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Vas-occlusive contraception

Vas-occlusive contraception is a science topic covered in the lgStudy science library. This page brings together a partial reference excerpt, illustrations, worked examples, real-world applications and a short study plan, so you can understand Vas-occlusive contraception rather than just read about it. In short: Vas-occlusive contraception is a form of male contraception that blocks sperm transport in the vas deferens, the tubes that carry sperm from the epididymis to the ejaculatory ducts. Various vas-occlusive contraceptive methods have been researched for human-use, with interest in both reversible and irreversible methods, with the purpose of finding a suitable alternative to vasectomy and possible hormonal contraceptiv…

Vas-occlusive contraception — main illustration
Vas-occlusive contraception — illustration

Key takeaways

  • Vas-occlusive contraception belongs to science; place it in that map before memorising details.
  • Learn the definition first, then one example that makes the definition concrete.
  • Connect Vas-occlusive contraception to a quantity you can measure, compute or draw — that is where exam questions come from.
  • Reproduce the core statement of Vas-occlusive contraception from memory before moving on to harder problems.

Reference excerpt

Vas-occlusive contraception is a form of male contraception that blocks sperm transport in the vas deferens, the tubes that carry sperm from the epididymis to the ejaculatory ducts. Various vas-occlusive contraceptive methods have been researched for human-use, with interest in both reversible and irreversible methods, with the purpose of finding a suitable alternative to vasectomy and possible hormonal contraceptive treatments that are currently being researched. Potential methods include clips, plugs, valves, polymers, hydrogels, and other devices.

Types There are numerous vas-occlusive contraceptive methods and devices that have been researched. Outlined here are a few main categories and descriptions.

Intravasal control valve (ICV) An intravasal control valve is a reversible valve implanted in the vas deferens with the ability to either inhibit or permit sperm passage depending on the position of the device. Bionyx has developed a T-shaped intravasal control valve composed of gold and stainless steel for use in humans. Through rotation, a perforated ball within the T can be used to obstruct sperm flow or allow sperm flow. Skilled microsurgery is required for the ICV implant.

Chemosterilization Injection of non-toxic and sclerotic chemicals in the vas deferens can result in blockage of sperm transport due to scarring on the vas deferens wall. At least 26 different chemical combinations have been attempted to achieve sterilization. A combination of carbolic and n-butyl alpha cyanoacrylate has resulted in complete blockage of the vas deferens through adhesion to the luminal surface. This chemical combination resulted in a 96% azoospermia and a 99% pregnancy prevention eight years follow injection in humans. The scar tissue created is not always compact and successful in occluding the vas deferens, which results in the 4% azoospermia failure rate. The injection of the chemical combination of ethanol and formaldehyde also resulted in sterility in humans. However, these chemical combinations are irreversible.

Vas-occlusive plugs There are two types of vas-occlusive plugs: injectable plugs and non-injectable plugs. Injection of medical polyurethane (MPU) to form a plug in the vas deferens resulted in azoospermia in 96% of men, though these result were seen 24 months after injection. Studies on over 130 men following removal of the plug within five years showed successful restoration of fertility. The Shug, short for "silicon plug", is an example of a non-injectable plug, though there is little to no research on the Shug following 2008. The Shug is composed of two silicon plugs with accompanying nylon tails that attach to the vas deferens wall. It is surgically inserted into the vas deferens and must also be removed surgically. Shug human trials showed a 97% decrease in sperm motility through the vas deferens. However, plugs have been shown to have a lower efficacy rate when compared to traditional vasectomy overall.

Intravasal thread (IVT) Insertion of an intravasal thread (IVT), also known as an intravasal device (IVD), in the vas deferens has been shown to inhibit sperm transport via mechanical obstruction and the removal of the IVT results in restored vas deferens patency. However, this method has differential species-specific results: in pigs, a plastic IVT had no significant effect on sperm count; in dogs, a plastic and polyethylene IVT consistently blocked sperm transport during the experimental period and removal of the device restored sperm transport after a period of two weeks; and in human subjects, a urethane-coated nylon IVT resulted in significantly reduced sperm count but could not guarantee absolute sterility at the same rate as a vasectomy.

RISUG Reversible inhibition of sperm under guidance (RISUG) is a non-toxic polymer gel-based contraceptive that is injected into the lumen of the vas deferens and results in infertility within 10 days following injection. RISUG is composed of styrene maleic anhydride (SMA) dissolved in dimethyl sulfoxide (dimethyl sulfoxide), which is believed to both partially occlude the vas deferens by coating the inner walls of the vas deferens with the polymer chemical, while also deactivating the sperm that are able to pass through the partially occluded vas deferens, thereby preventing successful fertilization. The exact mechanism of the deactivation effect on sperm is still unknown. RISUG inhibits sperm transport but allows fluid to pass through, which prevents pressure from building up in the vas deferens. RISUG has been shown successful in previous human clinical trials in India and is currently undergoing Phase III clinical trials.

