The pill. The IUD. The appointments. The pregnancies. Childbirth. The planning. Why is family planning still her job? Maybe it's time to change the conversation.

Why Not Him?

A movement for shared responsibility in family planning. Because vasectomy deserves a place in the conversation.

An initiative from His Choice Health

Why this conversation matters

What if family planning wasn't one more thing on her list?

Pills, patches, IUDs, side effects, appointments, insurance calls: she figures it out, often for decades, for something that takes two to create.

30 years

The typical U.S. woman spends about three decades of her life trying to prevent pregnancy. (Guttmacher Institute)

4X

Women in their 40s are about four times as likely to rely on tubal sterilization or an IUD as men are to have had a vasectomy (25.8% vs. 6.0%). (CDC)

How did we get here? Couples don't choose in a vacuum. The exam room, the benefits plan and the community all shape what feels normal, and right now all three quietly point toward her.

In the exam room

Only 1 in 2 women seeking permanent contraception said they were counseled about vasectomy.

In the benefits plan

Most plans must cover her permanent contraception at no cost. His isn't required.

In the community

Vasectomy is something men quietly get, not something we openly talk about.

This isn't about blame. It's about making sure both partners have a full choice of options, and that we're all a part of equalizing the playing field when it comes to family planning.

Where do you fit?

Everyone has a part in this conversation.

For her

You've carried this long enough.

Start the conversation with him, and pass it on to friends.

Start the Conversation

For him

It's simpler than you think.

What a good vasectomy is really like, without the horror stories.

Learn About Vasectomy

For healthcare providers

She deserves every option, even his.

Make vasectomy a routine part of every family planning conversation.

Bring It to Your Patients

For employers

Her options are paid for. His should be too.

Close the cost gap so your families can choose freely.

Support Your Team

For community groups

You're where real conversations happen.

Host, share, and display information that helps families talk about it.

Host and Share

Vasectomy, simplified.

Simple. Safe. Shared.

15 min

in-office procedure

1 visit

for most men

0

hormones, for either of you

48 hrs

until most men are back to normal

Questions to explore together: What does recovery really look like? What are the costs, upfront and ongoing? What does permanent mean for us?

Get the Full Picture

Ready to keep the conversation going?

Pass the question on. Then find your place in the movement.

Share Why Not Him?

An initiative from His Choice Health

Why Not Him? was created by His Choice Health. We've supported thousands of men through vasectomy care. Our goal is to make sure vasectomy is part of every family planning conversation, because everyone deserves a full choice of options.

Raleigh · Durham · Charlotte · Richmond

Find Care