Thinking About a Vasectomy? Here’s What You Should Know

By Cara O’Brien M.D.

Every year, half a million men choose to get a vasectomy. So the procedure is probably right for you.

Right?

That answer depends on a few important factors. True, a vasectomy is among the most effective, reliable, and safe forms of birth control, one that an estimated 500,000 U.S. men undergo every year. But this number does not diminish the seriousness of the procedure. If you’re considering a vasectomy, ask yourself these questions:

Am I 100% sure I don’t want (more) children?

A vasectomy is a permanent form of sterilization. Fertility might be restored through a procedure called a vasovasostomy, but it’s not guaranteed. And all surgeries – even outpatient procedures – can involve complications and should be approached thoughtfully. Don’t plan a vasectomy with reversal in mind. Wait.

Am I satisfied with my “home” life?

At MidLantic Urology, we ask all vasectomy candidates about their relationship status to help determine whether they are ready to undergo sterilization. This decision affects more than you. Or if vasectomy is your partner’s idea, could your situation change?

Can I have carefree intercourse immediately?

No, not until after 20 to 30 ejaculations (to clear all viable sperm) and waiting three months. Most of our offices use a specific post-vasectomy semen analysis kit, which we provide our patients. Use birth control until your urologist confirms complete sterility.

Will it affect my sexual performance?

Another no. A vasectomy does not involve your sexual organs. It simply blocks sperm from travelling to your penis by cutting and sealing the two passageways that sperm travel. Your sex drive is unchanged, and your prostate continues to make fluid, so you will be able to ejaculate. In fact, your testicles will continue to make sperm, but since the sperm can no longer travel to your penis, it will be absorbed by your body.

Will it hurt?

It shouldn’t, but there might be slight discomfort. Some men experience a sense of tugging during the procedure, which takes 15 to 30 minutes, and a stitch or two might be needed (in some cases, a no-scalpel technique can be used). You will feel some aching for a few days afterward, which can be eased with ice and rest.

 

Still Have Questions?

If you’re not sure if vasectomy is right for you, confide in a urologist. At MidLantic Urology, all vasectomy candidates undergo a thorough evaluation to ensure they are making the right decision at the right time.

Learn more about vasectomies and what to expect.