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© 1988 Oxford University Press

research-article

Vasectomy and Health: Cardiovascular and Other Diseases Following Vasectomy in Sichuan Province, People's Republic of China*

TANG GUANG-HUA1, ZHONG YU-HUI1, MA YUE-MIN1, LUO LIN1, CUI KAI1, LUO JIAN1, ZHANG GUO-HUI2, AN I-MIN3, LUO DECHUN4, QIU SHU-HUA5, T M M FARLEY6,*, M J ROSENBERG7 and T STRASSER8

1Sichuan Provincial Family Planning Research Institute Chengdu
2Sichuan Provincial People's Hospital Chengdu
3Sichuan Postgraduate Training College of Medical Staff Chengdu
4West China University of Medical Sciences Chengdu
5National Family Planning Research Institute Beijing
6Special Programme of Research, Development and Research Training in Human Reproduction, World Health Organisation Geneva
7Family Health International, Research Triangle Park North Carolina, USA.
8Cardiovascular Diseases Unit, World Health Organization Geneva

*Reprint requests: Dr T M M Farley, Special Programme of Research, Development and Research Training in Human Reproduction, World Health Organization, 1211 Geneva 27, Switzerland.

The long-term sequelae of vasectomy were studied in a retrospective cohort study of 4596 vasectomized and 4340 nonvasectomized farmers from eight rural communes in Sichuan, People's Republic of China. The mean duration since the operation was 14.5 years with a range of 10 to 25 years. At the time of evaluation the vasectomlzed men were generally healthier than the non-vasectomized for a wide range of health indicators including clinical signs of cardiovascular disease, resting ECG changes, positive ECG changes following a maximal stress test or fundus abnormalities. The lack of association between vasectomy and cardiovascular disease noted in Europe and the USA is supported by the present study conducted in a population with a low prevalence of cardiovascular disease and risk factors.

Revised 1 June 1987


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