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Vasectomies: Snip Snip, Hooray! · Why We Do What We Do

• 0:03
  Speaker 1: You're listening to Why we do what we do. Welcome
• 0:16
  Speaker 1: to Why we Do what we do. I am your
• 0:18
  Speaker 1: Snip Snip host Abraham, and.
• 0:21
  Speaker 2: I'm your Michael Scott host Shane.
• 0:24
  Speaker 1: We are a psychology podcast. We talk about all of
• 0:27
  Speaker 1: the things that people do and the things that animals do,
• 0:30
  Speaker 1: and sometimes we talk about the things that humans do
• 0:33
  Speaker 1: to stop themselves from having a certain outcome when they
• 0:37
  Speaker 1: do certain.
• 0:38
  Speaker 3: Things, and sometimes we talk about how effective that thing
• 0:42
  Speaker 3: is to help prevent that outcome and how much money
• 0:46
  Speaker 3: you save.
• 0:47
  Speaker 1: Yeah, for sure, that's all pretty vague, and that's okay.
• 0:50
  Speaker 1: We'll explain more as we go along. But I would
• 0:53
  Speaker 1: like to say thank you for joining us so much,
• 0:54
  Speaker 1: and if you were here for the very first time, welcome.
• 0:57
  Speaker 1: Happy to have you here. I hope that you enjoy
• 1:00
  Speaker 1: you hear on this episode and in this discussion today.
• 1:03
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• 1:20
  Speaker 1: which we very much appreciate, and I'll talk more about
• 1:23
  Speaker 1: all of those things at the end of this discussion,
• 1:26
  Speaker 1: but before we dive into our topic du jure, which
• 1:30
  Speaker 1: has to do with human reproduction, and I'll issue more
• 1:34
  Speaker 1: warnings as we go forward. I would like to wish
• 1:37
  Speaker 1: you all on this December eleventh, a happy holiday food
• 1:40
  Speaker 1: drive for needy Animals Day. And that sounds like a
• 1:44
  Speaker 1: call to action more than a celebration, but go do
• 1:47
  Speaker 1: that thing.
• 1:48
  Speaker 2: Yes, please. It's International Mountain Day, so if you like
• 1:51
  Speaker 2: big rocky rocks that stick out on the ground very high,
• 1:54
  Speaker 2: then that's cool.
• 1:55
  Speaker 1: And apparently stick out of the ground across various nations
• 1:58
  Speaker 1: so that they become international.
• 2:00
  Speaker 2: Yes, I like that.
• 2:01
  Speaker 1: It is Kaleidoscope Day. Trippy liked kaleidoscopes. I haven't used
• 2:06
  Speaker 1: one in a long time though they're very cool.
• 2:08
  Speaker 3: It's very doctor strange now now I can't help but
• 2:10
  Speaker 3: think of like doctor strange of kalidoscopes at the same time. Now,
• 2:13
  Speaker 3: it is Magnum p I Day, so get your mustaches.
• 2:17
  Speaker 1: Out, yes, and your magnums. It is sure National app Day,
• 2:23
  Speaker 1: which maybe is appetizers, maybe as applications, maybe is just
• 2:28
  Speaker 1: app but it's that day.
• 2:30
  Speaker 3: Yeah, I prefer app appetizers. It's a National have a
• 2:34
  Speaker 3: bagel Day, if you.
• 2:35
  Speaker 1: Want to deal, I accept. It is National Noodle Ring Day.
• 2:40
  Speaker 1: Is that a ring made of noodles or a ring
• 2:42
  Speaker 1: of people making noodles?
• 2:43
  Speaker 3: That's a great question. I like the mystery behind it,
• 2:46
  Speaker 3: so I think I'm gonna leave it. I'm gonna I'm
• 2:47
  Speaker 3: not gonna investigate that one.
• 2:49
  Speaker 1: Fair.
• 2:49
  Speaker 3: It's it's the unis F birthday, so that's what's going
• 2:53
  Speaker 3: on today, too.
• 2:54
  Speaker 1: Awesome, Okay. It is Computer Science Education Week. That's a
• 2:58
  Speaker 1: pretty good one. I like that.
• 2:59
  Speaker 2: I like that. I like that.
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  Speaker 3: It's also Human Rights Week, which you know should be
• 3:02
  Speaker 3: every week, but agreed, we'll get there.
• 3:05
  Speaker 1: I'm not sure if you know this, but it is
• 3:07
  Speaker 1: also National Tego Day.
• 3:09
  Speaker 2: Ooh, I like that for.
• 3:10
  Speaker 1: Those of us who want a tango. Yeah.
• 3:12
  Speaker 2: It is Lagger Beer Week, which you know.
• 3:14
  Speaker 1: Yeah, if those of you who are into the Christian
• 3:21
  Speaker 1: tradition of Christmas or any version of that, I guess,
• 3:24
  Speaker 1: and also like to celebrate that by using advent calendars.
• 3:28
  Speaker 1: Today is the day your Advent calendar begins.
• 3:31
  Speaker 2: So ooh, I like that. Buckos and uh.
• 3:35
  Speaker 3: It is National Groundwater Awareness Week, as well beautiful.
• 3:40
  Speaker 1: Yes, well, we like to mention those things because our
• 3:44
  Speaker 1: podcast releases on days of the year, and that happens
• 3:47
  Speaker 1: because of time, and that's how time works. So we
• 3:51
  Speaker 1: tell you about the various things that people have decided
• 3:54
  Speaker 1: to assign as dates that have meetings behind them and
• 3:57
  Speaker 1: associated awareness campaign or celebrations or whatever. And that was
• 4:02
  Speaker 1: a list of some of those things. But that's not
• 4:05
  Speaker 1: actually our primary topic of discussion on this episode, or
• 4:08
  Speaker 1: really pretty much any episode, but it is a thing
• 4:11
  Speaker 1: that we have fun doing, and so we keep doing
• 4:13
  Speaker 1: it instead. As I mentioned, what we're talking about is
• 4:16
  Speaker 1: like a prophylactic. It is a preventative type of medicine.
• 4:20
  Speaker 1: It is a vasectomy, which is a form of birth
• 4:24
  Speaker 1: control that exists as an option for people who are
• 4:28
  Speaker 1: trying to manage the rate at which they reproduce in
• 4:31
  Speaker 1: a very specific way.
• 4:33
  Speaker 3: Yes, and so we decided to talk about this because
• 4:35
  Speaker 3: of recent political shifting and some of the restrictions that
• 4:40
  Speaker 3: go along with reproductive rights and the beauty of having
• 4:44
  Speaker 3: I guess the privilege of being a male in the
• 4:46
  Speaker 3: United States or you know, having the option to get
• 4:49
  Speaker 3: a exectomy is that they have not put any restrictions
• 4:51
  Speaker 3: on this, So for some reason they want to restrict
• 4:54
  Speaker 3: everything else. But yeah, but right now, vaseectomies are fair game.
• 4:58
  Speaker 3: Also probably well one of the best ways to go
• 5:01
  Speaker 3: about preventing having kids. So if you are somebody who
• 5:04
  Speaker 3: is for abortion rights or enjoy having reproductive rights or
• 5:08
  Speaker 3: anything like that, and you want to make it easier
• 5:10
  Speaker 3: on everybody, then this is the way to go. And
• 5:13
  Speaker 3: we're going to give you all the stats and all
• 5:15
  Speaker 3: the things about live as ectomies actually are pretty great.
• 5:18
  Speaker 1: I think there is a lot of very unnecessary and
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  Speaker 1: unfounded fear and concern around this procedure, which is just
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  Speaker 1: mind numbingly. I'm trying to avoid using the word stupid,
• 5:35
  Speaker 1: but I said it now so that you could understand
• 5:39
  Speaker 1: that's where I'm coming from, while wanting to soften the
• 5:42
  Speaker 1: blow because of how remarkably ignorant it is to have
• 5:48
  Speaker 1: a lot of fear around this particular procedure. Yes, and
• 5:50
  Speaker 1: we're going to dispel some of the I think we'll
• 5:53
  Speaker 1: answer some of the questions and dispel some of the
• 5:55
  Speaker 1: myths that people might have around this and help you
• 5:58
  Speaker 1: understand what's going going on. So the first thing, we
• 6:01
  Speaker 1: didn't need to do is warn you all that we're
• 6:04
  Speaker 1: going to be talking a lot about male genitals in
• 6:07
  Speaker 1: this discussion and the implication of that as it relates
• 6:12
  Speaker 1: to topics of sex. So, if it's possible you might
• 6:15
  Speaker 1: be with people that are not comfortable listening to this topic,
• 6:19
  Speaker 1: if they're of an appropriate age, they might just listen
• 6:22
  Speaker 1: anyway and learn a thing or two. But if that's
• 6:24
  Speaker 1: something that is of concern or hard for you to
• 6:26
  Speaker 1: listen to, then be warned that that is the pretty
• 6:30
  Speaker 1: much only thing we'll be talking about in this entire
• 6:32
  Speaker 1: discussion today.
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  Speaker 3: Yes, so we are going to talk a little bit
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  Speaker 3: about what the procedure is, how they do it. We're
• 6:37
  Speaker 3: going to talk about some anatomy so we understand why
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  Speaker 3: it's done the way it's done.
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  Speaker 2: We are going to.
• 6:42
  Speaker 3: Talk a little bit about some statistics around this so
• 6:44
  Speaker 3: you have some actual facts to bring to people. And
• 6:47
  Speaker 3: we are going to dispel some myths about the vasecta
• 6:50
  Speaker 3: me procedure itself, because I think that there are.
• 6:52
  Speaker 2: Quite a few myths i e.
• 6:55
  Speaker 3: Excuses that people make for not getting vasectamies, and the
• 6:59
  Speaker 3: truth is there's really not a reason not to.
• 7:01
  Speaker 1: Yeah, I mean, unless you're trying to have children.
• 7:03
  Speaker 3: Unless you try to have children. Yeah, that'll be at
• 7:05
  Speaker 3: a turrent for sure. If you're trying to have children,
• 7:07
  Speaker 3: then if VI sectomy is not going to help you get.
• 7:08
  Speaker 1: There, Yeah, correct, And so yeah, I think to start
• 7:12
  Speaker 1: with we'll define our terms. But I think we want
• 7:14
  Speaker 1: to establish first that essentially what we're talking about here
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  Speaker 1: is reproduction. This is people having children, and that happens
• 7:22
  Speaker 1: by having sex. There are other ways that it happens. Obviously,
• 7:26
  Speaker 1: there are procedures that can help fertilize eggs without necessarily
• 7:30
  Speaker 1: having sex. But the evolutionary route by which this has
• 7:34
  Speaker 1: taken place is by two compatible beings having sex with
• 7:38
  Speaker 1: one another and exchanging their gam meats. And when those
• 7:42
  Speaker 1: gam meets are exchanged, then they form a new person
• 7:46
  Speaker 1: or new creature, whatever it is, because it's the animal kingdom.
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  Speaker 1: Obviously does versions of this too in a lot of
• 7:52
  Speaker 1: different ways, Yes, so many staggering number of different ways
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  Speaker 1: that this could possibly roll out, heat seeking.
• 7:59
  Speaker 3: Spur, missile above everybody of that term that we have
• 8:03
  Speaker 3: coined here.
