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In the fallout from last year’s overturning of Roe v Wade, the legislation that secured abortion rights in the US, a great many young American men simultaneously did a quite radical thing. They took to social media to intimately document themselves getting a vasectomy, to prove it was a simple and painless act. One was vegan bodybuilder and influencer Brian Turner, who was certain from around the age of 22 that he’d never want children. He acted on his stance, aged 30, and made some genuinely great content in the process. “The reaction was positive,” he tells me. “A few people commented in disbelief, calling me crazy names or saying, ‘You’re no longer a man – you chopped your balls off.’ But they don’t bother me. I have a thick skin.” It started a global discussion on vasectomies, chiefly around how men can step up and take the burden of contraception away from their female partners forever. Adam, a 35-year-old father of two from Brighton, had the same desire around the same time: “I had a growing guilt about never really fully taking responsibility for contraception. Apart from condoms, all the solutions are for women, and they all seem to have pretty gnarly side effects. It seemed like the decent thing to do, to try to take on the responsibility.” But what of younger British men, who absolutely, definitely don’t want children, who know they want to be what I call “none and done”? For them, although the hurdles are curiously higher and their reasoning more diverse, the same desire to make an informed decision about their body exists. Britain has never had a big national conversation about the vasectomy, the way America – a place where some states even offered them for free in the wake of the Supreme Court’s historic verdict – clearly has in recent years. “The vasectomy was thought to be illegal here until around the Sixties, and only came on the NHS in the early Seventies,” explains Dr Georgia Grainger, a historian of vasectomy. Before this, the concept of men choosing to sterilise themselves was – in her words – “murky”, owing to many of the key doctors and campaigners evangelising the process also being supporters of eugenics. It was actually the beloved broadcaster Michael Parkinson who, in Grainger’s eyes, did the most to burst bubbles on the subject. “He was open about having a vasectomy back in 1972 when it was still very uncommon. He did an interview about it that was on the front page of the first issue of Cosmopolitan magazine. It definitely brought awareness and also dispelled some myths – that it would affect a man’s masculinity or even cause things like a higher-pitched voice”. While the procedure has undoubtedly become more common, I’m not sure that we as a society know a huge amount more about it than in the Seventies. The good news for men is that the procedure is more successful than ever. Doctors reported in March this year that, after surveying 94,000 patients, only 0.2 per cent of men get what’s known as “chronic scrotal pain”. It is generally seen as being more than 99 per cent effective as a form of birth control. The bad news is that there’s still a lot of misinformation around it – from daft macho ideas that it decreases your testosterone levels or sex drive (it doesn’t) to the more assimilated notion you hear a lot: that, similar to an intrauterine device (IUD) with women, it’s easy to undo (it isn’t sadly, not all reversals work, they get less successful over time plus they’re significantly more expensive too). In reality, a vasectomy is quick, carried out under local anaesthetic and takes around 15 minutes. Today, most are what’s known as “scalpel-free”, meaning the incision is so tiny (only 2-4mm) that it doesn’t require stitches. The two tubes that carry sperm from your testicles are severed (hence the colloquial term “the snip”) and closed. Post-surgery, men are encouraged to rest for a couple of days, to apply ice packs to their scrotum and – if possible – wear a jock strap that’s slightly too small to ease any swelling. And that’s it. “The most common question I get asked is, “Do you still cum?’”, says Gregory, who had a vasectomy in January. “It’s funny how so many people think you’ll never ejaculate again after a vasectomy. The truth is: the difference isn’t noticeable.” In fact, sperm is still produced, but it’s discharged internally and absorbed by the membrane around the epididymis (the coiled tube behind each testicle) in a totally natural process. The body still produces semen, which is ejaculated but it no longer contains sperm – although it’s said that a man needs to ejaculate on his own a good number of times before the presence of sperm totally vanishes. “I did hear rumours about ‘40 w***s’,” confirms Gregory, “but I just stuck with the doctor’s deadlines and the sperm test came back clear four months later.” Yet, while the procedure has some fringe areas of conjecture, one important aspect is dramatically less well known: men – especially young men – won’t automatically be granted a vasectomy if they choose to have one. There’s huge variation in the UK, based on regional NHS procedures and resources, plus, “a lot depends on the individual doctor, unfortunately” according to Grainger. Some areas don’t offer them, meaning having to go private and pay an often prohibitively expensive £600. But even simply having the autonomy to choose is also a grey area. “A lot of younger men, especially if they’re unmarried or don’t have children, really have to push to get a doctor to take them seriously,” says Grainger. “We often think of that kind of pushback as being something women get within their reproductive healthcare, but I’ve heard a lot of men share their experiences of having to go to multiple doctors to find one to agree to refer them for a