VASECTOMY

What is a vasectomy?

  • A minor surgery that blocks the tubes (called vas deferens) that carry sperm from the testicles.

  • Prevents sperm from mixing with semen, so you can’t make someone pregnant.

  • Does not affect your hormones, sex drive, or ability to have erections.

  • Please consider watching the following video for more information:

How is it done?

  • Usually done under local freezing (no general anesthesia).

  • Small openings are made in the skin of the scrotum to reach and block the tubes.

  • The procedure takes about 10-15 minutes.

  • You go home the same day.

Recovery

  • Most men return to light activity in a day or two.

  • Avoid heavy lifting, sports, and sex for about a week or two.

  • Use ice packs (wrapped in a towel) and snug underwear for comfort.

  • Mild bruising or swelling is normal and should improve in a week or so.

How well does it work?

  • Vasectomy is over 99% effective once your semen tests show no sperm.

  • It is one of the most reliable forms of birth control.

Is it permanent?

  • It should be considered permanent.

  • Although a vasectomy reversal is possible, success is not guaranteed and this surgery is not covered by medicare.

  • If you are unsure, take time to discuss your options before proceeding.

After the procedure

  • You will still ejaculate normally, your semen just won’t contain sperm.

  • You need to use another form of birth control until a semen test confirms there are no sperm (usually after 3 months or 20 ejaculations).

  • Your urologist will tell you when and where to drop off the sample.

Possible risks (uncommon)

  • Mild bleeding, swelling, or infection at the site.

  • Small lump or tenderness (called sperm granuloma) that usually settles on its own.

  • Long-term pain is rare but can happen.

  • If you don’t complete a semen test, you may never know if the vasectomy worked, and pregnancy can still occur.

  • The chance of pregnancy after a confirmed negative test is extremely low (about 1 in 2,000).

Myths and facts

  • Myth: Vasectomy lowers testosterone.
    Fact: Hormone levels stay the same.

  • Myth: It affects erections or orgasm.
    Fact: Nothing changes in sexual function.

  • Myth: It protects against sexually transmitted infections.
    Fact: It does not—condoms are still needed for STI protection.

  • Myth: I hear a “laser vasectomy” is painless and easier than a regular vasectomy
    Fact: There is no such thing as a “laser vasectomy.” All vasectomies are done using small instruments (never lasers) and discomfort is usually very mild.

Why choose a vasectomy?

  • Quick, safe, and reliable.

  • No ongoing cost or maintenance.

  • Lets couples avoid hormonal birth control or female surgery.