• 8:04
  Speaker 1: That's right. We did in a previous discussion that if
• 8:06
  Speaker 1: you missed, you might go back and check out. But anyway,
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  Speaker 1: so The whole thing I just want to set up
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  Speaker 1: here is that like sex is a behavior that is
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  Speaker 1: we would call a primary reinforcer for humans and many
• 8:19
  Speaker 1: other species, in that we don't have to learn that
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  Speaker 1: it is like something that we want to do and
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  Speaker 1: that we we find I guess joy, we enjoy the
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  Speaker 1: process of it, assuming it's consensual and whatnot, that we
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  Speaker 1: don't have to learn about it. Like it is, it
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  Speaker 1: is something that we enjoy inherently in the activity itself, right,
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  Speaker 1: and so we are biologically predisposed to wants to do
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  Speaker 1: this at various degrees for various people in various parts
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  Speaker 1: of their life. That will be true for some people
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  Speaker 1: never and for some people a lot, and for some
• 8:50
  Speaker 1: people only for a short window of time. But nevertheless,
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  Speaker 1: the point is that a lot of people really enjoy
• 8:55
  Speaker 1: this activity and they seek it out endlessly. And what
• 8:59
  Speaker 1: happens and they seek this out is that they there
• 9:02
  Speaker 1: is a risk of several things happening. Obviously, diseases can
• 9:05
  Speaker 1: be easily passed when you're swapping bodily fluids in this way,
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  Speaker 1: and also you can in the pursuit of sexual activities
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  Speaker 1: also that were not intended for reproduction because they were
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  Speaker 1: more recreational results and reproduction unplanned, which can come with
• 9:21
  Speaker 1: a whole tidal wave of consequences that we're not really
• 9:23
  Speaker 1: going to dig into as the meat of this. But
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  Speaker 1: the point is that because people seek this out, they
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  Speaker 1: seek it out in a way that is almost like
• 9:31
  Speaker 1: when we're pursuing food, like you just it's when you
• 9:35
  Speaker 1: haven't eaten for a while, you know, you, like are
• 9:37
  Speaker 1: really seeking it out. Sex can feel very similar to
• 9:41
  Speaker 1: a lot of people where they after a period of time,
• 9:43
  Speaker 1: they're just seeking it out a lot more and more
• 9:45
  Speaker 1: and more. And so because they're seeking it out, they
• 9:48
  Speaker 1: might want to prevent reproduction from happening, and so they'll
• 9:52
  Speaker 1: use some form of contraception. And there are lots and
• 9:55
  Speaker 1: lots of forms of contraception. This is just one of
• 9:58
  Speaker 1: those forms.
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  Speaker 3: Yes, And we are going to mention a couple of
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  Speaker 3: those forms as well and like their effectiveness relative to
• 10:05
  Speaker 3: this particular procedure. So we are going to we are
• 10:07
  Speaker 3: going to get into that a little bit. But to start,
• 10:10
  Speaker 3: we have to understand what of aseectomy is. And so
• 10:14
  Speaker 3: by definition of a sectomy is a minor procedure to
• 10:16
  Speaker 3: block sperm from reaching the semen that is ejaculated from
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  Speaker 3: the penis, and this, as we mentioned, this is a
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  Speaker 3: form of contraception that effectively removes the opportunity for sperm
• 10:26
  Speaker 3: cells to travel in any sort of ejaculate, thus reducing
• 10:30
  Speaker 3: the chance of pregnancy. And that's the goal of a eseectomy,
• 10:34
  Speaker 3: is to basically make it so that sperm does not
• 10:36
  Speaker 3: reach terminal fluid, which we will talk.
• 10:37
  Speaker 2: About all that stuff in a little bit.
• 10:39
  Speaker 3: Yeah, and effectively reduces the chance for pregnancy because sperm
• 10:42
  Speaker 3: cells cannot be passed to a partner.
• 10:45
  Speaker 1: Now, Shane and I are both big advocates for vas ectomies,
• 10:50
  Speaker 1: and we will we will share our stories and talk
• 10:53
  Speaker 1: more about that as it goes on, but I think
• 10:56
  Speaker 1: to reveal our biases early on in this. I think
• 10:59
  Speaker 1: we're sort of cheerleaders for people who are interested in this,
• 11:03
  Speaker 1: for whom this is a viable option for contraception. Yes,
• 11:06
  Speaker 1: we strongly push that VESC to be be your method
• 11:10
  Speaker 1: of choice for contraception rather than some alternatives that we'll
• 11:14
  Speaker 1: get into, But we just want to reveal that upfront,
• 11:16
  Speaker 1: as this is going to be a very prosctomy discussion
• 11:19
  Speaker 1: because it's in line with a lot of values that
• 11:22
  Speaker 1: I think will become clear as this discussion unfolds.
• 11:25
  Speaker 2: Yes, absolutely so.
• 11:27
  Speaker 3: In order to understand vasectomy, I think it's important to
• 11:29
  Speaker 3: understand the anatomy of a penis having person and what
• 11:34
  Speaker 3: is commonly described as the male reproductive system. There are
• 11:37
  Speaker 3: a couple important parts here to unpack. The first one
• 11:40
  Speaker 3: is understanding what semen is and so semen is fluid
• 11:44
  Speaker 3: that is produced from what is like like I mentioned before,
• 11:46
  Speaker 3: described as quote unquote, male reproductive organs. This fluid, when ejaculated,
• 11:51
  Speaker 3: typically contains sperm as well as other chemical makeups and nutrients. Actually,
• 11:56
  Speaker 3: as a matter of fact, sperm is only about one
• 11:59
  Speaker 3: to five percent of the ejaculate tiny amount, it's a
• 12:02
  Speaker 3: very small amount. Mostly what semen is made of is water, mucus,
• 12:06
  Speaker 3: and plasma with a lot of nutrients in there calcium, citrate, fructose, glucose,
• 12:11
  Speaker 3: et cetera. A zinc is in there as well, and
• 12:13
  Speaker 3: that is all basically kind of like its vessel to
• 12:17
  Speaker 3: nourish the sperm along its journey so that the sperm
• 12:20
  Speaker 3: can actually travel and also stay alive. Right without the
• 12:25
  Speaker 3: seminal fluid, it will not stay alive. And so simply put,
• 12:28
  Speaker 3: semen most of it is sperm food.
• 12:31
  Speaker 1: Yes, very good. Yeah, And basically, as you said that,
• 12:34
  Speaker 1: like the ejaculate that happens, the vast, vast majority ninety
• 12:39
  Speaker 1: five to ninety percent of it is not sperm, right.
• 12:43
  Speaker 1: The sperm comes from just one particular part of the
• 12:47
  Speaker 1: whole system. And we'll get to more of that. But okay,
• 12:50
  Speaker 1: So the sperm actually come from the testes. These are
• 12:53
  Speaker 1: these egg shaped organs. If you imagine like an egg,
• 12:57
  Speaker 1: but very small version of that es like an egg,
• 12:59
  Speaker 1: you get a grocery store type egg. They're about that shape,
• 13:02
  Speaker 1: and they these live in the scrotum, the little sac
• 13:05
  Speaker 1: that hangs beneath the penis, and these have these tubes
• 13:10
  Speaker 1: that run from the testicles to the tube. Essentially that
• 13:14
  Speaker 1: produces the ejaculate. And so the testicles produce sperm and hormones.
• 13:20
  Speaker 1: That's basically what they do. They just produce sperm, and
• 13:23
  Speaker 1: they also produce those hormones, and those hormones basically get
• 13:25
  Speaker 1: absorbed into your body. So that's where a lot of
• 13:28
  Speaker 1: testosterone comes from, is from our testicles, but they also
• 13:32
  Speaker 1: produce the sperm. The sperm again travels through these tubes
• 13:36
  Speaker 1: called the vaz devrons and that delivers it to the
• 13:40
  Speaker 1: semin ejaculate as it's being produced.
• 13:42
  Speaker 3: Yes, and also fun fact, testicles only work and produce
• 13:47
  Speaker 3: sperm and these hormones if they are at a lower
• 13:50
  Speaker 3: temperature than your body, which is why they are outside
• 13:52
  Speaker 3: of your body, and why when it's cold, your scrotum
• 13:56
  Speaker 3: will shiver up like shrivel up and come closer to
• 13:59
  Speaker 3: your body. And when you're warm, your testicles hang a
• 14:01
  Speaker 3: little bit lower. It's because they can only work if
• 14:04
  Speaker 3: they are a couple degrees lower than your body, your
• 14:07
  Speaker 3: general body heat.
• 14:09
  Speaker 1: So there's a Goldilocks zone at what your testicles want
• 14:12
  Speaker 1: to be in order to effectively do their jobs.
• 14:15
  Speaker 3: Yes, So speaking of testicles and just you know, as
• 14:19
  Speaker 3: a kind of seg into this next piece, a real
• 14:22
  Speaker 3: kick in the nuts if you will.
• 14:24
  Speaker 2: Here's ned.
• 14:32
  Speaker 1: Okay, we've got more biology to work through here. So
• 14:35
  Speaker 1: the next part is called the epididymous. This is a narrow,
• 14:39
  Speaker 1: tightly coiled tube that is attached to each of the
• 14:42
  Speaker 1: testes and this is the sperm's first apartment after they
• 14:46
  Speaker 1: move out of the testes. So, after the sperm cells
• 14:49
  Speaker 1: are created, they move to this part of the anatomy
• 14:52
  Speaker 1: where they have a chance to mature. And I don't
• 14:55
  Speaker 1: know if you have it in here, but did you
• 14:56
  Speaker 1: indicate how much sperm the person produces on average?
• 15:00
  Speaker 3: I did not, actually, but it's a lot. So the
• 15:04
  Speaker 3: epididymus is attached to the outside of the testes and
• 15:08
  Speaker 3: it is that there's a tube that's connected that runs
• 15:10
  Speaker 3: all the way from the epiditymus into the other parts
• 15:14
  Speaker 3: of the body and that are related to the reproduction system.
• 15:18
  Speaker 3: And those tubes are called the vast deference and those
• 15:21
  Speaker 3: are super important. We are going to talk about these later.
• 15:24
  Speaker 3: But it's a tube that is made up of its
• 15:26
  Speaker 3: smooth muscle that helps kind of move a lot of
• 15:29
  Speaker 3: the seminal fluid through. Sometimes it's called a sperm duct,
• 15:32
  Speaker 3: and that actually connects the epiditomous to the seminal vesicle
• 15:36
  Speaker 3: and eventually to the urethra. So the tube that is
• 15:38
  Speaker 3: connected to your urethral runs all the way back to
• 15:41
  Speaker 3: your testicles, and there's some mechanisms there that kind of
• 15:44
  Speaker 3: shut it off. Like it's almost like a change like
• 15:46
  Speaker 3: what you see on a railroad track when a train
• 15:49
  Speaker 3: changes tracks. There's like a process in your body that
• 15:51
  Speaker 3: happens that allows you to that kind of changes from
• 15:54
  Speaker 3: from removing fluid from your bladder or from this other system.
• 15:58
  Speaker 3: So there is a little bit of a thing there
• 16:00
  Speaker 3: going on. But the vast deferens are the tube that
• 16:02
  Speaker 3: connects your testicles all the way up through your urethra.
• 16:05
  Speaker 1: And for the purposes of this discussion, the vast deference
• 16:08
  Speaker 1: is kind of the star of the show, as per
• 16:11
  Speaker 1: the discussion will be having today. But I'm trying to
• 16:14
  Speaker 1: think of any kind of analogous system of like how
• 16:17
  Speaker 1: you might imagine this working. And the only thing I
• 16:20
  Speaker 1: can come up with right off the top of my head,
• 16:22
  Speaker 1: which is not a very good analogy, but I'm imagining
• 16:25
  Speaker 1: like a water gun, and if on the side of
• 16:28
  Speaker 1: the water gun you had mounted two little canisters that
• 16:31
  Speaker 1: pump like a special chemical into the water that you
• 16:34
  Speaker 1: fire with each water gun firing when you squeeze the
• 16:38
  Speaker 1: trigger and shoot water out that like maybe it pumps
• 16:40
  Speaker 1: in like one to five percent of some let's just say,
• 16:44
  Speaker 1: like food dye of some sort.
• 16:47
  Speaker 2: Yeah, yeah, food die works.
• 16:49
  Speaker 1: So there's like blue food dye or something that's going
• 16:52
  Speaker 1: in there, and you only need a little tiny bed.
• 16:53
  Speaker 1: It's only again, it's like ninety nine percent of what's
• 16:56
  Speaker 1: coming out of this water gun is just water or
• 16:58
  Speaker 1: whatever is in the water, But there's a little bit
• 17:00
  Speaker 1: the food dye and if those were mounted on the
• 17:01
  Speaker 1: side pumping in a little bit. The two mounted things
• 17:04
  Speaker 1: that are pumping in the food dye or the testicles.
