I think you missed my point.
My point is that its not a good option for wide spread adoption. Not a good option as a default for men. And has serious drawbacks when looking at it from a population and public health standpoint. It’s not an equivilent to the pill, IUDs, implants, rings, and patches available for women.
Not that it doesnt work.
The chief drawback is that its expensive. However minor vasectomy is a surgery. It requires a doctors visit, referal, follow up visits. And periodic monitoring to check that it took and hasn’t spontaneously reversed. So functionally. You arent getting a vasectomy without deep pockets or health insurance.
And however comparatively rare failures and spontaneous reversals are. They’re difficult to detect. When a condom breaks, or you miss a pill, or your IUD expires. You know. You can pick up a morning after pill if need be. Or get that shit resituated. Unless you’re monitoring sperm count and happen to catch it. With a vasectomy your walking around fertile and don’t known it. A small chance for you as an individual. But across millions of men, a problem from the minimizing unwanted pregnancies stand point.
Deliberate reversal is enough of a “probably but not always” that this isn’t considered reversable birth control. It was never intended to be reversable, and it isnt treated as such. So the fact that we can often reverse it is more about in case you change your mind. Than it is about you should plan on it.
Any given individual can weigh the pros and cons. Shortcomings and complications against the effectiveness and their own situation. And it very well may work for them, and be a good fit.
But taken as a strategy for large groups of people to engage in that whole family planning thing. Vasectomies are of pretty limited use. Just like tubal ligation. And just about noone is gonna say “Hey men! Take responsibility for your own reproductive health. Get a vasectomy!”.
