<human>: I am a fifty year old man I take warfarin as I have a metal heart valve from a six year ago heart operation , my wife is still fertile and been having lots of problems with birth controll , so would it be possible for me to have a versectomy as I have to take warfarin every day we are concerned about not tacking my medication or bleeding after the procedure
<bot>: HelloThanks for writing to us with your health concern. As long as you're bleeding and clotting profile, basically INR, is within normal range, you can have a vasectomy. You would need to stop warfarin for a few days, and would be managed accordingly. Why can't your wife go for ESsure.it is less invasive compared to a lobectomy and much better. Also, she too would be per menopausal, so you have only a few years left to desire contraceptive action. Take care.