• 17:06
  Speaker 1: The tube that connects the food dye to the water
• 17:08
  Speaker 1: reserve is the vas deferns. But there is also the
• 17:12
  Speaker 1: epididymus which happens inside. That's like where the food dye
• 17:15
  Speaker 1: would leave. The color would be held in reserve for
• 17:18
  Speaker 1: a moment and then would move through the vas deferuns. Yes,
• 17:21
  Speaker 1: when ready to ejaculate. And I looked it up. So
• 17:24
  Speaker 1: the average male produces about fifteen hundred sperm per second,
• 17:29
  Speaker 1: which comes out to one hundred to three hundred million
• 17:32
  Speaker 1: sperm per day. So if every man could utilize every
• 17:38
  Speaker 1: sperm to produce a human, they would be able to
• 17:42
  Speaker 1: reproduce the entire human population, or the entire population of
• 17:47
  Speaker 1: the United States every day. That's how many.
• 17:52
  Speaker 2: That's too many people.
• 17:53
  Speaker 1: That's a lot of people, and there's a lot of
• 17:55
  Speaker 1: reasons for that to not be the case. But males
• 17:58
  Speaker 1: produce a crazy, crazy the amount of sperm. Yes, and
• 18:01
  Speaker 1: they're so small. They're so tiny.
• 18:04
  Speaker 2: Yes, yes, exactly.
• 18:06
  Speaker 3: So moving on from the vast defriends, you've got the
• 18:08
  Speaker 3: seminal vesicles, and the seminal vestals actually produce about sixty
• 18:12
  Speaker 3: five or seventy five percent of the fluid in the
• 18:15
  Speaker 3: semen that we are talking about here. So in these glands,
• 18:18
  Speaker 3: because they are effectively glands, they produced the majority of
• 18:21
  Speaker 3: the fluid found in jaculate and are attached near the
• 18:24
  Speaker 3: bladder on the way through the urethra. So like another
• 18:27
  Speaker 3: way to look at this would be if sperm are
• 18:29
  Speaker 3: traveling on a train track from the testes and out
• 18:34
  Speaker 3: of the tip of the penis, then the seminal vestals
• 18:37
  Speaker 3: will be a pit stop. Like it'd be like stopping
• 18:39
  Speaker 3: in Chicago on the way to New York or something
• 18:41
  Speaker 3: like that.
• 18:43
  Speaker 1: From where do you sure?
• 18:45
  Speaker 2: It depends?
• 18:46
  Speaker 3: Yeah, it depends on where you start, I guess. But
• 18:48
  Speaker 3: you know it's not a dig on Chicago. I like Chicago.
• 18:50
  Speaker 2: So just so everybody is not mad at.
• 18:51
  Speaker 1: Me, Let's say Denver. Let's say you start in Denver,
• 18:53
  Speaker 1: you stop the Chicago New York.
• 18:55
  Speaker 2: Denver's the balls, Chicago's the seminole vesk goals.
• 19:00
  Speaker 1: And New York is the ejaculate or the point the
• 19:04
  Speaker 1: point of ejaculation. Yeah, yeah, okay, I should have warned
• 19:07
  Speaker 1: that there would be childish humor in this discussion as well.
• 19:09
  Speaker 2: There's all all right.
• 19:11
  Speaker 1: The last part to discuss here is the prostate gland.
• 19:14
  Speaker 1: So twenty five to thirty percent of the fluid and
• 19:16
  Speaker 1: semen comes from the prostate gland. And this just sits
• 19:20
  Speaker 1: right below the bladder and in front of the rectum
• 19:22
  Speaker 1: in men and assigned male at birth folks. And this
• 19:25
  Speaker 1: helps produce additional seminal fluids and its muscles help move
• 19:29
  Speaker 1: seminal fluids through the urethra. So again you basically just
• 19:33
  Speaker 1: have a lot of different routes combining a bunch of
• 19:36
  Speaker 1: different fluids that all their purpose really is is to
• 19:40
  Speaker 1: be a vessel for sperm to deliver the sperm when
• 19:44
  Speaker 1: an ejaculate takes place.
• 19:46
  Speaker 3: Yes, And so this brings us to the actual procedure
• 19:50
  Speaker 3: of the vasectomy the vaseectams, and this is how it works.
• 19:53
  Speaker 3: They are performed in different ways, but the main idea
• 19:56
  Speaker 3: and the main way that this is done is that
• 19:58
  Speaker 3: the vast deferends are cut.
• 20:00
  Speaker 2: They are basically severed.
• 20:01
  Speaker 3: Those tubes that connect the testes to the seminole vesicles
• 20:04
  Speaker 3: and the glands the prostate gland that is severed. And
• 20:08
  Speaker 3: because you have two of them, because if you are
• 20:10
  Speaker 3: if you have two testicles, then you have typically two
• 20:12
  Speaker 3: vast deferens, one for each testicle. Both of those tubes
• 20:15
  Speaker 3: are clipped, so when they're cut or snipped, that's kind
• 20:18
  Speaker 3: of where the snip joke comes in. They're snipped, if
• 20:21
  Speaker 3: you will, and they're either clipped at the end of
• 20:23
  Speaker 3: each of the open of the opening, so like the
• 20:26
  Speaker 3: tubes are basically just cut off with like these like
• 20:28
  Speaker 3: plastic clips, or they're cauterized to prevent them from reattaching.
• 20:33
  Speaker 3: Because the problem that happens with visseectomy sometimes very rarely
• 20:37
  Speaker 3: but does happen is that the vast deferens will remain
• 20:41
  Speaker 3: close enough together that they can actually reconnect and so
• 20:45
  Speaker 3: vasectomy may not take as a result of that proceed
• 20:49
  Speaker 3: that kind of that result my doctor when I went
• 20:51
  Speaker 3: to the doctor and had mine, I asked him whether
• 20:54
  Speaker 3: he used the clips or he used he cauterized it,
• 20:58
  Speaker 3: and he did both. And when I asked why, he said, specifically,
• 21:01
  Speaker 3: this is a direct quote, because I don't around with.
• 21:04
  Speaker 2: This smart man, smart my medical doctor. Yes, yeah, I
• 21:07
  Speaker 2: was like, good dude, Yeah, thank you for that.
• 21:09
  Speaker 3: So I have had this procedure and I had both
• 21:13
  Speaker 3: the clips and the cauterized vast difference.
• 21:15
  Speaker 2: So same.
• 21:17
  Speaker 1: So whenever you hear ectomy, as it relates to procedure,
• 21:20
  Speaker 1: it means removal of something, essentially cutting of something, usually
• 21:24
  Speaker 1: cutting and then removing, but in this particular case, the
• 21:27
  Speaker 1: vas devrons are the deference of the is the thing
• 21:30
  Speaker 1: being cut, and so that's why it's a vast sectomy,
• 21:33
  Speaker 1: and that means that they're they're cutting that tube. The
• 21:35
  Speaker 1: tube looks it's about the width of a a spaghetti noodle.
• 21:40
  Speaker 1: So it really looks like a pale spaghetti noodle. I
• 21:43
  Speaker 1: know because when I had my procedure, I watched part
• 21:45
  Speaker 1: of it.
• 21:46
  Speaker 2: I did not, so I had no I did not
• 21:48
  Speaker 2: want to. I did not want to.
• 21:49
  Speaker 1: Yeah it is. Yeah, it's very very small like and McGain,
• 21:52
  Speaker 1: you know, it's a it's a it's tiny tube containing
• 21:55
  Speaker 1: a tiny amount of material, but it looks basically like
• 21:57
  Speaker 1: a spaghetti noodle. And they find it, they cut it,
• 22:00
  Speaker 1: as you said, they cauterize the ends and then put
• 22:02
  Speaker 1: clamps on the ends, so there's really no getting I mean,
• 22:06
  Speaker 1: they say that it's reversible, and it is, but it's
• 22:08
  Speaker 1: not intended to be and reversing it is tricky because
• 22:11
  Speaker 1: again you're then connecting this tiny tiny tube to another
• 22:15
  Speaker 1: side of tiny tiny tube. You're gonna probably have to
• 22:19
  Speaker 1: cut away the part that was cutterized and then try
• 22:21
  Speaker 1: and attach them together in a way that's going to
• 22:24
  Speaker 1: allow them to heal back together. So like it can
• 22:28
  Speaker 1: be undone, it's not generally intended to be undone, and
• 22:32
  Speaker 1: it can be tricky to undo it. But it is
• 22:35
  Speaker 1: of all the various relatively permanent procedures to me, yeah,
• 22:41
  Speaker 1: various ectomies. Well, really, of all the various contraceptions that
• 22:44
  Speaker 1: are surgical, this is the one that is the most reversible.
• 22:48
  Speaker 2: Right, absolutely.
• 22:49
  Speaker 3: So the question that comes up a lot when we
• 22:51
  Speaker 3: talk about its ectomies is what happens to the sperm
• 22:54
  Speaker 3: cells Because at this point in time, we're talking about
• 22:56
  Speaker 3: the vast deference being cut, they're clip they're cauterized. So
• 22:59
  Speaker 3: now the sperm are in the testes and the and
• 23:01
  Speaker 3: the epididymus, right, So the question is, well, won't your
• 23:03
  Speaker 3: testes just explode if they're just continuing to fill up
• 23:07
  Speaker 3: and there's nothing going on, well not even close. What
• 23:10
  Speaker 3: ends up happening is the cells will eventually die off
• 23:12
  Speaker 3: and then get reabsorbed into the body, because ultimately what's
• 23:15
  Speaker 3: happening is the vast deferens are cut, the tubes are
• 23:18
  Speaker 3: cut the way that the pathway is blocked off, not
• 23:21
  Speaker 3: the blood supply, not the nerve endings. Like your testes
• 23:25
  Speaker 3: don't just like shrivel and die off of you, Like
• 23:28
  Speaker 3: you still have all the all the functioning, all your
• 23:31
  Speaker 3: testes still function the same way.
• 23:34
  Speaker 2: It's just that there's no pathway.
• 23:35
  Speaker 3: It's basically like a bridge has gone out and now
• 23:38
  Speaker 3: the sperm just can't get across the bridge, right like
• 23:40
  Speaker 3: there's just there.
• 23:41
  Speaker 2: That's essentially what has happened here.
• 23:43
  Speaker 1: Yeah, I mean the testicles are still as you said,
• 23:45
  Speaker 1: they're still producing hormones, they're still doing the thing. The
• 23:49
  Speaker 1: tube that allows the sperm to be put with the
• 23:51
  Speaker 1: rest of the semen and all the fluids that are
• 23:53
  Speaker 1: in there. Of all the fluids that are going into
• 23:55
  Speaker 1: that ejaculate sperm just are no longer one of them.
• 23:58
  Speaker 1: Now again they only make up one to But the
• 24:01
  Speaker 1: other thing is if you just think about the fact that,
• 24:04
  Speaker 1: as I mentioned before very recently, we produce hundreds of
• 24:09
  Speaker 1: millions of sperm a day, and you presumably are not
• 24:13
  Speaker 1: ejaculating all day, So where are those sperm going. So
• 24:17
  Speaker 1: even if you haven't had of a sectomy, you may
• 24:20
  Speaker 1: have noticed that your testicles did not explode after many
• 24:23
  Speaker 1: days of not having sex, even though you have at
• 24:26
  Speaker 1: that time produced hundreds of millions at that point, probably
• 24:29
  Speaker 1: billions of sperm without having anywhere for that sperm to go.
• 24:33
  Speaker 1: So it is a very natural process for our testicles
• 24:37
  Speaker 1: to produce a bunch of sperm that don't get used.
• 24:39
  Speaker 1: They day off, they're reabsorbed back into the body. Right,
• 24:43
  Speaker 1: And if people wanted to go to these anti abortion
• 24:46
  Speaker 1: states and charge every male there with homicide of hundreds
• 24:50
  Speaker 1: of millions of sperm that they did not ejaculate, then
• 24:53
  Speaker 1: I am not necessarily opposed to that measure.