vasectomy, just because they ‘might change their mind’.” This seems like quite a significant flashpoint, given that all the urologists we spoke to confirmed a definite movement of younger people wanting the snip. “Traditionally, the typical age of a man seeking a vasectomy would be 35-40 years old,” states Dr Peter Quinn who performs the procedure for Vasectomy NI. “However we are finding more and more younger men in their twenties are looking for a permanent method of contraception.” Luckily, I didn’t encounter a single man who had any regrets or who had “changed their mind”. What I found instead were more men making an informed choice around their own reproductive health, from a variety of backgrounds, viewpoints and life situations. Some for example, like Simon, are single and dating. He had his tubes snipped aged 28, while in a long-term relationship that subsequently ended. Does he have any regrets? “Absolutely not – I really want to make that clear.” Despite being from a big family with plenty of cousins whom he loves, he’s felt like he’s known he never wanted children himself “from as far back as my teens”. Now aged 30, he’s starting to date again. He doesn’t declare his snipped status on the dating app he uses, but does bring it up quickly, in case there’s any awkward confusion. “Not wanting to have kids is a pretty big part of who I am, I feel like I talk about it all the time anyway without needing to advertise it.” Ray, who is also young, single and snipped feels “it’s a flex” when it comes to being on the dating scene. Aside from being a talking point and a sign of emotional maturity, crucially it “finalises that aspect of ‘maybe he’ll change his mind’. which I have experienced in relationships in the past. I’ve been very clear I don’t want children previously, but nobody fully believes that when you tell them. They might put it to one side and say ‘let’s think about that later’.” Ray also has no regrets. Dr Nick Demediuk has performed more than 50,000 vasectomies in his career. The name of his clinic in Australia says it all: Dr Snip. His perspective over 34 years of performing a life-changing operation is thus pretty unique and his recommendation is unequivocal: “It’s the simplest and easiest form of permanent contraception that responsible men can use to contribute to their relationships and the planet.” For him, one of the key reasons behind the growth in younger men taking up vasectomies has been “issues related to climate change”, with a significant subgroup of “hard-line vegans”. There’s not enough resources for people alive on earth today – it feels almost a bit selfish for us to contribute to that scenario Nat and Charlie* This chimes with Nat and Charlie*, a male/female couple who moved from a big city to the English countryside this year, in part motivated by a desire to give their beloved trio of cats more space. Having been on the fringes of eco-activism since university, their decision – raised initially by Nat and enthusiastically supported by Charlie – to have the procedure when Nat was 29 was very much informed by the climate emergency. “We both feel like we’re loving people and capable of lots of love,” says Charlie “but we both felt inside of ourselves that we never wanted to have children, especially in the world as it is today.” Citing the extreme weather events all over Europe this summer as just one example, they fundamentally worry about the world being safe enough to bring kids into, as well as the feeling that “there are not enough resources for people alive on earth today – it feels almost a bit selfish for us to contribute to that scenario.” They stop short of endorsing the emerging philosophy of anti-natalism, a controversial belief first advanced by South African philosopher David Benatar that sees all human reproduction as immoral, in part due to the climate emergency but also because life is inevitably tinged with suffering and pain. But, in choosing not to have children out of concern for the environment, they find themselves at one end of an extreme and widening political spectrum. The same week I speak to them, Hungary’s leader Viktor Orban was holding the fourth of his biannual Demographic Summits, which – with Italy’s leader Georgia Meloni, religious leaders and right-wing thinkers in tow – aimed to solve what’s seen as a crisis in underpopulation in Europe. Encouraging more babies via defence of traditional family values feels a world away from the outlooks of Nat, Charlie and the many others taking up the vasectomy as a way of definitely not having kids on principle. As if we didn’t have enough 50-50 splits in society today, an increasing number of people believe we need fewer children while an equal number believe we need more. Britain in 2023 therefore seems conflicted between two worlds – the privatised freedom of America where a young, non-parent like Brian Turner is waved through (“I talked to my GP and she said, ‘All good’ and referred me straight away”) and a more prohibitive or simply untrusting mindset that looks at a young man and says, “Hmm, go away and think about it a while.” Perhaps if we want young men in society to play a more positive, active role, maybe they need to be trusted with their own bodily autonomy first? *Names have been changed Read More No music, no ball games, no fun: society is wiping out play ‘I was really struggling to get it up’: Why younger men are turning to Viagra I couldn’t climax, so I let ‘big testosterone’ take me for a ride Woman prepares hamper basket as her husband’s vasectomy gift Why taking a mental health day could be bad… for your mental health What the world’s happiest children tell us about where Britain is going wrong

