Nothing is 100% but abstinence, but a vasectomy is highly effective. They are 99 to 99.5% effective at preventing pregnancy. Once a vasectomy is performed, it takes a few weeks to take effect; the patient must masturbate or have sex several times into a condom to rid the body of sperm, so until this period is over, and the sperm count has been verified, you must have protected sex in order to prevent pregnancy. But once this has been done, it is very effective. It is 99.5% effective, which is the best out there. Over 80% of pregnancies reported after the danger period post-vas is over are not genetically related to the man who has had the vasectomy.
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