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HEALTH

Why more and more French men are getting vasectomies

The number of vasectomies performed in France has increased 12-fold since 2010, new data shows, with feminism and better information being credited for the rise.

Why more and more French men are getting vasectomies
A doctor chats with a man in Paris (Photo by JULIEN DE ROSA / AFP)

More and more French men are opting to get vasectomies, according to new data reported by BFMTV.

In 2021, more than 23,000 vasectomy procedures were done in France – a 12-fold increase in the 1,908 operations performed in 2010, according to France’s public health insurer Assurance Maladie.

Urologist and vasectomy specialist Vincent Hupertan told BFMTV that there has been a profound shift in mentality among men.

“There is more access to information, so we can demystify preconceived notions around the idea of castration, masculinity, and sexuality,” he said. “We put all that aside.”

Hupertan also explained that more young men – those under the age of 40 – are feminist. “It’s really men who want to take their share of the responsibility and the mental load”, the surgeon told BFTMV. 

The procedure is simple and in France is typically only performed under local anaesthesia. 

Doctors like Hupertan have also begun offering less invasive vasectomies, via an innovative method called a ‘no-scalpel’ vasectomy. The main difference is that the no-scalpel vasectomy uses a needle to make a small hole in the scrotum in order to access the ducts. According to BFMTV, this option is developing “more and more” in France.

As for French men themselves, 38-year-old Florent, and father of three, told BFMTV that he decided to get a vasectomy to “take matters into [his] own hands”. 

Florent described the operation to BFMTV as “fast and painless. There are many exchanges with the doctors to ensure that the anesthesia [took] well and that there [was] no pain”.

To get a vasectomy in France, patients are required to have a four-month cooling off period between the first appointment and the procedure, due to the near irreversibility of the operation.

Vasectomies are not immediately effective after the operation. Three months following the operation, a spermogram is often required to determine whether the sperm are absent from the semen. During this period, French health authorities advise using another method of contraception.

The procedure typically costs €65 – plus consultation fees for two doctor’s appointments and one consultation with an anaesthetist – and is fully reimbursed by the public health system.

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HEALTH

The French government scheme that helps cover the cost of therapy

The French government launched 'Mon Soutien Psy' in 2020, in an effort to help people afford psychological care. In June, the scheme will be expanded.

The French government scheme that helps cover the cost of therapy

What is ‘Mon Soutien Psy’?

It is a scheme that allows anyone aged three and over who is suffering from anxiety, depression or mental distress to benefit from psychological support sessions, the cost of which is partially reimbursed by the state.

Currently, people can benefit from up to eight counselling sessions in a year with the assistance of Assurance Maladie, as long as the appointment is done with a psychologist registered to the scheme. 

Previously, it has been difficult for people to find an available psychologist due to high demand. However, with the changes coming into effect on June 15th (increasing the price per session and the number of sessions covered, as well as removing the requirement to visit a doctor for a referral beforehand), the government hopes it will be more accessible.

That being said, patients must use the psychologists who are registered with the scheme, and as a result, English-speakers may be limited.

READ MORE: Ask the expert: How to find an English-speaking therapist in France

Who can participate?

Anyone who is “anxious or depressed; feeling unwell; with a smoking, alcohol or cannabis problem; or struggling with an eating disorder” can participate.

It is not intended for patients in emergency situations – ie those risk of suicide or dealing serious psychiatric issues. They will be referred to a psychiatrist or specialised facility.

How does it work?

As things stand in May 2024, the patient must first visit a doctor. This normally would be your GP, but it can also be any other doctor ‘charged with your care’, including other local GPs, paediatricians, geriatricians, and more.

After evaluating you, the doctor can give you a referral (courrier d’adressage) to a psychologist. This step will change in June 2024, and patients will be able to consult registered psychologists directly.

You can find the list of participating psychologists (HERE) to make an appointment.

Your first session will be for evaluation purposes. The psychologist will then determine the number of follow-up sessions (up to seven, but soon to be increased to 11) based on your needs. 

How much is reimbursed?

As with other medical appointments in France, you pay the practitioner and later receive a reimbursement. 

The reimbursement rate is 60 percent, and the remaining 40 percent is either out-of-pocket or covered by your complementary healthcare plan (mutuelle).

The fist session costs €40, and the follow-up sessions currently cost €30. However, starting in June 2024, they will be increased to €50 in an attempt to attract more psychologists to participate in the scheme. They will remain reimbursed at the 60 percent rate.

READ MORE: Health insurance in France: What you need to know about a mutuelle

If you are in the following situations, then you do not have to pay anything up-front.

  • Beneficiaries of the Complémentaire santé solidaire scheme ;
  • Beneficiaries of state medical aid (AME);
  • People with disabilities or long-term illnesses (Affection de Longue Durée – ALD) 
  • Pregnant women (from the 6th month of pregnancy);
  • People under care in connection with an accident at work or occupational illness.
How can I get reimbursed?

In the coming years, the system will be incorporated into your Carte Vitale, so you will not need to mail in any reimbursement forms.

However, as things stand, you must request a feuille de soins at each session and mail it into Assurance Maladie to get your reimbursement. You would also send this to your mutuelle, depending on your situation.

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