
It is my job to keep myself on the very forefront of knowing and understanding the latest medical technology as it becomes available. Amazing advances that significantly improve human life on this planet are happening nearly every day. But when it comes to medicine and how it applies itself to sex, pleasure, and reproduction (or avoiding reproduction) I am often sad how little there is to report.
My whole life I've been waiting for a viable, temporary male contraceptive and I am utterly shocked that we cannot seem to figure out how to keep sperm from flowing out the end of a penis without permanently severing, tying, and cauterizing the vas deferens. I got really excited by the VasClip, and even some crazy ideas that came out of Canada about placing glue in the vas deference that would block sperm flow until the patient had it surgically removed. Alas, we've found that even while restoring the function of the vas deferens isn't a problem, even for traditional "cut and burn" vasectomies, keeping the patient's body from learning how to destroy its own sperm is. As it turns out, not allowing your sperm to leave can cause your body to begin fighting it off with its immune system as though it were a virus. So, no vas deferens blocking methods are going to be FDA approved until the return to potency efficacy is ~100%
So in with the hormones, which I'm not a fan of for men or for women. Jade can be an awfully mean person when she's on oral birth control and she can turn on you on a dime. One minute you are hanging out enjoying pleasant conversation and the next you are crawling around on the floor chasing your testicles that she cut off midway through her last sentence. The hormones that seem to work pretty well for male contraception is one we all know too well, testosterone. It is the stuff that makes men manly and hairy and smelly and all that stuff. When given in relatively high doses to men via subdural injection, it sends a message to the testicles which sounds something like this. "We got plenty of testosterone already, shut down all testicular operations. Thanks for your cooperation." Then the patient's gonads just take a long nap until testosterone levels in the blood drop to unacceptable levels. While I'm sure that you and I can think of plenty of reasons why this is a horrible idea, I'm certain that this will be the continued strategy of drug companies who are looking for a way to market to people trying to not have ugly babies.
So bring on the sterilization for those who never want ugly babies or for those who have had enough cute ones and don't want to take the risk of


My favorite thing about copper IUDs is that the manufacturers don't know, or more accurately claim to not know how they prevent pregnancy. Listen to the Dr. Bloom video on this web page ParaGard isn't a barrier like a condom or a diaphragm…" "It works primarily by blocking sperm from reaching the egg and fertilizing it." Does anyone else find these two statements contradictory? Later in the video she can be quoted saying, "It sounds pretty easy, right? It is." The reason that I find this bit of corporate fast handing so interesting is that they don't want to admit that it is very likely that sperm is fertilizing the eggs but because you've got a coper wire in your uterus, your body is going to kick that egg out like a star destroyer jettisons its trash before it jumps to light-speed. Only Boba Fett is wise enough to know the difference and most of the pro-life nut-cases aren't nearly crafty enough to start chanting and making posters that say, "IUDs are an abortion a month!" So I say, rock on with the careful wordplay and pretending to not understand something that may upset crazy people.
For female sterilization, tubal ligation has been used for the past 80 years to keep sad situations like the Duggars from becoming reality TV shows. It works but let's be very clear, it is no minor medical procedure, it is major surgery requiring the patient to undergo general anesthesia. if you are getting one because your partner is to wimpy to get a vasectomy, please give me his approximate location and I'll kick him in the balls hard enough where it may not be a concern for you any longer. Luckily, advancements in laparoscopic surgical tools made it possible to perform a very effective female sterilization without even making an incision. The Essure implant is a small coil that is inserted through the vagina, cervix, uterus, and finally the fallopian tube where it stays. With in a few months it bioincorporates itself like the Borg and causes a scar to form blocking your eggs from ever seeing the light of day, much less one of those vicious chromosome carrying sperm.