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Men's health is a growing field. Dr. Sheldon Marks shares advice and information on men's health issues, from prostate problems to hair loss, as well as fitness and nutrition.

Wednesday, April 01, 2009

Vasectomies Up as the Economy Goes Down?
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Reevaluating family in challenging times...

Widespread concerns about the economy and job security have recently generated news stories about an increase in men requesting vasectomies. According to a recent report on CNN, there is anecdotal evidence that the number of men getting vasectomies is going up as the economy is going down. With this in mind, I looked back at my own practice and spoke to a number of urologists. For many, it does seem that more men are requesting vasectomy. This fits with what we know about past drops in childbirth rates during tough economic times. When money is tight, limiting family size is a common theme. After all, raising a child is not cheap.

There are some that actually believe just the opposite - that there has been an actual downtrend in the number of vasectomies they have performed over the past months. Patients have relayed concerns over money and the cost of the procedure and even the co-pay, forcing many to actually delay their planned vasectomy for now.

I have seen an increase in both vasectomies and vasectomy reversals in my own practice over the past 6 months. Many of my patients are worried about the economy and how this will impact on their personal finances. These concerns have made many couples rethink their own home situation. As fears increase, it appears that families are turning inwards. Some parents feel they are complete and so opt for permanent sterilization via vasectomy. For others this introspection leads to a different conclusion. Some that have had a vasectomy realize that they do want more children and so move ahead with a vasectomy reversal.

It makes sense that when money gets tight, families will move inward towards each other - either to say "our family is complete" and choose a vasectomy or if feel they want more children, then a vasectomy reversal becomes the next step. Whichever direction couples move, these challenging financial times are making everyone reevaluate their lives, their goals and what really is important - their families.

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Posted by: Sheldon Marks, MD at 9:09 AM

3 Comments:

Anonymous Anonymous said...

I am 50 years old women. At the age of 38 I had a hysterectomy (right ovary and uterus removed). For the past 4 years I have suffered from upper right side pain and UTI. Lately, I don’t feel the greatest everyday. I feel tired and slightly pain on my lower right side. I have had test after tests, MRI, CT ultrasound of the pelvis, cystohydrodilation on my urethrea, and no diagnosis of why all the pain, blood is still there and suffering of numerous urinary tract infections. Doctors say a person shouldn’t have as many as I do in a year. Whether, there’s an infection or not I have chronic blood in my urine. I’ve gone to visit urologists and nothing has been found yet. I swell up and feel tired of going through all the pain in my back, side and lower pelvic area, I have taken cipro antibiotics to help get rid of the infection, but pain and blood is still there. The urine test done on Jan 9, 2009 result read as followed: Specific Gravity 1.023. PH 6.0. Urine color-yellow. Appearanc-Cloudy (abnormal). WBC Esterrase 3+ (abnormal). Protein – negative. Glucose –negative. Ketones- negative. Occult blood – 2+ (abnormal). Bilirubin- negative. Urobilininogen, Semi-Qn 0.2. nitrite, urine- negative wbc- 11-30 (abnormal). Rbc 4-10 (abnormal). Epithelial cells (non renal) 0-10. Crystals present (abnormal). Amorphous sediment. Bacteria-few. Nuclear matrix protein 22. Nmp22- 43.5 u/ml. Treatment management Normal <6.0. borderline 6.0-10.0. positive: >10.0. Diagnostic Use: negative: <7.5 and positive: >7.4. A copy of the last result was given to me and the doctor said not to worry. This week I visited the doctor again due to pain and the doctor gave me prescription of Cipro again and suggested that I go for another NMP22 urine testing. Can you please advise what should I do next?

Your advice and recommendations will greatly be appreciated.

Apr 16, 2009 10:33:00 PM  
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Apr 19, 2009 10:35:00 AM  
Anonymous Julia Gray said...

Just a reminder and encouragement for all men. Please have your Prostate checked. Women encourage the men in you life to have this done.

Oct 11, 2009 1:55:00 PM  

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