About
His Choice No Scalpel Vasectomy With Dr. Monteith
Vasectomy is an important procedure that should be provided by more doctors.
No scalpel vasectomy is a safe, simple office based preventative health care procedure. Vasectomy makes a big difference in the lives of people. Unfortunately, there are too many unnecessary barriers when people are trying to have a vasectomy.
Most people looking for vasectomy find it difficult, if not impossible, to find an affordable vasectomy that can be obtained within a reasonable amount of time.
Limited availability.
Most vasectomy providers in the United States are urologic specialist. Anytime a specialist is the sole provider of a basic healthcare procedure you will experience limited availability, more difficult access, and increased cost.
It is not uncommon to call an office and discover the wait time for a mandatory vasectomy consultation can range from three (3) to six (6) months.
After completing the vasectomy consultation, you will have to wait an additional one (1) to three (3) months to have your actual vasectomy procedure. That is a lot of time to be anxious about a procedure most dread having. It also provides too much time for other things to come up, which can ultimately result in you not being able to keep your appointment and not getting a vasectomy.
Affordability.
Even having health insurance does not mean getting a vasectomy is easy.
A minority of health insurance plans, mostly religious based plans and low cost plans, will not cover vasectomy procedures.
If you have a high deductible health insurance plan then you may have to pay for the entire procedure. High deductible plans are popular with younger, healthier people because they rarely need to be seen by a doctor. Younger, healthier people pick these plans because these plans cost less.
High deductible health insurance plans seem like a good idea when these plans are used as an emergency backup plan. Unfortunately, most people become upset when they realize they will have to pay for their entire vasectomy procedure because their high deductible plans have a high, unmet deductible.
If you have a high deductible plan and have not met your deductible for the year, then you will have to pay out-of-pocket for your vasectomy procedure. The cost for vasectomy can range, depending on the area where your vasectomy is provided. Depending on where you are in the US the cost for vasectomy can range anywhere from $800 to $6,000.
This is why vasectomy affordability is important.
Why I provide no scalpel vasectomy?
I am Board Certified in Obstetrics and Gynecology. I provide vasectomy neither because I have to nor because my profession expects me to. I provide vasectomy because most of my career I have witnessed the impact unplanned pregnancy can have on women, men, and couples.
Most of my career has been devoted to obstetrics (delivering babies), tubal ligation reversal surgery, and vasectomy reversal surgery. My patients travel to me from across the United States for surgical reversal of sterilization. I also have many patients who travel from out of state to have vasectomy with my office. I provide His Choice No Cut vasectomy on most Thursdays and Fridays.
As a result of my cumulative professional experiences, I want to remove barriers and make vasectomy more accessible. I know from first hand experience what the alternative outcomes are when patients are unable to have vasectomies. This is the difference between me and many other vasectomy providers.
When the average vasectomy provider walks into a room to do a vasectomy most of them are just doing a procedure. I see myself as doing a simple procedure that has a significant impact in the lives of my patients, their family and relationships, and the greater community.
My experience shapes my views
Pregnancy and childbirth are both beautiful and, at the same time, dangerous. It is my personal experience in Obstetrics and Gynecology that motivates me to provide reduced barrier minimally invasive, no scalpel vasectomy.
Unfortunately in our society, women bear upon their shoulders the entire burden of pregnancy and most of the burden of sterilization.
I have seen many beautiful babies born to many beautiful people, but I have also seen women have significant complications from pregnancy and suffer severe health consequences. I have seen 12 year-olds give birth and become mothers to children they are unable to raise. There is nothing beautiful about a 12 year-old having a baby.
I have seen women suffer extreme illness from pregnancy and die in childbirth or in the postpartum period.
Throughout the entire world women are primarily responsible for the burden of having to take birth control and have sterilization procedures.
When most vasectomy providers walk in the room to greet you they will not bring this type of experience with them.
This is why I offer reduced barrier, single visit no scalpel vasectomy. I am not trying to make it harder for you. I want to make it easier for you.
Why I learned no scalpel vasectomy
I was determined to learn vasectomy because I felt it was an important procedure to provide.
When my Ob/Gyn colleagues learned of my desires they could not understand why an Ob/Gyn wanted to provide vasectomy.
The irony is the first surgery most male babies have when they enter this world is done by an obstetrician gynecologist. If a male baby has a circumcision it was probably performed by an obstetrician in the very early morning hours on the second day of the babies’ life. I have performed many newborn circumcisions.
