Pada 2012, MUI mengubah fatwanya menjadi membolehkan vasektomi sepanjang “tujuannya sesuai syariat” dan “tidak memandulkan secara permanen”.
“Kalau orang sudah divasektomi, maka cairan spermanya ada, semua proses ejakulasi dan sensasi rasanya tetap typical, tapi kalau diperiksa lewat mikroskop itu bibit anak atau spermatozoanya tidak ada,” kata dia.
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"Misalnya kalau saya vasektomi atau tubektomi itu kan bukan berarti membatasi, bokep indonesia tapi saya ingin mengatur keturunan saya sesuai kesejahteraan dan kemaslahatan yang saya bayangkan. Jadi tidak bisa dianggap apakah itu membatasi secara dini," ujar Marzuki.
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Perihal syarat itu dan apa yang mendasarinya, Hasto beralasan: “Di Indonesia itu, kan angka kematian balita juga masih cukup tinggi. Banyak sekali orang enggak menyadari itu”.
“Itu sudah jadi keputusan dari diri saya sendiri, bukan sebatas karena kasihan sama Gita, tapi saya sendiri juga tidak mau punya anak lagi.
“Sepanjang dua-duanya sepakat dan mengerti bahwa vasektomi itu sesuatu hal yang mereka butuhkan karena mereka sudah tidak mau lagi punya anak,” kata Dokter Nur Rasyid.
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Dokter akan membuat sayatan kecil di skrotum (kantong kulit yang menggantung di bawah pangkal penis) untuk memotong vas deferens.
“Spermatozoa yang mati itu karena tidak dikeluarkan oleh tubuh kita, dianggap sebagai benda asing sehingga tubuh membentuk antibodi terhadap itu. Itu berpengaruh terhadap derajat kesuburan setelah orang divasektomi, kalau menginginkan anak lagi,” papar Dokter Nur.