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PSYCHOLOGICAL ASPECTS OF VASECTOMY 2. ANTICIPATING THE COMPLICATIONS


 Vasectomy, while a minor procedure surgically and physiologically, has some psychological hazards. There still exists no compelling evidence to indicate widespread severe emotional sequelae. The paradox of the vasectomy situation is that, though a high patient enthusiasm may be stated postoperatively, some evidence often nevertheless exists of a negative psychological impact. The overt enthusiasm appears to be an example of cognitive dissonance, a common defense in which one publicly overemphasizes a view expedient to oneself but at variance with one's private experience. In efforts to compensate for imagined loses in masculinity, men sometimes increase sexual activity but to their despair develop temporary (psychological) impotence. Moreover, studies of the psychological effects of vasectomy may bias their subjects' reactions by unintentionally suggesting or highlighting sequelae.
