Article Data

  • Views 878
  • Dowloads 146

Original Research

Open Access

A nationwide analysis of hormonal contraception, sterilisation surgeries and reversal practices amongst Australian men and women from 2001 to 2021

  • Brian Ng Hung Shin1,*,
  • Handoo Rhee1
  • Eric Chung1

1Department of Urology, Princess Alexandra Hospital, 4102 Brisbane, QLD, Australia

DOI: 10.22514/jomh.2023.080 Vol.19,Issue 9,September 2023 pp.1-7

Submitted: 24 December 2022 Accepted: 14 March 2023

Published: 30 September 2023

*Corresponding Author(s): Brian Ng Hung Shin E-mail: Brianpaul.nghungshin@health.qld.gov.au

Abstract

Family planning falls within the spectrum of care within our medical society. We sought to illustrate changes in contraceptive methods over time and evaluate tubal ligation and vasectomy reversal practices in Australia. Yearly data from 2000 to 2021 was extracted from 3 databases: Pharmaceutical Benefits Schedule, Medicare Benefit schedule and Australian Institute of Health and Welfare databases. Population adjusted rates of procedures and medical therapies were calculated using data from Australian Bureau of statistics. Use of Long acting reversible contraception (LARC) has increased by 34.1% from 2001 to 2021, with Mirena being the preferred contraception. The peak age group for tubal ligation during caesarean section was those >35-year-old (64.7%) whereas vasectomy more commonly performed in men aged 35–44. There was a 21.6% decrease in the number of vasectomies over time from 2000–2020. Female surgical sterilisation:vasectomy ratio shows tubal ligation was twice more common than vasectomy. Both macro/microsurgical anastomosis of the vas deferences were conducted: vasovasostomy (VV) and vasoepididymostomy (VE). There was a preponderance in the use of microsurgical approach for VV. Reversal mostly common occurred in those aged 40–44 at 29%. Overall, the rate of vasectomy is continuously falling over time whilst there is a steady incline in the use of LARC from 2020–2021. Both vasovasostomy and vasoepididymostomy reconstruction are practised. Although definitive conclusion from the literature lags, “real-world” trend indicate that micro-surgically conducted vasovasostomy might be the better surgical technique for desired patient outcomes.


Keywords

Vasectomy; Contraception; Reversal practices; Sterilisation procedures; Vasovasostomy; Vasoepididymostomy; Tubal ligation


Cite and Share

Brian Ng Hung Shin,Handoo Rhee,Eric Chung. A nationwide analysis of hormonal contraception, sterilisation surgeries and reversal practices amongst Australian men and women from 2001 to 2021. Journal of Men's Health. 2023. 19(9);1-7.

References

[1] Haakenstad A, Angelino O, Irvine CMS, Bhutta ZA, Bienhoff K, Bintz C, et al. Measuring contraceptive method mix, prevalence, and demand satisfied by age and marital status in 204 countries and territories, 1970–2019: a systematic analysis for the global burden of disease study 2019. The Lancet. 2022; 400: 295–327.

[2] Kimport K. More than a physical burden: women’s mental and emotional work in preventing pregnancy. The Journal of Sex Research. 2018; 55: 1096–1105.

[3] Zhang X, Eisenberg ML. Vasectomy utilization in men aged 18–45 declined between 2002 and 2017: results from the United States national survey for family growth data. Andrology. 2022; 10: 137–142.

[4] Ostrowski KA, Holt SK, Haynes B, Davies BJ, Fuchs EF, Walsh TJ. Evaluation of vasectomy trends in the United States. Urology. 2018; 118: 76–79.

[5] Wydera S, Wilson A. A 16-year overview of vasectomy and vasectomy reversal in the United Kingdom. AJOG Global Reports. 2022; 2: 100105.

[6] Hoga LA, Rodolpho JR, Sato PM, Nunes MC, Borges AL. Adult men’s beliefs, values, attitudes and experiences regarding contraceptives: a systematic review of qualitative studies. Journal of Clinical Nursing. 2014; 23: 927–939.

[7] Sharma V, Zargaroff S, Sheth KR, Le BV, Dupree JM, Sandlow JI, et al. Relating economic conditions to vasectomy and vasectomy reversal frequencies: a multi-institutional study. Journal of Urology. 2014; 191: 1835–1840.

[8] Australian Bureau of statistics. A decade before and after the global financial crisis: sectoral analysis. 2019. Available at: https://www.abs.gov.au/statistics/research/decade-and-after-global-financial-crisis-sectoral-analysis (Accessed: 26 September 2022).

[9] Australian Bureau of Statistics. Measuring the impacts of COVID-19. 2020. Available at: https://www.abs.gov.au/covid-19 (Accessed: 26 September 2022).

[10] Duijn M, van der Zee JA, Bachour Y. Outcomes of macrosurgical versus microsurgical vasovasostomy in vasectomized men: a systematic review and meta-analysis. SN Comprehensive Clinical Medicine. 2021; 3: 2193–2203.


Abstracted / indexed in

Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,200 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.

Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.

Directory of Open Access Journals (DOAJ) DOAJ is a unique and extensive index of diverse open access journals from around the world, driven by a growing community, committed to ensuring quality content is freely available online for everyone.

SCImago The SCImago Journal & Country Rank is a publicly available portal that includes the journals and country scientific indicators developed from the information contained in the Scopus® database (Elsevier B.V.)

Publication Forum - JUFO (Federation of Finnish Learned Societies) Publication Forum is a classification of publication channels created by the Finnish scientific community to support the quality assessment of academic research.

Scopus: CiteScore 0.9 (2023) Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.

Norwegian Register for Scientific Journals, Series and Publishers Search for publication channels (journals, series and publishers) in the Norwegian Register for Scientific Journals, Series and Publishers to see if they are considered as scientific. (https://kanalregister.hkdir.no/publiseringskanaler/Forside).

Submission Turnaround Time

Conferences

Top