Vasectomy has long been regarded as a permanent, safe and effective form of contraception. Its benefits are often summarised as minimally invasive and largely risk free.

But that may not be the full story.

In recent years, vasectomy rates in the UK have declined significantly.

It’s a puzzling trend, given that the procedure’s efficacy hasn’t changed. What has arguably shifted is how men talk about it. Not in doctors’ offices, but online.