1. How is vasectomy done?
There are few techniques for performing vasectomy, but all of them block or cut the two tubes, called the vas deferens, that carry sperm cells from the testicles .I prefer close ended vasectomy but you can request open ended technique. Local anesthetic is infiltrated just under the skin around the vas deferens (not in the testicles as some people wrongly assume.)
2. How effective is vasectomy?
Vasectomy is probably the most effective method of contraception. The failure rate is less than 1%. Although failure rate is low, it is usually picked up when a 3-month sperm count [or 30 ejaculations] is performed. A post-vasectomy sperm count is essential.
3. Is a vasectomy painful?
Everyone experiences pain in a different way. There is a very mild discomfort with the local anesthetic injection causes a short sharp pain which starts to work straight away and the area then feels numb. You may experience a slight tugging sensation during the procedure. The effects of the anesthesia will last for several hours and this will allow you time to go home, lie down and apply an ice pack. Simple analgesics will be all that you require later for pain relief. There will be a small amount of swelling and bruising that may last for 3-7 days. Occasional extensive bruising may occur.
4. Does vasectomy work straight away?
No – Some sperm will remain downstream in the vas deferens above the operation site for weeks and sometimes months after the operation. These sperm gradually clear after ejaculation. Alternative methods of contraception must be used for a few months until you’re informed that your semen is free of sperm. Thus more than 1 sperm count may be required. It is important to remember that even though you have been given clearance there is a very small chance of late failure.
5. Does vasectomy affect my sex life, orgasm or masculinity?
Vasectomy has no effect on a man’s sex drive, testosterone, orgasms, or how much semen he ejaculates. Many men, who have undergone the procedure, and their partners, find that sex becomes more spontaneous and enjoyable because they no longer have the inconvenience or concerns about contraceptives.
6. When can I resume sexual activity?
Sex can be resumed whenever you feel comfortable but it is recommended that you wait a few days.
7. Do I need to take time off work?
We recommend that you take it easy for two days following your vasectomy. You should avoid heavy lifting and strenuous exercise for one week. Most men who have the procedure on a Thursday or Friday will be back to work on Monday. If your work is very physical then a few extra days off may be recommended.
8. When can I resume normal activities?
Avoid vigorous exercise and heavy lifting for the first week or two. Over exertion may lead to increased swelling and pain. Strenuous and physically demanding sports should be avoided for a longer period.
9. Can the operation is reversed?
Yes. However, the success of a vasectomy reversal cannot be guaranteed and the cost of such an operation is high. Unless you are 100% certain of having a vasectomy we advise against it.