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I had a vasectomy in my 20s after the trauma of my sons' births

I had a vasectomy in my 20s after the trauma of my sons' births

Summary

Alex West and Sam Knight chose to have vasectomies in their 20s after difficult experiences related to fatherhood. Vasectomies are a surgical procedure that prevents pregnancy by blocking sperm from leaving the testicles. More men in England and elsewhere are choosing the procedure, although younger men may face extra questions from doctors to confirm their choice.

Key Facts

  • Alex West had a vasectomy in his late 20s after traumatic experiences with his sons’ births and postnatal depression.
  • A vasectomy involves cutting and sealing the tubes (vas deferens) that carry sperm.
  • NHS England data shows 26,385 vasectomies were performed in 2024-25, a 16% increase from the previous year.
  • Men aged 35-39 had the highest number of vasectomies, but more men under 30 are also choosing the procedure.
  • Sam Knight, aged 22, decided on a vasectomy after his then-partner’s pregnancy ended in abortion.
  • Doctors often ask younger men if they are sure about the decision because vasectomies are meant to be permanent and reversals are expensive and not always successful.
  • Both men found the procedure quick and relatively painless.
  • Increasing numbers of men are choosing vasectomy to take responsibility for contraception.
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