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.
Just microscopically, there will be no sperm in the semen. If you experience any changes in your sexual drive or functioning after the procedure, contact your physician. Ejaculation may cause some discomfort in the groin and testicles until the tissues heal.
You may return to work and resume normal, non-strenuous activity in about two days or 48 hours. Activities such as weight lifting and jogging should not be resumed for a minimum of one week.
Note: Absorbable stitches are used for closure of the wound and do not necessitate removal. You will likely have some postoperative discomfort; complications are rare but can occur. Contact the clinic office if, after arriving home, you have any of the following symptoms: Signs of infection, including fever and chills.
Redness, swelling, excessive pain or bleeding, or discharge at the incision site. Difficulty urinating. Pain that you cannot control with your medications.
Call the clinic office or if you have questions or concerns. For the longer term—semen testing: Sperm can remain in your semen for three to six months, or longer, after your vasectomy. Therefore, it is very important for you to continue to use contraception until your semen is analyzed and you are cleared by your doctor. At the three-month mark, a semen specimen should be brought to our office for fertility analysis. It is recommended that you have at least 20 ejaculations during that first three-month period.
At some point, individuals will need to go for a follow-up test to check for sperm in their semen. Most urologists recommend checking the semen at least 3 months or 20 ejaculates after the vasectomy, whichever occurs first.
They will need to continue using another form of contraception, such as condoms, until a semen analysis confirms that the ejaculate is free of sperm. Many people worry that a vasectomy will have a negative effect on their sex life, but research indicates that this is not the case. A survey found that many males reported an improvement in sexual satisfaction after a vasectomy, while there was no change in satisfaction for their female partners.
Other research reports that there is no association between a vasectomy and a reduction in the frequency of sex. It is safe to masturbate once the vasectomy wounds heal, and the pain and swelling go away. People do not need to take any additional precautions before masturbating after a vasectomy. Once a person has waited 3 months or had 20 ejaculates — either through sex or masturbation — they can see a doctor for a follow-up sperm analysis.
The only difference is that the sperm cannot pass through the vas deferens tubes into the urethra. Instead, the body reabsorbs the sperm. As semen contains only a very small amount of sperm, individuals and their partners will not notice changes in the ejaculate due to the absence of sperm.
A vasectomy is a minor surgical procedure that is highly effective in preventing pregnancy. Until a semen analysis confirms that the ejaculate is sperm free, however, people should use another form of birth control. Vasectomy does not protect against STIs. People who undergo a vasectomy should not notice any changes in their sexual drive or function. There should also be no difference in the sensation of ejaculation or the appearance of the ejaculate.
Most doctors advise waiting a week before having sex or masturbating to avoid infection or additional pain. It is common for the first few ejaculations to feel uncomfortable, and only persistent discomfort requires medical attention. Spermicide condoms are designed to kill the sperm before they can reach the egg. They offer a number of benefits, including additional protection, but…. Learn all about the different causes of painful ejaculation, along with associated symptoms and treatment options for this common condition.
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