• 24:56
  Speaker 3: Yeah, it sounds ridiculous, right, but this is this is
• 24:58
  Speaker 3: what we're talking about here, why we're talking about it.
• 25:01
  Speaker 1: Presumably the lawmakers. Those are the people who I think,
• 25:04
  Speaker 1: first of all, are almost entirely male, and second of
• 25:06
  Speaker 1: all are the ones who are saying one thing and
• 25:10
  Speaker 1: doing another, which is the homicide of hundreds of millions
• 25:12
  Speaker 1: of sperm cells. Right, Actually, then might set a really
• 25:15
  Speaker 1: bad precedent for people who have had vas sectomy. So
• 25:17
  Speaker 1: I take it back. Don't do that.
• 25:19
  Speaker 2: Yeah, yeah, don't do that. Spare us, please spare us.
• 25:23
  Speaker 1: Well, let's talk about some other facts about vas sectomies.
• 25:27
  Speaker 3: Yes, so about five hundred thousand men a year have
• 25:32
  Speaker 3: vaseectomies in the US. Wow, which is a lot of people. Now,
• 25:36
  Speaker 3: I'm sorry, it's not I'm sorry, it's not the US.
• 25:39
  Speaker 3: That's that's globally, so it's globally.
• 25:41
  Speaker 1: So.
• 25:42
  Speaker 3: Yeah, but the five hundred thousand people is still a
• 25:43
  Speaker 3: lot of people to have evzectomy. About fifty million people
• 25:46
  Speaker 3: in the US have had vasectomies, mostly married men of
• 25:50
  Speaker 3: reproductive age. So you're gonna find that the majority of
• 25:52
  Speaker 3: people are people who have probably already had children and
• 25:57
  Speaker 3: they're tired of having children, and so they go get
• 25:59
  Speaker 3: a veseectic because it's much easier than doing anything else.
• 26:02
  Speaker 3: And we'll talk about all the other things that we
• 26:03
  Speaker 3: could do that are more complicated.
• 26:06
  Speaker 1: Now, as we mentioned, you may have heard horror stories
• 26:08
  Speaker 1: about failed vest ectomies. We talked about the fact that
• 26:11
  Speaker 1: it can be reversed, and if there are not extra
• 26:14
  Speaker 1: measures in place to ensure that the vastectomy went as planned,
• 26:20
  Speaker 1: then there might be people who still get pregnant after that.
• 26:23
  Speaker 1: That being said, this birth control has one of the lowest,
• 26:27
  Speaker 1: if not the lowest failure rate of all the current
• 26:30
  Speaker 1: options for contraception. I would imagine that a hysterectomy is
• 26:33
  Speaker 1: even lower because if you don't have a uterus, then
• 26:38
  Speaker 1: you are not going to have children.
• 26:40
  Speaker 2: Yes, yes it is.
• 26:42
  Speaker 3: Yeah, hysterectomy is a zero percent chance. However, it is
• 26:47
  Speaker 3: largely invasive.
• 26:48
  Speaker 1: Yes, it's extremely invasive, which I'm sure we'll get to,
• 26:51
  Speaker 1: but in terms of the VASc actomy, it is extremely effective.
• 26:55
  Speaker 1: And we're talking about things like the IUDs condoms, birth control,
• 27:00
  Speaker 1: birth control patches. There's lots of different forms of contraception
• 27:04
  Speaker 1: that exists that people use. This one is super super effective.
• 27:08
  Speaker 1: So one in about two thousand to ten thousand people
• 27:12
  Speaker 1: might get pregnant following a partner's vasectomy, and I'm not
• 27:17
  Speaker 1: entirely sure if that accounts for people who had sex
• 27:21
  Speaker 1: too soon have after a asectomy, because it takes a
• 27:24
  Speaker 1: while to clear all the sperm out of the system.
• 27:26
  Speaker 1: So you after having a asectomy, you have to make
• 27:29
  Speaker 1: sure that you have cleared all the sperm and then
• 27:31
  Speaker 1: get tested to ensure that there's no sperm, and then
• 27:34
  Speaker 1: I feel like the failure rate's probably even lower than
• 27:37
  Speaker 1: one in ten thousand. But also for perspective, condoms have
• 27:41
  Speaker 1: a about one in one hundred failure rate or one
• 27:44
  Speaker 1: percent failure rate, So we're talking about point zero zero
• 27:48
  Speaker 1: zero one percent to one percent, which is thousands of
• 27:51
  Speaker 1: times more likely to fail.
• 27:54
  Speaker 3: Yeah, there are some stats that say condoms even have
• 27:56
  Speaker 3: a higher failure rate depending on a lot of different
• 27:59
  Speaker 3: factors too, like the type of condom you use, any
• 28:01
  Speaker 3: sort of lubricant that you might use that might degrade
• 28:04
  Speaker 3: the condom, because you can't just use whatever lubricant on
• 28:06
  Speaker 3: a condom like or or like the you know, specific
• 28:09
  Speaker 3: types of materials, like if a cheap skin versus like latex,
• 28:12
  Speaker 3: that can also change some of the.
• 28:14
  Speaker 2: Issues with that makes sense.
• 28:15
  Speaker 3: I will say though, one thing that as far as
• 28:17
  Speaker 3: the podcast goes, we have a one hundred percent failure
• 28:20
  Speaker 3: rate when it comes to preventing ads.
• 28:29
  Speaker 1: Okay, so here's some more information that I think is
• 28:32
  Speaker 1: very important to understand about vestecontomies, particularly as they relate
• 28:36
  Speaker 1: to other contraceptive measures that are fairly invasive. And that
• 28:41
  Speaker 1: is that the procedure is really short. We're talking ten
• 28:44
  Speaker 1: to fifteen minutes, and it's an outpatient procedure. You go in,
• 28:49
  Speaker 1: you're there for less than half an hour, and I
• 28:51
  Speaker 1: mean that includes your prep time and you're like, yeah,
• 28:55
  Speaker 1: put everything back and stitch it up Timeah, it's a
• 28:57
  Speaker 1: very quick procedure. They basically perform a qui concision. Pull
• 29:01
  Speaker 1: all the vaz defrons, snip, catterize, clip, put it back in,
• 29:05
  Speaker 1: sew it up, do the same thing on the other side,
• 29:07
  Speaker 1: and then you're done. Put your pants back on and
• 29:09
  Speaker 1: go lay on the couchlouth frozen peas on your testicles
• 29:13
  Speaker 1: and watch TV for the next couple of days.
• 29:15
  Speaker 2: Yeah.
• 29:15
  Speaker 1: And that's the other thing too, is you're pretty much
• 29:17
  Speaker 1: up and walking around. They say two to three days
• 29:20
  Speaker 1: of recovery, and that's like basically back to full functionality.
• 29:24
  Speaker 1: They might say, like, don't do any heavy impact exercise
• 29:27
  Speaker 1: for like two weeks, but I was at least standing
• 29:30
  Speaker 1: and walking around by the end of the first day. Yeah,
• 29:33
  Speaker 1: me too, And I was really out of an abundance
• 29:35
  Speaker 1: of caution, Like I was like, I'm just not gonna
• 29:37
  Speaker 1: move because I don't want to worry about my stitches.
• 29:40
  Speaker 1: And so I laid there and didn't do anything for
• 29:42
  Speaker 1: most of the day. But then like by the end
• 29:45
  Speaker 1: of the day, I was, you know, up and moving about,
• 29:46
  Speaker 1: and you still have to go to the bathroom and everything.
• 29:49
  Speaker 1: So it is a minimally invasive procedure for what you're doing.
• 29:53
  Speaker 2: Yes, I did not get stitches. I also got cauterized.
• 29:56
  Speaker 1: Maybe mine was two, I don't know. I don't remember now.
• 29:59
  Speaker 1: I thought it was stitches, but a long time ago,
• 30:00
  Speaker 1: so I don't know.
• 30:01
  Speaker 3: I forgot I want to share a funny story. Yet
• 30:03
  Speaker 3: the procedure does take about ten to fifteen minutes. In
• 30:06
  Speaker 3: my situation, I could not wash the procedure. I was awake,
• 30:10
  Speaker 3: but he I went to go sit up when it
• 30:12
  Speaker 3: was done, and I immediately passed out and fell off
• 30:16
  Speaker 3: the table. But it was a ridiculous kind of situation
• 30:18
  Speaker 3: because I fell off the table while I was.
• 30:20
  Speaker 2: Not wearing pants.
• 30:21
  Speaker 3: I was wearing a T shirt but no pants, So
• 30:23
  Speaker 3: it was like very like a Donald Duck situation, but
• 30:25
  Speaker 3: like Donald Duck falling off a table and passing out.
• 30:28
  Speaker 2: And then for those of you who don't know me
• 30:30
  Speaker 2: here listening to this show.
• 30:31
  Speaker 3: I am about six foot three and at the time
• 30:33
  Speaker 3: I was about two hundred and thirty pounds, and so
• 30:35
  Speaker 3: I had these two tiny little nurses trying to like
• 30:38
  Speaker 3: lift me up off the floor pantsless. But they did
• 30:41
  Speaker 3: get me back up, like you know. Once I came
• 30:43
  Speaker 3: to I was able to stand up a little bit
• 30:44
  Speaker 3: and then sit on the bed. But they did give
• 30:46
  Speaker 3: me a couple of apple juice, which was the best
• 30:48
  Speaker 3: apple juice I've ever had in my life.
• 30:52
  Speaker 1: They save it for vast ectomy patients, Yeah, they really.
• 30:55
  Speaker 1: People don't have access to that apple juice.
• 30:57
  Speaker 3: Yeah, it's like a specific vasectomy horde or like or
• 31:00
  Speaker 3: like orchard. To be fair, I didn't pass out because
• 31:03
  Speaker 3: of the procedure. I passed out because I'm just like
• 31:06
  Speaker 3: a little bit squeamish, so like I could. It was
• 31:08
  Speaker 3: one of the that's really what it was. So I
• 31:10
  Speaker 3: don't want to scare people off.
• 31:12
  Speaker 1: I did not pass out. They do give at least
• 31:14
  Speaker 1: they gave me the option to like be on some
• 31:17
  Speaker 1: sort of medication to either knock me out or make
• 31:20
  Speaker 1: me loopy, and I elected to not do that. I
• 31:24
  Speaker 1: think either way, they use a local anesthetic where they're
• 31:27
  Speaker 1: performing the surgery, so they'll basically inject your testicles with
• 31:31
  Speaker 1: a anesthetic that will numb them so you won't feel anything.
• 31:35
  Speaker 3: Yeah, didn't feel it. It was pressure. All I felt
• 31:37
  Speaker 3: was pressure. Did not feel any pain. It was all pressure.
• 31:40
  Speaker 1: Okay. I did feel it when they first grabbed the
• 31:42
  Speaker 1: vast defronds and pulled that out. That was like being
• 31:44
  Speaker 1: kicked in the nuts. Yea. But yeah, after that then,
• 31:47
  Speaker 1: as you said, it was really just pressure and then
• 31:49
  Speaker 1: the smell of burning skin, yeah, which was unpleasant. But
• 31:52
  Speaker 1: I mean again, it's like it's very very short, you know,
• 31:56
  Speaker 1: it's Yeah, it goes really fast. You'll be in much
• 31:59
  Speaker 1: more pain, like getting a Charlie horse in your leg
• 32:02
  Speaker 1: or just tripping down his skinny, or tripping and falling
• 32:05
  Speaker 1: down and skinning your knee. Like there's a lot of
• 32:09
  Speaker 1: things that you'll do that are substantially more painful than
• 32:12
  Speaker 1: this that last a lot longer. On this is a
• 32:14
  Speaker 1: very quick procedure. You're kind of in and out, like
• 32:17
  Speaker 1: you barely feel anything the whole time. Yeah, totally worth
• 32:20
  Speaker 1: it for sure.
• 32:21
  Speaker 2: Like the response effort to pay out is absurd.
