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Male Birth Control Method #3: Vasectomy

This is a surgical procedure that renders a man infertile. It's initially expensive since it's a surgery, but over the course of several years, it's very cost-effective. It's highly effective (nearly 100 percent). However, it's not immediately effective (it takes a few months before all the sperm are cleared from a man's system). Also, it's permanent, which means it's not really an option for many young men who may want to have kids later. Yes, it's possible in some cases to reverse a vasectomy (via another surgical procedure), but you can't assume that the reversal will work, so vasectomies should be considered permanent.

Male Birth Control Method #4: Outercourse

There are a few different definitions of outercourse, but the general idea is that outercourse does not involve vaginal penetration. It could involve oral sex, anal sex, mutual masturbation, or any of the other myriad varieties of sexual activity, excluding vaginal intercourse.
How effective is outercourse? Impressively, this method is nearly 100 percent effective. You might be scratching your head, wondering how this method can fail. If ejaculate somehow finds its way to the vagina (which is possible with a variety of different scenarios), pregnancy could occur. However, this is rare and is easily avoided with careful attention.
A major downside is that outercourse doesn't prevent sexually transmitted infections. Also, sometimes outercourse leads to intercourse, especially since the now-forbidden nature of vaginal intercourse makes it especially attractive and exciting. Also, some couples may not find outercourse fulfilling and wouldn't even consider outercourse to be a true method of contraception.
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Last reviewed by: Arthur Schoenstadt, MD
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