Vasalgel Vasalgel was inspired by RISUG and created by the Parsemus Foundation in order to be used outside of India. Vasalgel is composed of 25% styrene-alt-maleic acid (SMA acid) dissolved in dimethyl sulfoxide. The major difference between RISUG and Vasalgel is that Vasalgel is composed of SMA acid without SMA anhydride, which allows for a longer shelf-life, smaller probability of hydrolysis to an acid, and less complex production process. Vasalgel was successful in achieving azoospermia in rabbits within 36 days of injection, as well as returned vas deferens patency. In 2023, the patent for Vasalgel was acquired by NEXT Life Sciences, Inc., which plans to bring the technology to market under the name Plan A for Men.

ADAM Contraline, Inc. is developing a vas-occlusive medical device known as ADAM. ADAM is an injectable hydrogel designed specifically for the dynamic environment of the vas deferens. Unlike RISUG and Vasalgel, which require injection in organic solvent, ADAM is aqueous-based. The ADAM hydrogel is inserted through a minimally-invasive, outpatient procedure. The company has made advancements in percutaneous (non-surgical) delivery of vas-occlusive devices using ultrasound guidance. Clinical trials on ADAM began in 2022.

Side effects Vas-occlusive contraception methods are expected to have similar side effects to vasectomy, which is generally regarded as a safe and low-risk procedure.

See also Male contraceptive

References

… excerpt ends here. Continue reading the full article.

Illustrations

Vas-occlusive contraception: A diagram of the mechanism of action of vas-occlusive contraceptive methods.
A diagram of the mechanism of action of vas-occlusive contraceptive methods.

Worked examples

Example 1 — a first encounter with Vas-occlusive contraception

Start with the simplest possible case. Write down what Vas-occlusive contraception claims or describes in one sentence, then invent the smallest concrete situation in which that sentence is true. In science, the smallest case is usually a single object, a single equation or a single measurement. Check that every symbol or term in your sentence has a meaning in that case.

Example 2 — changing one variable

Take the situation from Example 1 and change exactly one quantity: double it, halve it, or set it to zero. Predict what should happen to Vas-occlusive contraception before you calculate. Comparing your prediction with the result is the fastest way to find out whether you understand the idea or only the words.

Example 3 — an exam-style question

Typical questions about Vas-occlusive contraception ask you to (a) state it precisely, (b) apply it to given data, and (c) explain a limitation. Practise writing all three answers in under five minutes; the third part is what separates a full-mark answer from an average one.

Applications of Vas-occlusive contraception

In research
Vas-occlusive contraception appears in science research whenever the underlying quantities have to be modelled precisely. Papers usually cite it as a starting assumption and then explore where it breaks down.
In technology and industry
Engineering practice reuses Vas-occlusive contraception in design rules, simulations and safety margins. Knowing the idea lets you read a specification sheet and understand why the numbers look the way they do.
In the classroom
Vas-occlusive contraception is common in secondary-school and first-year university syllabi. It links to neighbouring topics Andrology, Contraception for males, Experimental methods of birth control, so understanding it makes those chapters shorter.
In everyday life
Look for Vas-occlusive contraception outside the textbook — in sport, cooking, traffic, electronics or the sky above you. An example you found yourself is remembered far longer than one you were given.
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How to study Vas-occlusive contraception in 20 minutes

  1. Read the reference excerpt below once, without taking notes.
  2. Close the page and write down what Vas-occlusive contraception means in your own words.
  3. Compare your version with the excerpt and mark what you missed.
  4. Work through the three examples above with pen and paper.
  5. Explain Vas-occlusive contraception out loud to somebody else — or to Teacher Smith in the lgStudy chat.

Frequently asked questions

What is Vas-occlusive contraception in simple terms?

Vas-occlusive contraception is a form of male contraception that blocks sperm transport in the vas deferens, the tubes that carry sperm from the epididymis to the ejaculatory ducts. Various vas-occlusive contraceptive methods have been researched for human-use, with interest in both reversible and…

Why does Vas-occlusive contraception matter?

Because it connects several science ideas at once: it gives you a definition you can apply, a quantity you can calculate, and a way to check whether a result is plausible.

How should I study Vas-occlusive contraception?

Read the excerpt, restate it from memory, then work through the examples and applications listed on this page. The five-step study plan above takes about twenty minutes.

What does this page cover?

It gives you a compact reference excerpt plus original lgStudy explanations, examples, applications and study material on Vas-occlusive contraception.

Tags

  • Andrology
  • Contraception for males
  • Experimental methods of birth control

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