• 32:24
  Speaker 3: It is so little time and so great and you'll
• 32:27
  Speaker 3: and we'll talk about some of the stats, like it
• 32:28
  Speaker 3: is so much better everybody, everybody, everybody that is involved
• 32:32
  Speaker 3: in the situation is better off as a result of
• 32:34
  Speaker 3: having this. But yes, it is important to know that
• 32:39
  Speaker 3: vaseectimies are not immediately effective. The person who received the vaseectomy,
• 32:43
  Speaker 3: the patient has to quote unquote clear the pipes, if
• 32:47
  Speaker 3: you will, anywhere between fifty to thirty times prior to
• 32:50
  Speaker 3: a sperm test to ensure that they are clear that
• 32:53
  Speaker 3: there are no sperm and they're ejaculate anymore. So that
• 32:56
  Speaker 3: means that they have to ejaculate anywhere between fifty and
• 32:58
  Speaker 3: thirty times. My doctor told me thirty five times because
• 33:01
  Speaker 3: he wanted to like a zero test, and I was like,
• 33:04
  Speaker 3: that seems like a lot of work, but I'm I'm
• 33:06
  Speaker 3: up to the challenge.
• 33:08
  Speaker 2: So you have to do that though, in order to
• 33:10
  Speaker 2: get a clear.
• 33:10
  Speaker 1: Test right in any way that it makes sense to
• 33:14
  Speaker 1: do that, Yes, yes, there there there are multiple paths
• 33:19
  Speaker 1: to clear in the tubes. The other thing to remember, though,
• 33:23
  Speaker 1: is that getting getting of sectomy does not necessarily preclude
• 33:26
  Speaker 1: the need of condoms. But specifically as it relates to
• 33:29
  Speaker 1: transmitting disease. So a person may not have sperm and
• 33:33
  Speaker 1: their seemen any longer, but if you do have any
• 33:36
  Speaker 1: kind of sexually transmitted infection or disease, then that can
• 33:40
  Speaker 1: still quite easily be passed on through your bodily fluids. So,
• 33:43
  Speaker 1: for example, if you were HIV positive, then you will
• 33:46
  Speaker 1: still be able to transmit HIV AIDS to somebody else
• 33:50
  Speaker 1: if you had sex with them unprotected, And that goes
• 33:53
  Speaker 1: for really all other chlamydia, gonnorrhea, genital awards, like, all
• 33:57
  Speaker 1: of those are things that unprotected sex can lead to
• 34:00
  Speaker 1: transfer of those diseases. So if you're in a committed
• 34:04
  Speaker 1: relationship with a faithful partner, and you yourself are faithful,
• 34:08
  Speaker 1: then whatever diseases you guys have already shared, essentially there
• 34:12
  Speaker 1: will not be more added to that list. And so
• 34:15
  Speaker 1: in that instance than there is no need for a
• 34:18
  Speaker 1: condom if you're if the purpose of the condom is
• 34:21
  Speaker 1: to prevent pregnancy, right, if the purpose of the condom
• 34:24
  Speaker 1: is to prevent STIs, then you still need a condom.
• 34:28
  Speaker 1: But of vasctomy is nearly one hundred percent effective for
• 34:33
  Speaker 1: preventing pregnancy.
• 34:35
  Speaker 3: Right absolutely now, As of twenty twenty two, vaseectomies are
• 34:39
  Speaker 3: rapidly increasing in the US at least from twenty fourteen
• 34:43
  Speaker 3: to twenty twenty one, insurance companies report an increase of
• 34:46
  Speaker 3: about twenty six percent across men in the US. So
• 34:49
  Speaker 3: you might be going in, yeah, get good for you,
• 34:52
  Speaker 3: and you might be going well, what happened during that
• 34:54
  Speaker 3: time twenty fourteen to twenty twenty one. Who knows what happened.
• 34:58
  Speaker 3: It's a mystery. But also so there was a lot
• 35:00
  Speaker 3: of talk about repealing Roe versus Wade, and that may
• 35:04
  Speaker 3: have contributed. Now globally though vasectomies have declined by about
• 35:08
  Speaker 3: thirty nine percent since two thousand and one, and that's
• 35:10
  Speaker 3: sort of study from Jacob Stein at all in twenty
• 35:13
  Speaker 3: twenty three. So we see an increase in the US
• 35:15
  Speaker 3: and decline in other places, and they're not quite sure
• 35:18
  Speaker 3: why that's going on.
• 35:19
  Speaker 1: Interesting. Yeah, VS ectomy is good and as we said,
• 35:23
  Speaker 1: they can be reversed, and more so than other procedures
• 35:26
  Speaker 1: that are intended to be contraceptive. But reversing it is
• 35:29
  Speaker 1: more complicated. As I mentioned, recovery can take longer and
• 35:32
  Speaker 1: it's more expensive. So if you're on the fence about it,
• 35:36
  Speaker 1: you probably better wait until you're not on the fence
• 35:38
  Speaker 1: about it. But I think if you are not planning
• 35:42
  Speaker 1: to have children, definitely go this route, yes, or not
• 35:45
  Speaker 1: any more children. Like maybe you're at the point where
• 35:47
  Speaker 1: you've had the children you're going to have, just in
• 35:49
  Speaker 1: Shane's case, and you're not planning on having any more children,
• 35:53
  Speaker 1: then this is a very very great route to go
• 35:56
  Speaker 1: for multiple reasons. But again, if there's an that you're
• 36:00
  Speaker 1: going to be trying to reverse it, that's just harder
• 36:02
  Speaker 1: to do. Not impossible, but it's harder and a little
• 36:06
  Speaker 1: more invasive and a little more expensive.
• 36:08
  Speaker 2: Right.
• 36:09
  Speaker 3: You might be going, well, I would never do that,
• 36:11
  Speaker 3: because it's it's you know, you might have your own reasons,
• 36:14
  Speaker 3: but if you are somebody who talks money, then I'm
• 36:17
  Speaker 3: going to tell you that it's also one of the
• 36:19
  Speaker 3: cheapest ways, if not the cheapest way to prevent having children.
• 36:24
  Speaker 3: So as a contraceptive, the annual cost for a eseectomy
• 36:27
  Speaker 3: it averages out to about eighty six dollars per year
• 36:30
  Speaker 3: over a ten year period. That's if your insurance doesn't
• 36:32
  Speaker 3: cover all of it, or maybe, like I don't know,
• 36:35
  Speaker 3: maybe you get a two for one deal when you
• 36:37
  Speaker 3: go to a certain urologist, depending on what your situation is,
• 36:41
  Speaker 3: but on average it's about eighty six dollars per year
• 36:43
  Speaker 3: over ten year period, so a little over eight hundred
• 36:46
  Speaker 3: dollars to get of eseectomy. But comparatively a hysterectomy, which
• 36:50
  Speaker 3: requires the full removal of the uterus and ovaries and
• 36:55
  Speaker 3: all that fun stuff right like, but mostly the uterus.
• 36:57
  Speaker 3: There's some procedures that do take all of it, right,
• 37:00
  Speaker 3: but removing the uterus entirely in the hysterectomy can be
• 37:03
  Speaker 3: anywhere between eight hundred and twelve hundred dollars per year
• 37:07
  Speaker 3: for ten years.
• 37:08
  Speaker 1: So as more than ten times as expensive.
• 37:10
  Speaker 2: Yes, it's more than ten times expensive.
• 37:12
  Speaker 3: It does have a zero percent failure rate, but there
• 37:15
  Speaker 3: are some complications that go along with this. Sometimes the
• 37:17
  Speaker 3: surgery is far more intrusive and the recovery time is
• 37:20
  Speaker 3: far longer and more painful. So like, the burden of
• 37:24
  Speaker 3: this is far greater than a fifteen minute procedure that
• 37:28
  Speaker 3: you're healing from in two days.
• 37:30
  Speaker 1: Right, So let's talk about like, just to make sure
• 37:32
  Speaker 1: we're clear, when you mentioned the eight hundred eighty six
• 37:35
  Speaker 1: dollars over ten years, is that the price of a
• 37:38
  Speaker 1: vasctomy ranges Mine was closer to five hundred, yours was
• 37:41
  Speaker 1: closer to eight hundred or closer to nine hundred. Maybe
• 37:44
  Speaker 1: depending on your insurance, that may cover a good chunk
• 37:47
  Speaker 1: of or some of that procedure. As we mentioned, it's
• 37:50
  Speaker 1: an outpatient procedure. But thinking about all the other ways
• 37:54
  Speaker 1: that you might be spending money on contraception in that
• 37:57
  Speaker 1: same amount of time, Like the vascctomy costs, as you said,
• 38:01
  Speaker 1: eighty six dollars per year. People are spending two hundred
• 38:04
  Speaker 1: dollars on condoms per year, So you're saving money that
• 38:07
  Speaker 1: way as one of the ways, and they have a
• 38:09
  Speaker 1: much higher failure rate of like two to eighteen percent.
• 38:13
  Speaker 1: A sponge costs two thousand to four thousand dollars per
• 38:16
  Speaker 1: year with a failure rate of a whopping twenty four percent.
• 38:20
  Speaker 1: Oral contraceptions, this is the birth control that pretty much
• 38:24
  Speaker 1: only women take right now, although they're working on male
• 38:27
  Speaker 1: birth control. Oral contraceptions six hundred dollars per year at
• 38:31
  Speaker 1: a failure rate of two to nine percent. And so
• 38:34
  Speaker 1: with the hysterectomy, as you mentioned, like that one costs
• 38:38
  Speaker 1: ten times the amount of a vasectomy, it is has
• 38:43
  Speaker 1: a far longer recover. I mean you're removing a whole organ,
• 38:46
  Speaker 1: and the vasseectomy you're just snipping a couple of tubes.
• 38:48
  Speaker 1: And a hysterectomy, you're removing a whole organ. That's very invasive.
• 38:52
  Speaker 1: It can have a lot of complications. It might not
• 38:54
  Speaker 1: be an outpatient procedure depending on the severity of it.
• 38:58
  Speaker 1: They like have to cut in to you and like
• 39:01
  Speaker 1: remove a bunch of stuff. So like hisstrect me is
• 39:04
  Speaker 1: just such a much more invasive procedure that costs a
• 39:07
  Speaker 1: lot more. It's a lot more dangerous, it has more risks,
• 39:10
  Speaker 1: it takes longer to recover and off. As secondomy, on
• 39:12
  Speaker 1: the other hand, accomplishes the same goal with about the
• 39:15
  Speaker 1: same level effectiveness at ten percent the cost, very quick
• 39:20
  Speaker 1: recovery time, and minimal invasiveness.
• 39:23
  Speaker 3: Right at this point in time, we have talked about
• 39:25
  Speaker 3: the effectiveness of this, We have talked about the recovery time,
• 39:28
  Speaker 3: we have talked about the cost. But what are some
• 39:30
  Speaker 3: other reasons that people would actually get off sex me. Well,
• 39:33
  Speaker 3: there are a couple of reasons of people what site
• 39:35
  Speaker 3: they have, the family size.
• 39:36
  Speaker 2: They want, they don't want any more kids, it's cost.
• 39:38
  Speaker 3: Effective, and dealing with the side effects of birth control
• 39:42
  Speaker 3: and other oral contraceptives it can be tiresome and really
• 39:44
  Speaker 3: challenging and a burden on your partner. They may not
• 39:47
  Speaker 3: want to deal with hormonal changes or the things that
• 39:50
  Speaker 3: go along with the bizarre side effects that might happen
• 39:53
  Speaker 3: as a result of taking the oral birth control or
• 39:56
  Speaker 3: even like the depot shots and stuff like that.
• 39:58
  Speaker 1: Another advantage here is that this removes the burden from
• 40:01
  Speaker 1: the partner. And typically we're thinking about the female partner
• 40:05
  Speaker 1: here in a male female relationship, and largely because in
• 40:09
  Speaker 1: the same sex couples, pregnancy is unlikely, if not impossible,
• 40:13
  Speaker 1: to happen the sexual activity that might take place there.
