A study of vasectomy physicians in East Pakistan
Huda, N.; Ratcliffe, J.W.; Croley, H.T.
Pakistan Journal of Family Planning 3(2): 60-74
1969
PMID: 12304787 Document Number: 514280
30 vasectomy physicians were interviewed in 24 sample clinics in the districts of Dacca, Mymensingh, and Noakhali in East Pakistan in the first quarter of 1968. The percentages of physicians stating that clients asked about possible loss of sexual potency, procedure, fee, and effect on working ability were 76%, 40%, 20%, and 10%. Physicians reporting they tell their clients that vasectomy stops further childbirth and that the method is irreversible were 86.6% and 53.3%. 100% of the physicians claimed to give postoperative instructions such as abstention from heavy work (60%), abstention from sexual intercourse (53%), and use of contraceptives (36%). In an associated study, 81% of clients reported they received postoperative instructions. Percentages of physicians rejecting clients because of old age, lack of issue, disease, and underage were 87%, 50%, 43%, and 36%. 50% of the physicians said 1% of clients report back with postoperative complaints. In an associated study 29% of clients said they had reported back. Comparative reports of physicians (this study) and clients indicate about 71% of clients experienced no postoperative difficulties; postoperative complications were usually immediate and temporary. Since patients sometimes disobey the physician's rule of intercourse abstention, the temporary use of contraceptives should be stressed.