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Component 2.3

Condoms and Vasectomy Services



in this context, refers to patients assigned male at birth who are
having sex with women.


Males are increasingly recognized as a key part of preventing unintended pregnancies, as well as planning and supporting healthy pregnancies. Several strategies can be used to increase their involvement in the spacing and timing of pregnancies.

  • Order condoms in bulk to receive price discounts
  • Make condoms available in restrooms and at the front desk. This allows patients access at no cost to them and without an appointment or use of clinic staff.
  • Offer condoms to males and females at a variety of visit types/
  • Make available various types of condoms (latex and non-latex; lubricated and non-lubricated; different sizes).
  • Demonstrate to patients the best techniques for applying and removing condoms using a penile model.
  • Discuss dual protection of methods (condoms provide excellent back-up to other contraceptive methods and are the only contraceptive method that also protects against the transmission of STIs).

Strategies specific to Vasectomy Services

  • Obtain a memorandum of understanding (MOU) or formal contract with a partner organization to accept referrals for vasectomy.
  • Ensure the MOU/contract addresses the provision of services across payer sources. Ensure the MOU/contract addresses who will perform the pre-procedure counseling; post-procedure semen analysis; and deal with any complications/emergencies.
  • Provide patient with counseling on vasectomy, including the permanent nature of the method, to ensure appropriate referral is made.
  • To prevent delays, obtain patient consent for sterilization using the federal sterilization consent form.
    • Fax or email the signed consent form and relevant medical information to the referred clinician.
    • At the time the patient requests the service, offer to call and schedule an appointment with the referred clinician.
  • Follow-up on referral as described in Component 3.3: Linkages to Primary Care and/or Chronic Disease Care Management Services.
  • Accept referrals for vasectomies from outside agencies and across payer sources
  • Ensure that patient instructions after the procedure include direction for after hours’ emergencies, interim contraception and post-procedure semen analysis.
  • Have a system in place to obtain and follow up as needed on post-procedure semen analysis.
  • Follow nationally-recognized recommendations for all aspects of the procedure.
  • Ensure that referrals received are tracked. As appropriate, share information with the referring provider.


  1. Providing Quality Family Planning Services (QFP), Recommendations of CDC and U.S. Office of Population Affairs, 2014, pages 15 and 23: http://www.cdc.gov/mmwr/pdf/ rr/rr6304.pdf
  2. American Urology Association (AUA) vasectomy guidelines: http://www.auanet.org/education/guidelines/vasectomy.cfm