[mywittyname]

These can be difficult to get for younger, childless men. Even younger men (<40) with children receive push back from physicians in getting the procedure because it can be difficult to reverse.

[CountDrewku]

Then you can assume alternatives would also be difficult to get approval for. I can't imagine some chemical option would be preferable to a physical disconnection anyway.

[beeboop]

I think the point is other options (vasogel or something for example) are easily reversed and are non-surgical