• 40:18
  Speaker 1: There are ways for people to get pregnant, but it's
• 40:20
  Speaker 1: usually very intentional in those spaces. But when you have
• 40:24
  Speaker 1: a male female partner, then the person who usually is
• 40:27
  Speaker 1: carrying the responsibility of contraception is the female and it's
• 40:31
  Speaker 1: more invasive, intrusive and expensive for them, and so to
• 40:35
  Speaker 1: remove the burden from them is in a way that
• 40:38
  Speaker 1: is like less intrusive, less expensive, and less recovery time
• 40:43
  Speaker 1: for you. Is definitely a pro that a lot of
• 40:46
  Speaker 1: people consider another thing is it does not vasectomy does
• 40:49
  Speaker 1: not affect performance, functioning, sensation, or quality of life with
• 40:55
  Speaker 1: respect to your relationships and your sexual life that you
• 40:59
  Speaker 1: have have.
• 41:01
  Speaker 3: Yeah, there are actually people that report that their sex
• 41:03
  Speaker 3: life has gotten better as a result of having a vayseectomy,
• 41:06
  Speaker 3: so like there are some studies that showed that too.
• 41:08
  Speaker 3: Some other things to consider the permanence of this procedure, like,
• 41:11
  Speaker 3: it does stay, it's not something that's temporary. It doesn't
• 41:14
  Speaker 3: require you to have multiple surgeries unless you've had some
• 41:18
  Speaker 3: complications and stuff like that. And it is much safer
• 41:21
  Speaker 3: than tubal legation, which is the procedure for getting your
• 41:24
  Speaker 3: tubes tied. It rarely fails and you recover quite rapidly
• 41:29
  Speaker 3: from the procedure itself. So there's a lot of pros
• 41:32
  Speaker 3: and very few cons that go along with this, unless
• 41:35
  Speaker 3: you're the kind of person that just doesn't like a
• 41:36
  Speaker 3: doctor touching your gonads or anything like that. Like maybe
• 41:39
  Speaker 3: you're somebody who just doesn't like that, But otherwise, the
• 41:43
  Speaker 3: argument for vaseectomies is pretty good.
• 41:45
  Speaker 1: The argument against ads is pretty good, all right, So
• 41:55
  Speaker 1: let's get into some of the myths and misconceptions about
• 41:59
  Speaker 1: vasectomies as they relate to that people might have. I
• 42:03
  Speaker 1: think a lot of people hear this and like, uh uh,
• 42:05
  Speaker 1: not touch a mass stuff. And so I like to
• 42:08
  Speaker 1: help you be a smarter person. People who listen to us,
• 42:11
  Speaker 1: they probably already have like a good idea of how
• 42:14
  Speaker 1: these things go. So you might not even really be
• 42:16
  Speaker 1: the best audience for this. But maybe this is information
• 42:18
  Speaker 1: you can take with you to talk to other people about.
• 42:21
  Speaker 3: Maybe you've got a friend who's on the fence and
• 42:24
  Speaker 3: you can share this and be like, hey, these smart
• 42:26
  Speaker 3: folks did this, maybe you can too.
• 42:28
  Speaker 2: There's a place for this discussion.
• 42:30
  Speaker 3: So one of the myths that comes up often is
• 42:32
  Speaker 3: that a vasectomy will decrease your sexual performance. Now this
• 42:36
  Speaker 3: is patently false. Yeah, and there is actually no impact,
• 42:40
  Speaker 3: Like very incorrect. There's no impact on performance other than
• 42:43
  Speaker 3: your recovery time. That's the audience going to stop you
• 42:46
  Speaker 3: from having more sex?
• 42:48
  Speaker 2: Is going?
• 42:48
  Speaker 3: I can't because I literally just had surgery. But that's
• 42:51
  Speaker 3: only a few days.
• 42:52
  Speaker 1: And as you said, many people even report that their
• 42:55
  Speaker 1: sexual life improves after vast ectomies. And part of it
• 42:58
  Speaker 1: is there's this like it is unrestricted access to an
• 43:02
  Speaker 1: activity that used to have many restrictions and roadblocks to
• 43:06
  Speaker 1: do in a way that a lot of people would
• 43:08
  Speaker 1: prefer to be able to do. And so the vas
• 43:10
  Speaker 1: ectomy then makes it so that those roadblocks are just
• 43:13
  Speaker 1: kind of no longer in place, and that their sexuality
• 43:17
  Speaker 1: and the life that they have with their partner can improve.
• 43:20
  Speaker 1: Another myth here is that vas ectomies permanently damage your
• 43:25
  Speaker 1: sex organs. No. First of all, there is very little
• 43:28
  Speaker 1: risk to your testes. There's virtually no risk whatsoever to
• 43:32
  Speaker 1: your penis if that was something you were worried about.
• 43:34
  Speaker 1: And as we said, it can be reversed. A hysterectomy
• 43:38
  Speaker 1: cannot be reversed, but a vas ectomy can be. Again,
• 43:42
  Speaker 1: it's not intended to be, but it can be. So yeah,
• 43:45
  Speaker 1: it actually there's very little risk. There is really no
• 43:48
  Speaker 1: permanent damage. This is a thing that, as we said,
• 43:51
  Speaker 1: it's minimally invasive and it has very quick recovery time.
• 43:54
  Speaker 1: And the only way you get to minimally invasive and
• 43:57
  Speaker 1: quick recovery time is if you have something that is
• 44:00
  Speaker 1: not doing significant damage to your biology, and this just isn't.
• 44:03
  Speaker 1: It is putting a small roadblock in place, right exactly
• 44:08
  Speaker 1: very effective, but small, very small, but very effective roadblock.
• 44:11
  Speaker 2: Yeah, yeah, exactly.
• 44:12
  Speaker 3: Another myth that comes up a lot is that if
• 44:13
  Speaker 3: the sectamic can increase your risk of cancer, and this
• 44:15
  Speaker 3: is actually inconclusive. There have been studies that have conducted
• 44:18
  Speaker 3: to see if there were any possible links to testicular
• 44:21
  Speaker 3: and prostate cancer as a result of a sectomies, but
• 44:24
  Speaker 3: there is nothing conclusive. There's no proven link at this time,
• 44:27
  Speaker 3: and the risks appear to be very very low, if
• 44:29
  Speaker 3: they exist at all.
• 44:31
  Speaker 1: When you say something like inconclusive about a risk of thing,
• 44:34
  Speaker 1: that means that they were unable to detect a measurable
• 44:37
  Speaker 1: increase in risk, right, right, So like inconclusive basically means
• 44:42
  Speaker 1: there is no additional risk. I mean, obviously we need
• 44:46
  Speaker 1: to gather as much research as possible to be clear
• 44:48
  Speaker 1: about this. But like again, if you were looking for
• 44:52
  Speaker 1: an increased risk and you didn't find one, and you
• 44:56
  Speaker 1: said inconclusive because you weren't sure, like you would think
• 45:00
  Speaker 1: if there was an increased risk, it would be detectable.
• 45:04
  Speaker 1: And so at this point it seems like undetectable risk
• 45:07
  Speaker 1: means no change in risk, right, So it seems like
• 45:10
  Speaker 1: it doesn't decrease your risk of cancer, but it doesn't
• 45:13
  Speaker 1: increase your risk either. So basically there's no change to
• 45:17
  Speaker 1: the effect of likelihood that you'll have cancer. And I
• 45:20
  Speaker 1: think the concern if it causing cancer would be a
• 45:22
  Speaker 1: very legitimate one if that were the case, but it
• 45:24
  Speaker 1: is not the case, right.
• 45:26
  Speaker 3: Another myth that comes up to is that vasectimis can
• 45:27
  Speaker 3: increase your risk of heart disease. And it's the same
• 45:30
  Speaker 3: kind of situation. It's inconclusive. We just don't have any
• 45:32
  Speaker 3: link to prove that there is any sort of relation
• 45:34
  Speaker 3: between the visseectomy and heart disease.
• 45:36
  Speaker 1: I would make the exact same argument here in terms of, like,
• 45:38
  Speaker 1: if you have no detectable difference, then that's the same
• 45:41
  Speaker 1: thing as saying no change, right exactly. Another myth is
• 45:44
  Speaker 1: that vasectomies cause severe pain. There's going to be a
• 45:47
  Speaker 1: little bit of pain during the procedure, not much. We
• 45:50
  Speaker 1: mentioned We talked about what it is you feel to
• 45:53
  Speaker 1: the pulling and tugging. It's possible that you might like
• 45:57
  Speaker 1: accidentally nick yourself in like your daily act activities while
• 46:00
  Speaker 1: you're still like technically in recovery period in a way
• 46:03
  Speaker 1: that like you might be more sensitive to being whacked
• 46:07
  Speaker 1: in the testicles by something or even having them jostled uncomfortably,
• 46:11
  Speaker 1: but they don't cause severe pain like they are just
• 46:14
  Speaker 1: it is not a particularly painful procedure, and again it
• 46:17
  Speaker 1: has to do with the fact that it's minimally invasive
• 46:20
  Speaker 1: and requires very little surgical manipulation and maneuvering.
• 46:24
  Speaker 2: Right exactly exactly.
• 46:26
  Speaker 3: So there are a couple other things that I think
• 46:28
  Speaker 3: are important to unpack because maybe you are somebody or
• 46:30
  Speaker 3: you know somebody who's on the fence with this and
• 46:32
  Speaker 3: you're not sure why people are trying to avoid it,
• 46:35
  Speaker 3: and the psychology part of this does we do want
• 46:37
  Speaker 3: to make sure it's like not just like hey, yeah,
• 46:40
  Speaker 3: you should get this.
• 46:40
  Speaker 2: This is this procedure.
• 46:41
  Speaker 3: We want to understand why people are doing it, why
• 46:43
  Speaker 3: they're not. We already have some reasons why they do.
• 46:45
  Speaker 3: But some reasons that people avoid getting prosectimmes is because
• 46:47
  Speaker 3: they're afraid of complications and a lot of the related
• 46:50
  Speaker 3: things that they think are going to happen as a
• 46:52
  Speaker 3: result of those myths that are out there that their
• 46:55
  Speaker 3: performance is going to decrease, that it's going to be painful,
• 46:58
  Speaker 3: and really it's not for those who are out there
• 47:01
  Speaker 3: who are afraid of getting the snip. There is actually
• 47:03
  Speaker 3: a no scalpel, no needle procedure that's even less invasive
• 47:07
  Speaker 3: than what we talked about, and even then the standard
• 47:10
  Speaker 3: procedures that we talked about the vasectomy itself, where you're
• 47:12
  Speaker 3: snipping the vast efferens super super minimal again ten fifteen
• 47:17
  Speaker 3: minutes at a little bit of discomfort, and you get
• 47:19
  Speaker 3: to hang out in bed all day.
• 47:20
  Speaker 1: Yes, I will be extolling the virtues here shortly as well. Yeah,
• 47:24
  Speaker 1: that is kind of one of them. There was a
• 47:26
  Speaker 1: twenty fourteen study by Sheikh and Raj Kumar who found
• 47:30
  Speaker 1: that a man singular singular, Yeah, one man experienced a
• 47:36
  Speaker 1: chronic depressive episode following his vasectomy. He had a post
• 47:40
  Speaker 1: operative panic attack and began to experience symptoms of clinical depression.
• 47:44
  Speaker 1: This was dubbed post vasectomy depression. It is hypothesized that
• 47:49
  Speaker 1: the reason for the episode of depression was the onset
• 47:53
  Speaker 1: of regret from the procedure as well as poor knowledge
• 47:56
  Speaker 1: about the procedure. That being said, I think they've gotten
• 47:59
  Speaker 1: better and better about coaching people beforehand. They are really
• 48:03
  Speaker 1: clear on the expectations, this is what's going to happen
• 48:07
  Speaker 1: during the procedure and after the procedure and what things
• 48:10
  Speaker 1: are going to be like, so that you shouldn't have
• 48:12
  Speaker 1: any misgivings or lack of information going on. It should
• 48:16
  Speaker 1: be a fully informed thing where you fully know what
• 48:19
  Speaker 1: to expect during and afterward.
