If you are a physician looking for no scalpel vasectomy training then I can provide you with training and help you establish a thriving vasectomy practice. There are benefits for both you and your patients. I have come to realize that sometimes in life there are plans that allow everyone to win.

I have been providing minimally invasive vasectomy in Raleigh, North Carolina since 2008.

My formal training is in the field of Obstetrics and Gynecology. I attended medical school at the University of San Francisco California and completed a four year residency in Obstetrics and Gynecology.

After residency, I practiced Obstetrics and Gynecology and Family Planning for 12 years. I have extensive experience teaching medical students, residents, and physicians. In 2008, I realized the importance of providing vasectomy. I sought additional no scalpel vasectomy training to add to the services I provide.

From 2008 to 2022, I have performed over 7,000 no needle, no scalpel vasectomy procedures and currently provide 600 to 1000 vasectomy procedures per year.

Since learning vasectomy, I have experienced an increase in my career satisfaction.

I have learned to help an entirely new group of patients (reproductive men). I have been introduced to new colleagues (other vasectomy providers) and I have participated in international vasectomy missions in Kenya, Philippines, and Haiti. Learning vasectomy has provided me with more self-worth as a physician and more of an appreciation for the differences I can make in the lives of my patients.

Currently, my practice is limited to tubal ligation reversal, vasectomy reversal, and minimally invasive vasectomy. In 2022, I began offering no scalpel vasectomy training to physicians who desire to learn vasectomy or improve their vasectomy techniques.

Interested in providing high quality, high volume vasectomy?

If you are an MD or DO, are actively practicing in the United States, and would like to either start providing vasectomy services or increase the number of procedures you are performing then I can offer you training and mentorship which will allow you to provide high quality vasectomy services with confidence and skill.

I am specifically looking for doctors who want to provide high volume (10 to 20+ vasectomy procedures per week), high quality (single visit, minimally invasive no vasectomy) vasectomy in their current their practices.

Providing vasectomy services can be tremendously rewarding for your career satisfaction, patient satisfaction, and your financial bottom line.

Career satisfaction. As a physician performing vasectomy, you are providing a simple preventative health care procedure that makes a tremendous difference in the lives of your patients.

In comparison to other primary care providers, a vasectomy provider is not being assaulted senseless with minor complaints, aches and pains, runny noses, back pain, and notes to get out of work! Vasectomy providers are not required to work long hours, overnight, or on holidays. Not many men want a vasectomy at night, on Thanksgiving, or during Christmas.

You will have less stress in your life. No one dies from a vasectomy. Major complications are rare (if you have skills, know what you are doing, and have a trusted mentor to discuss managment).

You can work in your office during normal business hours providing a low risk procedure that benefits your patients, our society, and our global health.

Patient satisfaction. Patients are extremely happy when they see a vasectomy doctor who can provide an efficient, near pain free minimally invasive vasectomy. They are even more satisfied when the vasectomy is affordable and can be obtained during a single visit with minimal barriers.

The happiest patients I see are men who get off the table amazed at how fast and near painless their vasectomy procedure was (if you know what you are doing).

Another group of happy patients are men who want to live a childfree life. When I provide these men vasectomy without lectures or hassles about their personal decision… these guys leave very, very happy with their decision and their vasectomy experience.

Financial reimbursement. Vasectomy is a simple office based procedure that can reimburse you nicely. There is very little overhead required. You do not have to continually purchase expensive equipment or medications.

As a physician you can perform 10 to 20 vasectomy procedure per week, working 2 to 4 days per week, and make an income similar to, if not better than, full time primary care physicians. You will also have far less stress in your life.

Basically…working two (2) full days a week you can make just a much as a full time primary care provider who has on-call responsibilities.

• If you are just starting your career….vasectomy can help add to your patient population. Many of these men need treatment for high blood pressure, erectile dysfunction, and other primary care concerns.
• If you are in the middle of your career… you can increase your income and set yourself up to transition to an earlier retirement without any significant decrease in income.
• If you are in the later stages of your career, you can maintain your skills as a physician and sense of self-worth providing an important service, and have enough free time to pursue your life’s other interests.

Learning to provide minimally invasive vasectomy, perfecting your skills, and dedicating a significant amount of your time towards provision of vasectomy services can be a win-win for all.

Do you have to be a Urologist to perform vasectomy?

No. You do not have to be a Urologist to perform vasectomy. Vasectomy is a primary care preventative minor procedure that can be performed safely in an office under local anesthesia.

In most countries with government sponsored health care (ie Canada, New Zealand, Australia, United Kingdom, etc), general practitioners perform most vasectomy procedures. Unfortunately, in the United States most vasectomy procedures are performed by specialists. This results in limited access to vasectomy services and higher cost of vasectomy.

The problem with vasectomy training in the United States

The problem with vasectomy training in the United States is most vasectomy training happens in the Urology departments of teaching hospitals. This means most vasectomy procedures are performed by Urologic specialist or other doctors who have rotated through these departments for a very short time during their training years.

