“A vasectomy is highly effective, but rare failures can occur, including late recanalization.

An old semen analysis doesn’t establish what was happening at every later point.

We can evaluate your current status.

It wouldn’t establish who fathered a particular child.”

The distinction landed hard.

I had once used medicine to make a private choice for both of us.

Now I wanted medicine to relieve me of the consequences of that choice.

Raymond contacted me while I was leaving the clinic.