• 48:21
  Speaker 2: Right.
• 48:22
  Speaker 3: They specifically said that part of the reason he was
• 48:24
  Speaker 3: having such a hard time was because he lacked so
• 48:26
  Speaker 3: much knowledge about the procedure.
• 48:28
  Speaker 1: They should not have performed it then, right and waited
• 48:30
  Speaker 1: until he had more chance, because like this, this is
• 48:32
  Speaker 1: very uncommon. This is like we said, a man had
• 48:35
  Speaker 1: this experience, but the vast majority of people do not
• 48:38
  Speaker 1: have that experience of having any kind of post operative depression.
• 48:42
  Speaker 3: Right, we'll talk about someone like the other benefits and
• 48:44
  Speaker 3: stuff too, But like one of my favorite analogies or
• 48:47
  Speaker 3: metaphors or quotes about getting viaseectomy is that it goes
• 48:51
  Speaker 3: like this, why not just take the bullets out of
• 48:54
  Speaker 3: the gun instead of firing at a.
• 48:55
  Speaker 2: Bulletproof best beautiful love.
• 48:57
  Speaker 3: That that is the argument for viseectomy over contraception, right,
• 49:00
  Speaker 3: or all contraception that women have to take is effectively
• 49:04
  Speaker 3: just kind of putting on a bullet proofvest and hoping
• 49:06
  Speaker 3: that you don't get shot, whereas a vaseectomy is like
• 49:09
  Speaker 3: I'm literally I'm literally taking the bullets out of the gun.
• 49:12
  Speaker 3: I'm literally just firing blanks. Even if you were wearing
• 49:15
  Speaker 3: a bullet proof vest, I could not hit you with it, right, Like,
• 49:18
  Speaker 3: That's that's the whole idea with it, and it just
• 49:21
  Speaker 3: makes common sense when you think of it that way.
• 49:24
  Speaker 1: A condom is a similar idea to like a bullet
• 49:26
  Speaker 1: proofvest too, And yeah, same exact thing is, like there's
• 49:29
  Speaker 1: a bullet provest as more likely to fail at stopping
• 49:32
  Speaker 1: bullets than not firing bullets.
• 49:34
  Speaker 2: Right, right, exactly exactly.
• 49:36
  Speaker 1: Another question I have had from people who were curious
• 49:39
  Speaker 1: about it is do you have any change in your libido?
• 49:43
  Speaker 1: Like you don't really desire to have sex anymore? And
• 49:45
  Speaker 1: my experience, no, notsoever, kind of the opposite. Actually, right,
• 49:49
  Speaker 1: never mind, I want to I want to expand on that.
• 49:51
  Speaker 1: Let's leave it at that. Another question I've had from
• 49:54
  Speaker 1: people is like, does it change your ejaculate? Well, again,
• 49:58
  Speaker 1: it's like one to five percent, so like you really
• 50:01
  Speaker 1: don't notice a difference, right, And what it looks like
• 50:05
  Speaker 1: it's anything like, it really looks exactly the same. You
• 50:08
  Speaker 1: can it is an undetectable difference. If for whatever reason,
• 50:12
  Speaker 1: the way your ejaculate looks or feels is important to you,
• 50:15
  Speaker 1: it will be an unnoticeable difference whatsoever. So yeah, no
• 50:20
  Speaker 1: worries about that. Other qualms I have heard people describe
• 50:24
  Speaker 1: as they're just concern about like the integrity of their testicles,
• 50:30
  Speaker 1: and that to me is pretty selfish. Cause again, essentially,
• 50:34
  Speaker 1: what they're saying is like, my partner should carry the
• 50:37
  Speaker 1: burden of contraception. They should be on the pill, have
• 50:40
  Speaker 1: an IUD, get a hysterectomy, as opposed to I can
• 50:45
  Speaker 1: do something that is cheaper, faster, less invasive, and has
• 50:49
  Speaker 1: a quicker recovery time. Right, instead, my partners should do
• 50:53
  Speaker 1: this thing that is more expensive, more painful, more invasive,
• 50:56
  Speaker 1: and less effective. The logic doesn't even hold.
• 51:00
  Speaker 2: With more side effects too, Like this has no side effects.
• 51:05
  Speaker 1: Yeah, aside from like life gets better afterward, right, and
• 51:09
  Speaker 1: like let's go to the IUD thing, because that wasn't
• 51:11
  Speaker 1: it We didn't include that in our description. Now, in
• 51:14
  Speaker 1: some situations, you can get one for free, so like
• 51:17
  Speaker 1: they can. They can cost nothing for people to get
• 51:20
  Speaker 1: an IUD in and for those who don't know is
• 51:21
  Speaker 1: essentially a little device that's inserted into women and it
• 51:25
  Speaker 1: just blocks sperm from getting through. But it is like
• 51:28
  Speaker 1: it is a device that like goes into their body.
• 51:31
  Speaker 1: It's sort of like a permanent condom inside them, right
• 51:34
  Speaker 1: if you will, Well, not permanent. It lasts for so
• 51:37
  Speaker 1: many years and whatnot, And it doesn't work for all
• 51:40
  Speaker 1: people because people have different sized bodies, and IUDs are
• 51:43
  Speaker 1: not made in very different sizes, so for some people
• 51:47
  Speaker 1: they just will not work for them, And those can
• 51:50
  Speaker 1: cost up to like thirteen hundred dollars. So again, it
• 51:54
  Speaker 1: can still cost nearly twice as much as of aasectomy
• 51:58
  Speaker 1: to get something that is more invasive, more painful, doesn't
• 52:02
  Speaker 1: last as long, has worse side effects, and may not
• 52:05
  Speaker 1: even work for some people at all, versus have assect
• 52:08
  Speaker 1: to me that definitely will. And so again it's like
• 52:14
  Speaker 1: I can't even like, I don't know where the argument
• 52:16
  Speaker 1: lies here anymore. I'm like, for those of you men
• 52:20
  Speaker 1: out there who are the ones who are concerned about
• 52:23
  Speaker 1: who are you and your partner have decided you're either
• 52:26
  Speaker 1: not having any kids or not having any more kids
• 52:28
  Speaker 1: wherever you're at on that, and as a plan, you're
• 52:30
  Speaker 1: moving forward with and your partners on some form of
• 52:33
  Speaker 1: birth control. Man up and snip your testicles, Like, it's fine,
• 52:39
  Speaker 1: you will be fine, Your life will get better. It
• 52:41
  Speaker 1: is less burdened on your partner, it is less expensive,
• 52:43
  Speaker 1: has less side effects, is extremely effective as an outpatient procedure.
• 52:47
  Speaker 1: It costs. I mean, there's just literally no benefit to
• 52:51
  Speaker 1: having the women carry the burden of this when it
• 52:54
  Speaker 1: is so much cheaper, easier, if more equally effective, and
• 52:58
  Speaker 1: with minimal side effects for men. Like, just come on, guys,
• 53:01
  Speaker 1: man up, Like, yeah, if you're planning to have children,
• 53:05
  Speaker 1: obviously don't do that. But like, if you aren't planning
• 53:07
  Speaker 1: to have children, just go go out there and like
• 53:09
  Speaker 1: get this done.
• 53:10
  Speaker 2: Just do it. Like, and the recovery time is so easy.
• 53:12
  Speaker 3: You get to lay in bed with a nice pack
• 53:15
  Speaker 3: on your testicles, you get to read books, watch movies
• 53:18
  Speaker 3: if you want to snack, and it's it's easy. It's
• 53:22
  Speaker 3: such an easy recovery. Like, yeah, it can be a
• 53:25
  Speaker 3: little bit uncomfortable for a day or two, but that's.
• 53:28
  Speaker 1: It forever, exactly right. Yeah, that is another thing I
• 53:32
  Speaker 1: like to say is I'm like, you basically have an
• 53:33
  Speaker 1: excuse to spend a weekend where all you do is
• 53:36
  Speaker 1: lay on the couch and watch TV and everyone just
• 53:39
  Speaker 1: brings you stuff, like they just wait on you and
• 53:43
  Speaker 1: they're like, here's the food you wanted, and like relax,
• 53:46
  Speaker 1: take it easy, don't do anything, and it's it's great.
• 53:49
  Speaker 1: And then after that you go back to having a
• 53:51
  Speaker 1: normal life and then you get to have all of
• 53:53
  Speaker 1: the all the kind of sexulations with your partner that
• 53:56
  Speaker 1: you would like to have unmitigated by other things that
• 53:59
  Speaker 1: my get in the way.
• 54:01
  Speaker 2: Right exactly, you nailed it.
• 54:03
  Speaker 1: Okay, Well, I think that is about what we have
• 54:06
  Speaker 1: to say for vasectomies. We are huge advocates of this
• 54:10
  Speaker 1: and for all the all of the reasons that we described.
• 54:12
  Speaker 1: It is just it is such a better way to
• 54:16
  Speaker 1: go about dealing with contraception. And like if you and
• 54:19
  Speaker 1: your fragile ego or the person that again, our listeners
• 54:23
  Speaker 1: are not the people who are the intended audience for
• 54:25
  Speaker 1: our ir here, but for the people out there who
• 54:28
  Speaker 1: you know who have their fragile little male ego of
• 54:31
  Speaker 1: Liken King is in Dreamily Booms. I'm like, look, try
• 54:35
  Speaker 1: and communicate all the things to them that we have
• 54:37
  Speaker 1: talked about in here. Yeah, and like and if this
• 54:40
  Speaker 1: and if you are one of those people, like try
• 54:42
  Speaker 1: and listen to the message we're telling you here, Like
• 54:45
  Speaker 1: if you're not planning on having children, you should be
• 54:47
  Speaker 1: the one to take care of the contraception side of this.
• 54:50
  Speaker 2: It's such a compassionate way to go about this.
• 54:53
  Speaker 1: It is if you're not sure, then like wait, that's fine,
• 54:56
  Speaker 1: Like you don't have to do it tomorrow. But like,
• 54:59
  Speaker 1: for there are so oh so so many people who
• 55:01
  Speaker 1: are in relationships where they know that they're done with
• 55:05
  Speaker 1: the child having journey part of their lives, and they're
• 55:08
  Speaker 1: still having their partner be the one carry the burden
• 55:10
  Speaker 1: of contraception, and I just say, like stop it, like
• 55:14
  Speaker 1: go a better direction here.
• 55:15
  Speaker 2: Oh you nailed it. Okay, that was a perfect take
• 55:18
  Speaker 2: on point great.
• 55:19
  Speaker 1: Well, that was more colorful of an episode than we
• 55:24
  Speaker 1: tend to do. So if you made it through the
• 55:26
  Speaker 1: whole thing, then happy to have you here. Very glad
• 55:28
  Speaker 1: of course, always to have our audience. And we are
• 55:31
  Speaker 1: actually going to end by recommending some things unrelated to
• 55:35
  Speaker 1: vas ectomies or sex in anyway, I think, but we're
• 55:38
  Speaker 1: going to recommend those things anyway, But first we are
• 55:40
  Speaker 1: going to get through through some credits, and first we're
• 55:43
  Speaker 1: going to get through some ads. Okay, we're going to
• 55:53
  Speaker 1: recommend some things here in just a moment, But first
• 55:55
  Speaker 1: I would like to think my team of people who
• 55:56
  Speaker 1: help make this show happen writing and fact checking from Shane,
• 56:00
  Speaker 1: Katie and myself. Our social media coordinator is Emma Wilson.
• 56:04
  Speaker 1: The guy in the chair who does all of our
• 56:06
  Speaker 1: audio engineering is Justin And thank you all for listening
• 56:10
  Speaker 1: very very much. In addition, if you like to support
• 56:12
  Speaker 1: the show, you can pick up some merch by going
• 56:14
  Speaker 1: over to our merch store and we have coffee mugs,
• 56:16
  Speaker 1: and hoodies and beanies and all kinds of stuff and
• 56:18
  Speaker 1: stickers and whatnot. Or if you don't want to spend
• 56:21
  Speaker 1: money there, you can set up to be a subscriber
• 56:23
  Speaker 1: to our podcast, and in doing so, not even just
• 56:26
  Speaker 1: to the feed, but a subscriber to like a membership club.
