No-scalpel vasectomy, or NSV or keyhole vasectomy, is a surgical method of sterilization that involves puncturing the skin of the scrotum to access the vas deferens, a tube that carries spermatozoa, or sperm, from the testes to the penis. The surgeon performing the procedure blocks the flow of sperm through the vas deferens, sterilizing the patient. NSV is a less invasive procedure, as it does not use a scalpel to make a deep cut on sensitive scrotal tissue. Typically, urologists perform NSV with the purpose of rendering the patient sterile while not altering other functions of the testes, scrotum, and penis. Li Shunqiang developed the technique in China in 1974 as a less invasive method of vasectomy for male patients. Li’s development of NSV provided an alternative method to vasectomies that rely on making incisions into the scrotum with a blade. NSV gained wide use as a sterilization technique, providing a path for males to take greater responsibility for contraception and family planning.

Harry Clay Sharp was a surgeon who performed one of the first recorded vasectomies with the purpose of sterilizing a patient. Sterilization is the practice that makes a person unable to reproduce, and vasectomy accomplishes that by severing the vasa deferentia, the sperm-carrying tubes in the male reproductive system. Historically, sterilization procedures have varied in techniques, goals, and risks, but Sharp’s method of vasectomy allowed restriction of a patient’s reproductive functions without significantly affecting other bodily functions. Historians have associated Sharp’s use of the procedure, primarily on prison inmates, with eugenics, a movement with the goal of bettering humans via selective reproductive practices. With vasectomy, Sharp was able to sterilize people whom he did not deem fit to reproduce. Beyond simply pushing forward a new surgical method of sterilization, Sharp’s political advocacy led to the use of his technique as a method of eugenicist control over human reproduction, especially in Indiana.

Ernst Gräfenberg was a physician and researcher who studied sexology, the study of human sexuality, in both Germany and the United States during the first half of the twentieth century. Gräfenberg researched the use of intrauterine devices as a form of contraception, and he developed the Gräfenberg ring. The Gräfenberg ring was one of the first intrauterine devices that effectively prevented pregnancy without causing infection, and it became the forerunner of all modern intrauterine devices, or IUDs. Gräfenberg also studied the role of the urethra in female orgasm. He was one of the first researchers to discuss female pleasure in a scientific manner, and, more specifically, he was one of the first to write about the erogenous zone on the anterior vaginal wall, colloquially called the G-spot. Through the technology he developed and the ideas he proposed, Gräfenberg advanced knowledge of female anatomy, pleasure, and reproduction, enabling researchers and professionals to better understand and cater to females’ reproductive and sexual needs.