Vasectomy is a permanent and effective means for preventing pregnancy. You should only consider a vasectomy if you and your partner do not wish to have children at any time in the future. Vasectomy will not affect the man’s libido, ejaculation, sexual pleasure, or erections.
How a vasectomy works
During vasectomy, the vas deferens is cut. The vas deferens are the tubes that carry the sperm from the testicle to the penis. Cutting the vas deferens prevents the sperm from exiting the penis during ejaculation. After a vasectomy, your body will continue to produce sperm but they will die and be re-absorbed. A vasectomy will not noticeably affect the seminal fluid. Your ejaculate will still look and feel the same. A vasectomy also will not affect your testosterone (male hormone) levels or your ability to have an erection.
Preparing for your vasectomy
Your doctor may ask you to stop taking vitamins, herbal supplements, aspirin, or ibuprofen for one week before surgery. Anti-inflammatory medications thin the blood and can cause excessive bleeding. Notify your urologist if you are taking any blood thinners.
The vasectomy procedure
The procedure is done at an outpatient surgery center using local anesthesia and sedation.
The urologist makes a small incision (less than 1 cm) in the scrotum.
After your vasectomy
To minimize your discomfort, your doctor may recommend, pain medication, ice packs, and or an athletic support (jock strap).
Contact your doctor if you experience fever, chills,
increasing pain or significant swelling and bruising.
Your doctor will give you instructions about refraining from sexual activity, typically for one week after surgery.
You must use other forms of birth control until you have two negative sperm counts, confirming the effectiveness of the procedure. The counts are done 3 and 4 months after surgery. It may take several months until all of the sperm left in the upper part of the vas deferens are cleared.
Vasectomies may be reversible, but you should not assume your procedure can be reversed. Talk with your doctor to learn more about this.