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58... but who's counting? Naw - but seriously - when you know you're done... and I mean when you know it? How many forms of female permanent sterilization have a history of ZERO side effects? yah... none of them. Vasectomy has like.... almost none... a couple of days of discomfort? way better than... you know... possible death of your partner. I'm not suggesting female sterilization is super hazardous... just saying that no one has died from the vasectomy.