sterilization, a 10-minute vasectomy is the more reasonable and affordable option.

Answered by Theodore V. Benderev, MD (View Profile)

Both should be equally effective, but unusually drastic. Removing the testicles would result in the removal of the primary source of testosterone in the body. Removing the entire vas deference would require both scrotal and abdominal surgery. While both of these surgeries would be expected to result in a greater certainty of sterilization, a 10-minute vasectomy is the more reasonable and affordable option.

Published on Jul 11, 2012


Anand M. Dhanda, MD, FACS

Published on Jan 28, 2016

Neither of those 2 procedures are really necessary. Pregnancy can be prevented with a vasectomy. During this outpatient procedure, the vas is cut, tied and cauterized. Only local anesthesia is needed.

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Answered by Anand M. Dhanda, MD, FACS

Neither of those 2 procedures are really necessary. Pregnancy can be prevented with a vasectomy. During this outpatient procedure, the vas is cut, tied and cauterized. Only local anesthesia is needed.

Published on Jul 11, 2012


Roscoe S. Nelson, MD, FACS

Published on Jan 28, 2016

Removing the testicles would be the most effective way to prevent pregnancy since they are where sperm are produced, but it is not recommended.

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Answered by Roscoe S. Nelson, MD, FACS

Removing the testicles would be the most effective way to prevent pregnancy since they are where sperm are produced, but it is not recommended.

Published on Jul 11, 2012


Stephen F. Shaban, MD

Published on Jan 28, 2016

Either would do the job; both would be overkill. No one would offer the latter.

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Answered by Stephen F. Shaban, MD

Either would do the job; both would be overkill. No one would offer the latter.

Published on Jul 11, 2012


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