Most people are not aware and most do not question why an obstetrician is the one who performs most circumcisions. There is a history behind why doctors who specialize in women’s care provide circumcision but the basic premise is doctors are capable of doing more than the narrow scope of their specialty.
Vasectomy is a simple primary care procedure that can be easily done in a doctor’s office under local anesthesia. In most countries with universal health care, general practitioners (primary care doctors) perform most vasectomy procedures and most of their urologic specialist do not. One does not have to be a board certified urologist or a vasectomy specialist to perform vasectomy.
When I started offering vasectomy it was then I really understood who I was and why I do what I do. My understanding of what drives me came to me when I looked back upon the path I traveled and all of my career experiences. I like performing simple procedures that make big differences in the lives of people. More importantly, I like performing procedures other doctors either will not do or cannot do. This is what give me a sense of value and purpose.
My ability to provide barrier free no-scalpel vasectomy, as well as reversal surgery, provides me a true sense of self-worth as a physician and as a surgeon.
How I learned no scalpel vasectomy
I initially learned no scalpel vasectomy from a Family Medicine physician. That did not give me the skill I thought I needed. I sought additional training with a urologist in Tampa, Florida who specializes in vasectomy and vasectomy reversal surgery.
Through professional relationships I established while learning vasectomy, I became an active supporter of No-Scalpel Vasectomy International. Through this organization, I was able to participate in international vasectomy missions to the Philippines, Kenya and Haiti. On these missions I was able to partner with other vasectomy providers of different nationalities and professional backgrounds.
During our vasectomy mission to the Philippines, I become proficient with the no-needle vasectomy technique and I now exclusively offer no-needle no-scalpel vasectomy.
During our vasectomy mission to Kenya, I witnessed first hand how vasectomy can help improve women’s health and decrease HIV transmission within the developing world.
During our vasectomy surgical missions to Haiti, I witnessed first hand how the impact of over-population and over-consumption of natural resources can devastate a Caribbean island and the people living there.
The experiences I have gained from my participation with this organization and the relationships I developed with other vasectomy providers have been immeasurable and life changing.
My personal vasectomy experience
At the age of 44, my healthy wife experienced a stroke while on birth control pills. She was hospitalized for five days and it was a scary time for our family. Thankfully her symptoms completely resolved and the only attributable cause was the use of oral contraceptives. It was at that time I decided I would have a vasectomy.
My vasectomy was performed on a hotel bed in the country of Haiti during one of our many vasectomy medical missions. It was the only time I could find time to have such an important procedure.
I did not have time to make a consultation visit and also have to have a separate vasectomy procedure visit with another physician. I am too fat to be able to perform my own vasectomy. Instead, I had a colleague perform the procedure in our hotel room in Haiti. If a procedure can be done in a hotel room in a developing country then the procedure can not be that complicated or risky.
The art of medicine learned the old fashioned way
In the truest definition of being a physician, I learned my vasectomy and sterilization reversal skills not in medical school, residency, or by virtue of board certification, but, instead, by the patient’s bedside while apprenticing under skilled providers, collaborating with other like-minded physicians, and with lots of perspiration, self-study, and personal determination.
Now you can better understand who I am and why I do what I do.
Benefits of having A His Choice No Cut No Scalpel Vasectomy
When having your no scalpel vasectomy with His Choice Raleigh you will be able to benefit from having:
- A single visit vasectomy
- An affordable vasectomy
- One of the most minimally invasive vasectomy procedures
- Vasectomy without fear of prejudice
- A vasectomy that does not remove any of your anatomy
- A vasectomy with an open-ended technique
- The option to mail your semen sample after vasectomy
We don’t place unnecessary barriers in front of our vasectomy patients. Instead, we remove them.
We want having a vasectomy to be simple, easy, and efficient process. This is the biggest benefit of having your vasectomy with our office.
Professional background
The following provides more information about my professional journey.
- Xavier University of Louisiana Graduated 1992
- Howard Hughes research fellowship in molecular genetics research 1996
- University of California at San Francisco School of Medicine Graduated 1997
- Obstetrics and Gynecology residency at the University of North Carolina at Chapel Hill. Graduated 2001
- Inducted into the Alpha Omega Alpha honor society 2001
- Clinical Assistant Professorship with the Department of Obstetrics and Gynecology at the University of North Carolina at Chapel Hill 2001 to 2008
- Achieved Board Certification in Obstetrics and Gynecology 2003
- Medical director of Planned Parenthood Central North Carolina 2001 to 2013
- Sterilization reversal specialist and vasectomy provider A Personal Choice 2013 to present
- Founded His Choice No Cut Vasectomy 2022
Many potential patients feel comfort in seeing my professional pedigree. To me the above is not really that important. What is more important is the value I place in the quality of care I provide to my patients.