As a result of this approach to vasectomy training in the United States, you have three groups of physicians who get exposed to vasectomy: Urology residents, general surgical residents, and primary care residents.

Urologist. Urology residents often go into busy practices after residency. They are usually more focused on serious urologic diseases; kidney disease, cancer, urinary tract stones, prostate disease, prostate cancer, bladder cancer, and other urinary tract illnesses.

A national survey of Urology residency programs has highlighted most graduating urology residents feel uncomfortable offering vasectomy in an office setting under local anesthesia:
Improving resident learning on vasectomy: a national survey on urology resident vasectomy training

Urologist are extremely busy. They are stretched thin between covering the office, hospital, operating room, and emergency room. Vasectomy procedures are often relegated to Friday afternoons in the office provided the doctor assigned to do vasectomy procedures that day is not called away to cover a more serious emergency. If they are in a small group or are a single provider, the chance they get pulled away from their vasectomy appointments is even more likely.

I often joke the Urologist who has to do vasectomy on Fridays is usually the doctor in the group who pulled the short straw when the office schedule was made for that week!

I am not trying to ding my Urology colleagues. I am simply trying to acknowledge a pressing problem with their ability to provide vasectomy.

I cannot tell you how many vasectomy patients I have seen who were pissed off because their vasectomy procedures were cancelled or rescheduled multiple times because of sudden emergencies that made the Urologist unavailable.

More commonly patients have to wait several weeks/months for a consultation appointment followed by another several weeks for a vasectomy appointment. This causes unnecessary increased anxiety! Many patients will not return for their second appointments due to fear alone.

Unfortunately, these delays often cause unplanned pregnancies and dilemmas for patients.

General surgeons. They usually only offer vasectomy procedures in the operating room and usually in conjunctions with other procedures, i.e. hernia repairs. They are not always eager to provide vasectomy but they seem to do so because it is a simple procedure that can be conveniently offered in the operating room when combined with other surgical procedures being performed under anesthesia. Surgeons do not generally offer vasectomy under local anesthesia in their offices or in other settings.

Family medicine doctors. Family Medicine residents usually get to see ‘a few’ vasectomies during their training rotations. They may even get to do ‘a few’ vasectomy procedures during these rotations, but when they graduate they don’t have the experience base to feel comfortable offering the service. If they do offer vasectomy in their new practices their procedures take too long and they quickly become frustrated by the more challenging vasectomy procedures.

Recent research has demonstrated that less than 10% of Family Medicine residency programs offer opportunities to learn vasectomy: Vasectomy Training in Family Medicine Residency Programs: A National Survey of Residency Program Directors

The family medicine doctors who do try to offer vasectomy are usually young and enthusiastic. I was once like this as well!

These doctors often join larger groups but the others partners may not want them performing vasectomy because they don’t want to deal with vasectomy related calls, complications or increased medical liabilities…..you usually get the ‘We don’t do these procedure here…we just refer these guys out…’ response.

If family medicine doctors do try to provide vasectomy services then they usually have an elaborate set up with a lot of unnecessary, scary looking vasectomy instruments. They also require a lot of staff time. These doctors may block off an hour to do a single vasectomy procedure. They usually require another staff person to be with them and the patient the entire time. This is very inefficient.

Their partners may get mad at them for not being productive and blocking off an entire hour. These enthusiastic new vasectomy doctors may not have enough time to see regular patients which means their partners will need to pick up the slack while the vasectomy doctor is stuck in a room for 1 hour doing a simple vasectomy. Their vasectomy patients will become frustrated because the procedure is taking too long. Other patients will get upset because they are not being seen in a timely fashion.

I have heard stories from patients about doctors taking 30 to 60 minutes to do a vasectomy and not being able to successfully complete the procedure. If it takes you an hour to do a vasectomy then either it is a very difficult vasectomy or your vasectomy skills are not what they should be. If all your procedures are taking that long then you probably do not know what you are doing.

If any of the above vasectomy providers are part of a larger institution, whether that be a university, major health care corporation, or even a non-profit like Planned Parenthood….all of the barriers to providing efficient affordable vasectomy are exponentially increased. You are adding in administrative barriers and additional management personal who could care less about making vasectomy more available. I know from personal experience.

In summary, the problem with vasectomy training in the United States is most vasectomies are taught in Urology Departments, most primary care doctors get very little exposure to training, real world concerns from their practice disincentivize them from performing the procedures, and the Urologic specialist are often preoccupied with more serious situations and do not have the desire, time, or ability to offer vasectomy to a larger number of patients.

No scalpel vasectomy training with Dr Monteith

If you are interested in no scalpel vasectomy training then I am prepared to invest enough time in you to make you a capable provider of vasectomy.

All you will when you finish your vasectomy training with me is focus on doing vasectomy procedures.

