Medical sexism in Kazakhstan: Man told to sterilize wife instead

A Kazakh couple has sparked a lively online discussion after publicly sharing their experience seeking a vasectomy, saying a doctor tried to steer them toward female sterilization instead.
A Threads user identified as Aiym Beketayeva said she and her husband, Dias, decided to speak openly about their decision after having three children — two daughters and a son.
«We are the first Kazakh couple to publicly share our vasectomy experience. My name is Aiym, and this is my husband, Dias,» she wrote. «According to Kazakhstan’s laws, parents with three children are eligible for a vasectomy without waiting until age 35.»
Doctor recommends procedure for wife instead
According to Beketayeva, the couple scheduled an appointment with a urologist to discuss a vasectomy for her husband. However, she said the consultation quickly shifted toward recommending that she undergo sterilization instead.
The doctor reportedly argued that a vasectomy could limit the husband’s options in the future, particularly in the event of a divorce and remarriage.
For Beketayeva, the exchange highlighted what she sees as a broader tendency to place responsibility for contraception on women.
«At that moment, it became clear again how often responsibility for contraception is automatically shifted to women — even after pregnancy, childbirth and recovery,» she wrote. «We came to discuss a vasectomy for my husband, and they once again suggested a procedure for me.»
Social media users weigh in
Many commenters criticized the doctor’s position, arguing that vasectomies can often be reversed and that reproductive decisions should be left to the couple.
«I don’t understand. A vasectomy is reversible, so why would he never be able to have children again if you got divorced?» one user wrote.
Others shared similar experiences, saying they had encountered resistance from medical professionals when discussing vasectomy as a family-planning option.
One commenter recalled being advised to use an intrauterine device (IUD) instead of having her husband undergo the procedure. She said a doctor questioned whether her husband would agree to a vasectomy and suggested it would undermine his masculinity.
Post gains widespread attention
The discussion quickly gained traction on social media. At the time of publication, Beketayeva’s post had received about 14,000 likes, more than 900 comments and roughly 2,000 shares.