Sexual health. Home Sexual health. Contraception - vasectomy. Actions for this page Listen Print. Summary Read the full fact sheet. On this page. What is a vasectomy? How effective is a vasectomy? Is a vasectomy right for me? What happens when you have a vasectomy? How does a vasectomy work? Where can I get a vasectomy? What are the advantages of having a vasectomy? Are there any side effects from having a vasectomy?
Can a vasectomy cause any serious health problems? What if I have a vasectomy and my partner and I want a child? What else should I know about a vasectomy? Where to get help.
It is recommended that you and your partner continue to use another form of contraception until you are sure that the vasectomy worked It is very uncommon for a vasectomy to stop working. Vasectomy is a safe, effective, permanent method of contraception.
Subsequent steps in the vasectomy are the same for each method, as follows: Once the tubes are located by the doctor, they are cut and a small piece of tissue is removed. The ends of the tubes are then sealed with a stitch or using diathermy heat. Sometimes the surgeon will place surrounding tissue between the two ends of the cut tubes, to increase the chance of the vasectomy working.
Vasectomy: is very effective can be low cost compared to purchasing other contraceptive methods is a quick and simple procedure is permanent lasts forever does not affect your ability to enjoy sex or reach orgasm allows your partner to stop taking other types of contraception to prevent pregnancy.
After a vasectomy, side effects may include: bruising and lumps at the wound site infection at the wound site pain usually just for a few days scarring at the wound site. Sometimes pain can last for months after a vasectomy, but this is rare. Give feedback about this page. Was this page helpful? Yes No. If performed under local anesthesia, pain medicine will be administered directly to your scrotum to numb the area.
You will be awake for the procedure. With conscious sedation, you will receive medications to sedate you and relieve any anxiety during the procedure in addition to receiving local anesthesia directly to your scrotum. Regardless of the anesthesia, the procedure is the same. The physician will disconnect the vas deferens—the tubes that transport sperm from the testicles. After the surgery, sperm will not be able to leave the testicles. A vasectomy should not decrease your sex drive , nor should it negatively impact your ability to have an erection or orgasm.
Only five to 10 percent of the ejaculate comes from the testicle. The remainder comes from upstream structures such as your prostate and seminal vesicles. Thus, ejaculation will still look and feel the same. It may be painful or sensitive to touch or pressure, but it isn't harmful. Your urologist will give you instructions for care after a vasectomy.
Most men go home right away after the procedure. You should avoid sex for days or activities that take a lot of strength.
Swelling and pain can be treated with an ice pack on the scrotum and wearing a supportive undergarment, such as a jockstrap. Most men fully heal in less than a week. Many men are able to return to their job as early as the next day if they do desk work. Sex can often be resumed within a week after the vasectomy, but it's important to know that a vasectomy doesn't work right away. After the vasectomy, new sperm won't be able to get into the semen, but there will still be lots of sperm "in the pipeline" that takes time to clear.
You should follow up with your urologist for semen analysis to check for sperm in your ejaculate. During this time, you should use other forms of birth control. The time it takes for your ejaculate to be free of sperm can differ. One in men will still have sperm in their ejaculate at that time and may need to wait longer for the sperm to clear. You shouldn't assume that your vasectomy is effective until a semen analysis proves it is. Sperm adds very little to the semen volume, so you shouldn't notice any change in your ejaculate after vasectomy.
Your partner may sometimes be able to feel the vasectomy site. This is particularly true if you have developed a granuloma. Ejaculation and orgasm are not affected by vasectomy. The special case is the rare man who has developed post-vasectomy pain syndrome. There is a small chance a vasectomy may fail. This occurs when sperm leaking from one end of the cut vas deferens find a channel to the other cut end.
Once your urologist clears you with a sperm test showing no sperm or less than , sperm, with none moving, the risk of pregnancy is 1 in In rare cases, the testicular artery may be hurt during vasectomy. Other problems, such as a mass of blood hematoma or infection, may also affect the testicles. Yes, but if you haven't stored frozen sperm you'll need an additional procedure.
The vas deferens can be surgically reconnected in a procedure called vasectomy reversal. If you don't want to have vasectomy reversal, sperm can be taken from the testicle or the epididymis and used for in vitro fertilization. These procedures are costly and may not be covered by your health plan. Also, they don't always work. If you think you may want to have children one day, you should look into non-permanent forms of birth control before deciding to have a vasectomy.
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