JAKARTA The responsibility for regulating birth distances is almost always borne by women. This logic makes contraceptive figures in men, including the vasectomi, very low.
Vasektomi was in the spotlight in the past few months after West Java Governor Dedi Mulyadi made this contraception a condition for receiving social assistance (bansos).
However, the discourse became controversial. Komnas HAM Chairman Atnike Nova Sigiro emphasized that the vasectomi is a personal right that should not be forced, let alone a requirement for social assistance.
The West Java Indonesian Ulema Council (MUI) also called the vasectomi haram if it was carried out without syar'i reasons.
On the other hand, the vasectomi is still considered taboo among the wider community. Vasektomi is said to have a number of side effects for men, ranging from influencing sex passion and performance, to risk causing disease.
The Family Planning Program (KB) to reduce birth rates and build a more quality family is actually a shared responsibility, namely men and women. But in reality, so far the responsibility of preventing pregnancy is more on the shoulders of women.
According to research by the National Population and Family Planning Agency (BKKBN) or now the Ministry of Population and Family Development (Kemenduk bangga), women are more active in contrast, reaching 96.7 percent, while men are only 3.3 percent.
This is in line with the 2018 Basic Health Research Data (Riskesdas) which states that two choices of male contraception, namely condoms and vasectomi, are the most rarely used types of contraception.
It is stated that the popularity of condoms and vasectomi is at the bottom two. Vasektomi ranks last (0.2 percent) after the male condom, at 1.1 percent. The rest is a means of contraception for women.
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The most widely used modern contraceptions are 3 months of hormonal injection (42.4 percent). The second most popular order is contraceptive pills (8.5 percent) and IUD / AKDS / Spial (6.6 percent). In addition to the three types of contraception, Indonesian women are also commonly used with 1 month hormonal injections (6.1 percent), KB implants / fertilizers (4.7 percent), and tubektomi (3.1 percent).
In general, contraceptives work tools are blocking sperm so they don't meet egg cells. Men's contraception is programmed to reduce sperm to close to azoosperm, or there are no sperm in ejaculation during orgasm.
Vasektomi has proven to be the most effective in controlling pregnancy. The United States Department of Health and Humanitarian Services said male condoms had a failure rate of 11-16 percent, while the vasectomi was only less than 1 percent.
Erologist Nur Rasyid also said the same thing. He emphasized that the vasectomi had been proven to be 99 percent effective in preventing unplanned pregnancy. In addition, according to him, the vasexomi procedure is lighter, without risk, and will not interfere with the erectile process at all.
Although the vasectomi is certain to be safe, there are still many men who hesitate to do this contraception. Doctor Nur said that one of the reasons that made many men hesitate to do contraception was the existence of myths and misunderstandings that some people believed.
So far, there are many assumptions that the vasectomi can increase the risk of prostate cancer and erectile dysfunction. However, dr. Nur emphasized that it is a baseless claim. Apart from rumors related to male reproductive health, there are also socio-cultural factors that also affect the low number of vasectomi in Indonesia.
"Because Indonesians are generally political, so men want to win by themselves. Then the education and understanding factors about this are still lacking. 'If it can be difficult (to use contraception) it's not me, why should I?'" said dr. Nur Rasyid.
Although it is considered the safest contraception, the vasectomi also has a "lack". Doctor Nur Rasyid said the vasectomi was a steady KB. In other words, this family planning should be carried out with full confidence not to have children anymore.
Actually it can be (returned with) the act of partnerization. But the process is relatively difficult because the connection has to use a microscope and the cost is quite expensive, "he explained.
Selain itu, vasektomi juga tidak langsung efektif setelah melakukan tindakan medis. Karena itu, penerimanya tetap menggunakan condomin selama sekitar tiga bulan atau sampai air manimannya dipastikan bebaskan pembaran berdasarkan pemeriksaan di laboratorium.
There are also opportunities for vasectomi to trigger complications in the form of hematomas (blood collection in the rectotum), sperm granuloma (collides caused by sperm leakage), infection, and long-term test pain.
The Family Planning Program (KB) introduced by the government in 1970 to control the explosion of the population allows each couple to set the distance and number of children they want. However, family planning cannot be realized alone, for example only on women. It takes the same commitment, between men and women, to create a prosperous family.
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