NOT A CURE FOR SEXUAL PROBLEMS – INTRODUCTION
Serious marital or sexual problems are unlikely to be improved by sterilization of either partner, and one of the most important tasks of the pre-sterilization consultation is to identify the hopes and expectations of the couple. Not infrequently the man may hope that it will make his wife more interested in sex. One man blamed his wife’s lack of desire on the Pill, and when it was suggested that coming off it might not necessarily make her better he said, ‘You mean I will have made the ultimate sacrifice for nothing?’ He decided to postpone the operation, but interestingly he came back six months later wanting to go ahead. At this stage the doctor felt happier as the patient now had realistic expectations of good contraception, and he could accept that anything else would be an unexpected bonus.
The operation of sterilization is often surrounded by powerful fantasies of what it may do to the self or to the partner. A man may hope that vasectomy will improve his own sexual performance.
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