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Compare Birth Control methods

Browse every side-by-side birth control comparison, or select methods from the list to compare your own combination.

Side-by-side comparison

Method
Vasectomy

Vasectomy

A permanent outpatient procedure that blocks the vas deferens so sperm cannot enter the semen.
Second Method

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Efficacy99.85% typical use

Most effective: over 99 out of 100 people successfully prevent pregnancy per year.

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Cost$0–$3,500

Insurance: Usually

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DurationPermanent—
ReversibilityPermanent—
STI ProtectionNo—
How it works

A clinician cuts, seals, or blocks the vas deferens so sperm cannot mix with semen during ejaculation. The body absorbs the sperm, and the semen remains normal in appearance and volume.

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PrescriptionOTC Procedure (in-person)—
Side effects
  • Mild pain or swelling for a few days
  • Bruising or bleeding at the site
  • Sperm granuloma (small lump, usually harmless)
  • Chronic post-vasectomy pain syndrome (rare, 1-2%)
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Who shouldn't use this
  • Uncertainty about future fertility desires
  • Active local or systemic infection
  • Bleeding disorder
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