A long time before we were ready for children (possibly before we were married) my husband and I agreed that after three kids, he would have a vasectomy. This was an assumption that we both simply carried through our married life, and when our youngest daughter was a few months old, he went to our family doctor and asked for a referral. What followed was a relatively straightforward process, but there were still some things we hadn’t expected.

1 | We didn’t expect questions about why

For many people, the assumption that the final child is followed by a vasectomy isn’t a given, and when it came up in casual conversation my mother-in-law asked what prompted the decision for him to have the operation rather than me. There are, of course, many reasons: it’s more effective, less risky, a much shorter recovery time, and generally just simpler for the male to be the one to take care of permanent birth control. It never even occurred to me that he might object to this plan and ask me to undergo major surgery instead.

“Gabi did the pregnancies and births three times, so it only seemed fair that I do this,” replied Andrew, my husband.

Fair is a bit of an understatement – I would have gone for “the least he could do” – but it was a sufficient answer for my mother-in-law.

2 | I expected questions about our family that he didn’t get

Andrew made the appointment for the initial consultation and went to see the doctor. Aside from some general health questions, it was as straightforward as signing a consent form and booking in the surgery for three weeks later. The doctor did ask how many children we had, but Andrew tells me it was more small talk than something the doctor might have had an opinion about – we also have a friend who had the operation in order to remain happily childless. But I had been prepared for him to ask about our kids’ ages, our ages, whether I was on board with this decision or not. Nope. The doctor treated Andrew as a man who had total autonomy over his body and his relationships.

3 | We didn’t expect recovery to be so quick

The appointment was made for a Friday morning, which was usual practice for the surgeon. He explained that this was so that his patients could take Friday off and return to work on the Monday. The doctor said there would be no need for prescription strength pain medications, just paracetamol (Tylenol) or ibuprofen would be fine.

4 | We didn’t expect the operation itself to be so quick

The whole thing was over and done with in less than an hour. I drove him home, but the doctor did say that some of his patients drive themselves. If you’re a man worried about having surgery, let this be a reassurance that a vasectomy performed by an experienced surgeon really is quite simple. And maybe skip the next paragraph …

5 | We didn’t expect recovery to take so long!

The best laid plans of mice and men often go awry. On the Friday morning, we arrived earlier than needed and pulled up to a cafe near the surgery. As soon as I opened the car door, our three-year-old vomited on the pavement. And as it turned out, she spent the rest of the day vomiting. That evening, our five-year-old son started. And in the middle of the night, my poor husband stumbled to the toilet, the feeling of being kicked in the balls compounded by an untimely dose of gastro (or stomach flu, as it’s sometimes called). So in the end, he wasn’t back at work on Monday as the surgeon had anticipated. And every male who has heard this story since has winced in sympathy.

6 | He didn’t expect the little things (but should have)

Things like shaving his pubic hair beforehand. The awkwardness of a female nurse applying numbing cream before the anaesthetic. The itching as the hair grew back, which by the end of the week was more irritating than any residual pain from the operation itself. The three to four months of continued condom use before he could take a semen sample back to check if the surgery had worked. Having to abstain for at least four days before producing this sample. These were the things that made sense, but he simply hadn’t thought about beforehand.

7 | I expected a change to his hormones and libido that didn’t happen

It’s not that I expected a permanent adjustment, mind you. But you’d think if there’s any time the phenomenon of morning wood might take a break, it would be the morning immediately after a vasectomy and a gastro bug. Nope. While Andrew himself wasn’t ready for sex for a week or two after the operation, his hormones continued exactly as normal. This probably added to his discomfort a bit, but it might be reassuring to know that you can expect your sex life to bounce back pretty quick. Certainly quicker than after having another baby!