Of all of the above the most important accomplishment to me is being inducted into the Alpha Omega Alpha honor society. This society is usually thought of as the ‘best and the brightest’.
To be clear, I was not smart enough to gain membership in the society as a medical student. Instead, I was voted into the society by the medical students I taught. I was informed it was much harder to be voted into the society after medical school. I was told it was a great accomplishment.
My membership in Alpha Omega Alpha honor society means a lot to me because it was gifted to me by those who valued my teaching and mentorship.
I hope my ability to educate is easily seen by potential patients by the quality of the educational vasectomy content that can be found in this vasectomy website.
International vasectomy volunteer work
I have participated in several international vasectomy medical missions:
- NSVI Vasectomy Mission 2018 Cap-Haitien, Haiti
- NSVI Vasectomy Mission 2017 Cap-Haitien, Haiti
- NSVI Vasectomy Mission 2015 Cap-Haitien, Haiti
- NSVI Vasectomy Mission 2016 Cap-Haitien, Haiti
- NSVI Vasectomy Mission 2012 Cebu, Phillipines
- NSVI Vasectomy Mission 2012 Kisumu, Kenya
Unfortunately, the COIVD pandemic and political aftermath has paused international vasectomy missions.
Research publications
Most of my professional career has been devoted to reversing sterilization, primarily female sterilization reversal.
I was one of the first physicians to publish peer reviewed medical literature about the chances of pregnancy after surgical reversal of Essure sterilization. Essure was one of the newer sterilization devices that has subsequently been removed from the health care marketplace because of patient complications.
As a result of my surgical specialization, I became an advocate for women who were suffering side-effects from the Essure device. I was asked by my patients to be an advocate and I voiced my concerns about the device to the Federal Drug Administration. I also spoke with media sources looking for more information about Essure device complications.
- Normal pregnancy after outpatient tubouterine implantation in patient with Adiana sterilization
Monteith, Charles W. MD; Berger, Gary S. MD, MPH, Fertil Steril: July 2011 – Volume 98 – Issue Part 1 – pages e45-e46 - Successful Pregnancies After Removal of Intratubal Microinserts
Monteith, Charles W. MD; Berger, Gary S. MD, MPH, Obstetrics & Gynecology: February 2012 – Volume 119 – Issue Part 2 – p 470–472 - Pregnancy Success After Hysteroscopic Sterilization Reversal
Monteith, Charles W. MD; Berger, Gary S. MD; Zerden, Matthew L. MD, MPH, Obstetrics & Gynecology: December 2014 – Volume 124 – Issue 6 – p 1183–1189
Dr. Monteith's media appearances about Essure device side effects
- The Consumer’s Guide to Essure Birth Control
Consumer Reports. Jeneen Interlandi, August 17, 2017 - Raleigh doctor offers procedure to remove Essure permanent birth control
Channel 17 CBS News, Raleigh, North Carolina. May 13, 2016 - Oklahoma women calling for permanent birth control device to be investigated
ABC Tulsa. Tulsa, Oklahoma. August 4th 2016 - I-Team: Side effect claims made about popular birth control drug Essure
Chanel 11 ABC News, Raleigh, North Carolina. July 17, 2015 - Surgeons tout Essure fix without hysterectomy
Internal Medicine News, M. Alexander Otto, August 21 2015 - Complaints mount over contraceptive device; lawsuits tricky
WCNC News, Charlotte, North Carolina. Stuart Watson, December 10th, 2014 - Women report complications from Essure birth control Chicago Tribune. Julie Deardorff. December 22 2013
Dr. Monteith's research publications on long acting birth control
- Not seeking yet trying long-acting reversible contraception: a 24-month randomized trial on continuation, unintended pregnancy and satisfaction.
Hubacher D, Spector H, Monteith C, Chen PL., Contraception: 2018 Jun;97(6):524-532 - Long-acting reversible contraceptive acceptability and unintended pregnancy among women presenting for short-acting methods: a randomized patient preference trial.
Hubacher D, Spector H, Monteith C, Chen PL, Hart C., Am J Obstet Gynecol: 2017 Feb;216(2):101-109 - Rationale and enrollment results for a partially randomized patient preference trial to compare continuation rates of short-acting and long-acting reversible contraception. Hubacher D, Spector H, Monteith C, Chen PL, Hart C., Contraception: 2015 Mar;91(3):185-92