I will provide qualified doctors with the following:

1. Extensive one-on-one instruction in providing no needle, no scalpel minimally invasive vasectomy. The training goal would be to perform 40 vasectomy procedures during a training period over 3 to 6 weekends.
2. I will recruit patients for vasectomy training. Volunteer patients will receive free vasectomy procedures in exchange for being a vasectomy training patient.
3. The training days would be scheduled in my office His Choice No Cut Vasectomy in Raleigh, North Carolina on days that are mutually convenient to me and the trainee.
4. I will provide education on how to minimize the risks of complications and treat vasectomy complications. I will be immediately available to trainees after training (by cell phone or email) to help discuss treatment of vasectomy related issues or complications.
5. I will provide instruction on proper techniques to clean, decontaminate, and sterilize vasectomy instruments.
6. I will provide all equipment necessary to start providing vasectomy services in your practice.
7. You will receive direct mentoring on how to best set up your practice to provide vasectomy.
8. I will assist with training your staff on how to help you be a better vasectomy provider.
9. After your training has been completed you will receive a dedicated vasectomy website with educational videos, patient appointment scheduling app, and payment system. These items are designed to make your practice extremely efficient.
10. You will receive continued personal/professional support as you provide vasectomy services.

I will do a lot of things to help you, but I will not perform your office administrative tasks, human resource management, electronic medical records, or negotiate contracts with health insurance companies. I will provide advice and assistance on these maters based on my personal experience but you will be responsible for the day to day running of your office.

Basically after completion of training, you should be able to step into a fully prepared vasectomy practice and focus only on having to perform and perfect your vasectomy skills.

Who is eligible for vasectomy training?

1. You must be an MD or DO practicing in the United States.
2. Ideally, you should have a current practice to start providing vasectomy services. If you want to create a new practice this is possible but will take more coordination and planning.
3. You must have a North Carolina Medical License or be willing to obtain a North Carolina Application for special permit/special purpose license. This license allows you to come to NC to learn specific procedures for a limited time.
4. You must have liability coverage for vasectomy procedures (most policies should provide this).
5. You must be willing to travel to Raleigh, North Carolina for vasectomy training.
6. You must be willing to develop the skills to be able to proficiently provide vasectomy.
7. You must be willing to perform vasectomy with minimal barriers (ie on men without children who are at least 21 years of age).
8. You must be willing to have a background check and query of the National Medical Malpractice Database.

Who should not apply for training?

1. Non-physicians. I will not train mid-levels. It is not personal… just not practical to the vasectomy practice model.
2. Current resident physicians. I do not train residents. Your residency is responsible for your training.
3. Physicians who are located outside of the United States. You must be actively practicing medicine in the United States.
4. Physicians who are not willing to commit to performing a minimum of 10 vasectomy procedures per week after training.
5. Physicians who have a criminal record, history of substance abuse, or previous troubles with their local medical board. Background checks will be performed.
6. Physicians who want more vasectomy training just to ‘broaden their life’s experience’. Essentially, I only want serious doctors who want to provide high volume vasectomy procedures. I do not want the semi-retired doctor who wants to do a ‘few’ vasectomies one week and then travel to China for 6 weeks to study pottery techniques during the period of the Ming Dynasty.

What will vasectomy training cost?

Nothing in life is free right? This will cost you but not much as you think. When you look at the income you could generate in the long run then the cost to have this training is minimal.

The cost for no scalpel vasectomy training is nothing compared to the priceless satisfaction you will experience in providing this service to deserving men and couples!

Here are the steps you should take if you would like to discuss vasectomy training with me:

1. Submit the form below with a valid email address and cell phone number.
2. I will contact you by email.
3. We will arrange a time to talk by phone and see if we are each a right fit for each other.

No scalpel vasectomy training in Raleigh NC with Dr Monteith

Enter your information in the form below to learn more about no scalpel vasectomy training with Dr Monteith.

Current Vasectomy Trainee

Dr. Zerden would like to provide minimally invasive low barrier vasectomy in a specialty practice he will start in the Durham/Chapel Hill Area later this year.

Dr. Matthew Zerden and I have known each other for over ten years. Together, we co-authored a paper on Essure sterilization reversal.

Dr. Zerden is a good guy and his heart is in the right place. Dr. Zerden is currently an Ob Hospitalist at WakeMed North in North Raleigh.

More information: Matthew Zerden MD MPH

Dr. Zerden is an MD, MPH and he is a board-certified OBGYN and he is also a Complex Family Planning subspecialist in North Carolina and Virginia.

He provides patient care in hospitals and clinics in the triangle. He has a career interest in reprodutive health and surgical sterilziation.

His academic appointments include: Clinical Assistant Professor of OBGYN at the UNC School of Medicine; Consulting Associate in the Department of Family Medicine and Community Health at Duke School of Medicine; and OBGYN Clerkship Director of the Campbell University School of Osteopathic Medicine at the Raleigh Campus.

Dr. Zerden received both his medical degree and his Master’s Degree in Public Health from Harvard University. He completed his OBGYN residency and Family Planning fellowship at the UNC School of Medicine.