• 56:29
  Speaker 1: And when you do that, you get all kinds of
• 56:31
  Speaker 1: behind the scenes content and additional content such as ad
• 56:34
  Speaker 1: free episodes, early episodes and other things of that nature.
• 56:37
  Speaker 1: And what I do is I look at that list
• 56:40
  Speaker 1: of beautiful, wonderful people who have helped make this show
• 56:43
  Speaker 1: happen and I read your name, and here's a list
• 56:45
  Speaker 1: of those names, Mike, m Megan, Mike T, Justin, Kim Brad, Stephanie, Olivia, Brian, Ashley, Kiara,
• 56:52
  Speaker 1: and Michelle. Thank you all for your continued support. You
• 56:54
  Speaker 1: are amazing and wonderful and we really appreciate you.
• 56:57
  Speaker 2: Would love you so much.
• 56:58
  Speaker 1: And if you join that group of people, I will well,
• 57:00
  Speaker 1: I will read your name in addition to that, and
• 57:03
  Speaker 1: I love reading people's names, so give me something to
• 57:05
  Speaker 1: read and I'm happy about that. If you don't want
• 57:07
  Speaker 1: to support us financially, as I mentioned at the top,
• 57:09
  Speaker 1: you can leave us a rating and a review that
• 57:11
  Speaker 1: helps it be more likely that will show up in
• 57:13
  Speaker 1: people's algorithms. You can also subscribe to make sure you
• 57:16
  Speaker 1: never miss our episodes, just for through whatever feed thing
• 57:19
  Speaker 1: you have, and of course sharing us by word of mouth,
• 57:21
  Speaker 1: just telling someone, hey, you should listen to this cool
• 57:23
  Speaker 1: podcast about testicles. That's a really great way to help
• 57:26
  Speaker 1: us spread the word as well. Yes, now, did I
• 57:30
  Speaker 1: forget anything or is there anything you like to add
• 57:31
  Speaker 1: before we recommend things?
• 57:33
  Speaker 2: Go go to protectomy.
• 57:35
  Speaker 1: Indeed, indeed, all right, let's recommend some stuff.
• 57:46
  Speaker 2: Recommendations.
• 57:48
  Speaker 3: All right, So I'm going to recommend a local bakery.
• 57:52
  Speaker 3: It's in Orlando, and it's gotten some chatter because it
• 57:55
  Speaker 3: kind of went viral because it's in Disney Springs. But
• 57:58
  Speaker 3: it is its own thing. It is not a Disney
• 58:01
  Speaker 3: owned business. It is its own thing, and it's a
• 58:04
  Speaker 3: place called Dideon's bake House.
• 58:06
  Speaker 2: The decor is very cool.
• 58:08
  Speaker 3: It feels like it could be like kind of like
• 58:10
  Speaker 3: a gothy library, kind of like maybe Harry Potter type
• 58:14
  Speaker 3: of feel. But these cookies are a half a pound each.
• 58:18
  Speaker 1: WHOA, that's a heavy cookie after they're baked.
• 58:21
  Speaker 2: Yes, and they are all delicious.
• 58:25
  Speaker 3: So just as a couple of examples, they have a
• 58:27
  Speaker 3: peanut butter crunch cookie, which like if you look at
• 58:29
  Speaker 3: these cookies, they look like they're just like like as
• 58:32
  Speaker 3: many chocolate chips as you could put on a cookie.
• 58:34
  Speaker 3: They've put on and in this cookie. And they do
• 58:37
  Speaker 3: these specialty cookies. My favorite right now is the pistachio
• 58:40
  Speaker 3: toffee chocolate chip. They have a banana bread chocolate chip
• 58:43
  Speaker 3: one which is really good, dark coffee cake. They've got
• 58:46
  Speaker 3: pumpkin bread, and they just as of today the time
• 58:49
  Speaker 3: of this recording, released a cookie that is called the
• 58:52
  Speaker 3: Kris Kringle cookie, which is a white chocolate chip cookie
• 58:55
  Speaker 3: filled with complex mixture of flavors like coconut, caramel, and vanilla.
• 59:00
  Speaker 3: They add freshly ground coffee beans throughout the cookie. It
• 59:03
  Speaker 3: looks awesome. And then there's course sugar on top like
• 59:06
  Speaker 3: a sugar cookie as well. So the amount of things
• 59:08
  Speaker 3: they do at this place are absurd. Wow, it is lovely,
• 59:12
  Speaker 3: it is wonderful. And if you can't get to Disney Springs,
• 59:15
  Speaker 3: they do have a location at a local market in
• 59:17
  Speaker 3: Orlando called the East End Market, which that place rules
• 59:20
  Speaker 3: as well. Bonus recommendation there and so you should check
• 59:23
  Speaker 3: it out. It's called Gideon's bake House.
• 59:25
  Speaker 1: I assuming they have then some vegan options and some
• 59:27
  Speaker 1: gluten free options and whatnot.
• 59:29
  Speaker 2: Nope, Okay, I don't think that they do. I have
• 59:35
  Speaker 2: not seen that they do. It's possible they do, but
• 59:39
  Speaker 2: they I wish they did. I don't know. So you
• 59:42
  Speaker 2: can write to them and ask them to do that.
• 59:44
  Speaker 2: I guess yeah.
• 59:45
  Speaker 1: No one would be able to tell the difference because
• 59:47
  Speaker 1: there's I mean, gluten for you can, but vegan cookies
• 59:50
  Speaker 1: no one, No one can tell the difference. By the way,
• 59:52
  Speaker 1: for our metric friends, half a pound is about two
• 59:54
  Speaker 1: hundred and twenty six grams. Closer to two hundred and
• 59:57
  Speaker 1: twenty seven. But yeah, for those who wanted to note,
• 1:00:00
  Speaker 1: so it's a very large piece. Yes, okay, I'm recommending
• 1:00:05
  Speaker 1: a short story that is a part of a collection
• 1:00:08
  Speaker 1: of six short stories. So there is a collection of
• 1:00:11
  Speaker 1: these stories called Forward, which was curated by author Blake Crouch,
• 1:00:15
  Speaker 1: who we have mentioned very recently. You have recommended on
• 1:00:18
  Speaker 1: this podcast, and Blake Crouch wrote one of the six stories,
• 1:00:22
  Speaker 1: but he cobbled together some of the most brilliant sci
• 1:00:26
  Speaker 1: fi and mostly sci fi. I mean, you could argue
• 1:00:31
  Speaker 1: fantasy like there's elements of fantasy, it's fiction. Some of
• 1:00:33
  Speaker 1: the best fiction authors of our time to write these
• 1:00:36
  Speaker 1: six short stories. I read one of them, but I'm
• 1:00:39
  Speaker 1: going to read the rest of them because i am
• 1:00:42
  Speaker 1: very inspired by the list of authors. But I'm going
• 1:00:44
  Speaker 1: to only recommend the one that I did read so far.
• 1:00:47
  Speaker 1: And this is called Randomize by Andy Weir. It can
• 1:00:50
  Speaker 1: be purchased separately. It's available as an ebook. Andy Wher
• 1:00:54
  Speaker 1: is the author of The Martian and Artemis and Projectail Mary.
• 1:00:57
  Speaker 1: Amazing sci fi author, probably my favorite sci fi author
• 1:01:02
  Speaker 1: all the stories are these sort of futuristic sci fi stories.
• 1:01:05
  Speaker 1: Randomize to not give too much away because it is
• 1:01:08
  Speaker 1: a short story, but it basically has to do with
• 1:01:10
  Speaker 1: quantum computing and gambling and is a very interesting, fun
• 1:01:16
  Speaker 1: little read and is really quick. It's one of the
• 1:01:18
  Speaker 1: shortest stories in the whole book actually, so or in
• 1:01:21
  Speaker 1: the whole series of the six books that were collected
• 1:01:24
  Speaker 1: for this, or stories that were collected for this. So anyway,
• 1:01:27
  Speaker 1: if you're into Andy Weir, if you like gambling and
• 1:01:30
  Speaker 1: sci fi and quantum computing, then I think you'll really
• 1:01:33
  Speaker 1: enjoy reading Randomized. And if you just like good storytelling,
• 1:01:36
  Speaker 1: Andy Wheer is fantastic, so Randomize is really good. Yes,
• 1:01:39
  Speaker 1: but I'm definitely going to check out the rest of
• 1:01:41
  Speaker 1: the authors because they're fantastic, And actually I'll just go
• 1:01:43
  Speaker 1: ahead and read through the list really quick. The list
• 1:01:45
  Speaker 1: of authors includes Veronica Roth, Blake Crouch, n K. Jemison.
• 1:01:49
  Speaker 1: I'm gonna maybe butcher this. I think it's Aimer Towels
• 1:01:53
  Speaker 1: or a more Towels, and then Paul Tremblay and Andy
• 1:01:56
  Speaker 1: Weir are the six authors that contributed to this series
• 1:01:59
  Speaker 1: of short stories.
• 1:02:00
  Speaker 2: It seems like a good collection.
• 1:02:02
  Speaker 1: Yeah, all right, But that's what I have to say
• 1:02:05
  Speaker 1: about Andy Weir, and I think that's what we have
• 1:02:08
  Speaker 1: to say about vas ectomies. If you have your own
• 1:02:10
  Speaker 1: vassectomy stories that would like to reach out and tell
• 1:02:13
  Speaker 1: us something about vas sectomies or contraception, we are happy
• 1:02:16
  Speaker 1: to hear from people on these various topics. You can
• 1:02:18
  Speaker 1: reach us directly by emailing us at info at wwdwwdpodcast
• 1:02:22
  Speaker 1: dot com. You can also reach us on the social
• 1:02:25
  Speaker 1: media platforms. We're now on blue Sky and are active
• 1:02:28
  Speaker 1: there since that seems to be a really cool home
• 1:02:31
  Speaker 1: for cool people to hang out and talk about interesting,
• 1:02:33
  Speaker 1: fun things, and I'm seeing a ton of science and
• 1:02:36
  Speaker 1: part of that is because it's pretty easy to curate
• 1:02:39
  Speaker 1: your own sort of feed on this site, which is
• 1:02:42
  Speaker 1: really neat, and I think they've done a really good
• 1:02:43
  Speaker 1: job setting it up. So I'm optimistic about the future
• 1:02:47
  Speaker 1: of social media on Blue Sky and what that might entail.
• 1:02:51
  Speaker 1: Matter of fact, that maybe should be my recommendation in
• 1:02:53
  Speaker 1: the future. But anyway, we're over there and on the
• 1:02:57
  Speaker 1: other social media platforms as well. You can reach us there. Otherwise,
• 1:03:00
  Speaker 1: I think I've said all the things that I wanted
• 1:03:01
  Speaker 1: to say about this. Thank you so much for listening.
• 1:03:03
  Speaker 1: Thank you for recording with me today, Shane, a great
• 1:03:06
  Speaker 1: job on these notes.
• 1:03:07
  Speaker 2: Hey, thanks, Is there.
• 1:03:08
  Speaker 1: Anything else you'd like to add or that I forgot
• 1:03:10
  Speaker 1: before we wrap up?
• 1:03:11
  Speaker 2: If I didn't say it before, get it a sect
• 1:03:13
  Speaker 2: to me?
• 1:03:14
  Speaker 1: Yes, get me, and that's what we'll end on. This
• 1:03:17
  Speaker 1: is Abraham, this is Shane. We're out see it.
• 1:03:21
  Speaker 2: You've been listening to Why We Do What We Do.
• 1:03:23
  Speaker 1: You can learn more about this and other episodes by
• 1:03:26
  Speaker 1: going to WWDWWD podcast dot com. Thanks for listening, and
• 1:03:31
  Speaker 1: we hope you have an awesome day