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Max Verstappen defied Lewis Hamilton to win a cat-and-mouse United States Grand Prix at a sizzling Circuit of the Americas in Austin. Verstappen has been on easy street this season, but the triple world champion was made to fight for the 50th win of his career – becoming only the fifth driver to reach a half-century. Indeed, at one stage, Hamilton dared to dream of ending a losing streak which stands at 686 days and counting. Yet, as so often been the case this year, Verstappen’s speed in his all-conquering Red Bull machine came to the fore. He moved ahead of Lando Norris on lap 28 of 56 to all but seal the win. Hamilton might bemoan a questionable strategy decision which saw him lose 10 seconds to Verstappen in the opening round of pit stops. But in reality, he probably did not have the pace to stop the Dutchman from claiming his 15th wins from the 18 rounds so far. He crossed the line an agonising 2.2 sec behind Verstappen with Norris hanging on to the final spot on the podium. Hamilton could count himself unfortunate to drop from third to fourth at the start. The seven-time world champion enjoyed a decent getaway, but he was blocked by Norris under braking allowing Sainz to sneak through. Norris had seen off pole-sitter Leclerc with a lunge at the first bend to assume top spot. As Norris set about building a lead – already two seconds clear of Leclerc at the end of the second lap – Hamilton set about passing both scarlet cars. First up was Sainz. Hamilton used the tow to latch on to the back of Ferrari on the 210mph drag to Turn 12, and, assisted by DRS, drew alongside Sainz before sliding underneath the Spaniard. On the following lap, Verstappen, who started in sixth after his pole lap in qualifying was chalked off for exceeding track limits, relegated Sainz another place when he made his move at the same corner. Hamilton has won six times across the Pond – with five of those victories here in Austin – and the 38-year-old required only two laps to swat Leclerc aside for second. Deeper on the brakes at Turn 12, Hamilton sailed round the outside of the Monegasque at the left-hander, with Norris now three seconds up the road. Behind, and Verstappen was not finding it as easy to make progress. He was stuck behind Leclerc for an additional five laps before finally making his move on the Monegasque. He trailed Norris by seven seconds, and Hamilton by four. In the Mercedes garage, Prince Harry cut a pensive figure as he gnawed at his fingernails. The Duke of Sussex has been something of lucky charm for Hamilton. He was a guest of Mercedes when Hamilton secured his second title in the 2014 season decider in Abu Dhabi, leading the congratulations to his fellow Briton on the radio. Verstappen was the first in for new rubber at the end of lap 16 with Norris stopping the next time round. But Hamilton stayed out. Were Mercedes attempting a one-stopper? Hamilton did not seem convinced. Asked if he could complete another five laps on his current set of tyres, Hamilton replied: “I am not sure, man. It is pretty tough.” You have given me a hell of a gap to close Lewis Hamilton on the team radio Hamilton then locked up before his race engineer Peter Bonnington was back on the intercom to inform Hamilton that Verstappen – who on new tyres had just lapped three seconds faster than the Briton – was now likely to gazump him when he eventually stopped. “No s***, man,” yelled Hamilton. “I am struggling out here.” On lap 20, in came Hamilton, and a slow front-right tyre change added to his woes by costing him a needless second. When Hamilton emerged from the pits, he had dropped to third, five seconds adrift of Verstappen. “I came out so far behind,” he said with a hint of dejection. When the opening stops were completed, Norris led Verstappen by 2.4 sec with Hamilton 7.5 off the lead. By virtue of taking on another set of mediums, Verstappen had to stop again, but Norris and Hamilton – now both on the hards – could, if their rubber allowed, go all the way to the end. Hamilton, failing to make any inroads and sensing his best chance of ending a 22-month winning streak had faded, expressed his frustrations. “You have given me a hell of a gap to close,” he said. On lap 28, Verstappen dived underneath Norris for the lead at Turn 12. Norris had a nibble back at the Red Bull heading into the ensuing right hander, but he failed to make it stick. The question now was whether Norris, and indeed Hamilton – now less than five seconds off the lead – could make their tyres last. The answer arrived on lap 34 when Norris dived in for a fresh set of boots. Verstappen followed in on lap 35, and despite, a slow left-rear tyre change, retained his position ahead of Norris. Three laps later and Hamilton was in, changing to the faster medium compound. Hamilton had the bit between his teeth and within 10 laps he was crawling all over the back of Norris’ McLaren. Norris slung his McLaren to the inside on the entry to the first corner in a move to stop Hamilton, but the older Brit gained better traction out of the corner to slingshot by in his Mercedes. Verstappen was five seconds ahead and Hamilton started to reel his old nemesis in only to run out of laps. Sainz took fourth ahead of Sergio Perez with Leclerc sixth and George Russell seventh for Mercedes. Read More I can do something wiser with my time – George Russell stops using social media Charles Leclerc snatches pole position after Max Verstappen’s lap was deleted Daniel Ricciardo ready for AlphaTauri return at United States Grand Prix On this day in 2009: Jenson Button crowned Formula One world champion in Brazil FIA to review Qatar GP as ‘dangerous’ temperatures prompt driver complaints F1 United States Grand Prix LIVE: Race updates and results in Austin

Johann Rupert, the controlling shareholder of Swiss luxury goods conglomerate Richemont, dismissed talk of a takeover by bigger