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“Kalau orang sudah divasektomi, maka cairan spermanya ada, semua proses ejakulasi dan sensasi rasanya tetap typical, tapi kalau diperiksa lewat mikroskop itu bibit anak atau spermatozoanya tidak ada,” kata dia.
“Harus ditanamkan di kedua pasangan bahwa mereka sudah yakin tidak menginginkan anak lagi. Karena sebenarnya bisa [dikembalikan dengan] tindakan rekanalisasi. Tetapi prosesnya relatif sulit karena nyambungnya harus pakai mikroskop dan biayanya lumayan mahal,” jelasnya.
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Dokter Nur mengingatkan bahwa vasektomi adalah “KB mantap”, sehingga sebaiknya dilakukan dengan keyakinan penuh untuk tidak memiliki anak lagi.
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Vasektomi adalah tindakan sterilisasi pada laki-laki dengan cara memotong atau menyumbat saluran spermatozoa dari testis ke penis.
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Perihal syarat itu dan apa yang mendasarinya, Hasto beralasan: “Di Indonesia itu, kan angka kematian balita juga masih cukup tinggi. Banyak sekali orang enggak menyadari itu”.
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Akan tetapi, meta-analisis yang diterbitkan JAMA Interior Drugs menunjukkan bahwa tidak ada peningkatan risiko kanker prostat pada laki-laki yang melakukan vasektomi.
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“Spermatozoa yang mati itu karena tidak dikeluarkan oleh tubuh kita, dianggap sebagai benda asing sehingga tubuh membentuk antibodi terhadap itu. Itu berpengaruh terhadap derajat kesuburan setelah orang divasektomi, kalau menginginkan anak lagi,” papar Dokter Nur.