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That eventuality, says Lenk, “crossed my mind pretty immediately”. It’s part of what motivated him to schedule a vasectomy while he still could. To date, he says, responsibility for contraception has fallen on his partner, which has come with challenges. “She struggles with hormonal birth control,” he says. “It causes a whole bunch of side effects, but she still takes it. It interferes with her moods, and other medications that she takes, and IUDs are not ideal for her either.” Sparing his partner the discomfort of these options was another motivator for Lenk.

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