The vasectomy, a surgical procedure that prevents men from fathering children by blocking the tubes that carry sperm, has seen a dramatic rise in France. Since 2010, over 275,000 procedures have been recorded, with nearly 58,000 performed in 2023 alone. This represents a more than 25-fold increase in just 15 years, from 2,150 operations in 2010. The average age of men undergoing the procedure has also dropped, from 43 in 2010 to 40 today, indicating that men are opting for the procedure earlier in life. However, access to vasectomies is not evenly distributed. Middle-class men are overrepresented among those undergoing the procedure, while lower-income individuals and people in certain regions face barriers to access. This rise in vasectomies is part of a larger trend of shifting contraceptive preferences in France. Between 2012 and 2022, the use of the combined oral contraceptive pill, which contains both estrogen and progestin, dropped by a third, from 54% to 35% of users. Meanwhile, the use of copper intrauterine devices (IUDs) and progestin-only pills has more than doubled. The vasectomy, available in France since 2001, is increasingly viewed as a viable alternative in this changing landscape of reproductive choices. The typical man undergoing a vasectomy is a 40-year-old manager, with most falling between the ages of 37 and 45. However, only 2.5% of men who had the procedure were covered by complementary health insurance for the poor, a much lower proportion than their share of the general population. This trend is reflected in the distribution by income level: the most disadvantaged and the most affluent groups are both underrepresented, while middle-class men are overrepresented. Additionally, there are significant regional differences, with usage rates varying widely across different areas of the country, highlighting uneven access to the procedure. The growing number of vasectomies reflects a broader shift in how contraceptive responsibilities are shared between men and women in France. While this change is still concentrated in certain social and geographic groups, it signals a growing willingness among men to take an active role in family planning. This development raises questions about the future of the trend: will it continue to grow, or will it eventually stabilize as access and social inequalities are addressed?