Vasectomy: A Definitive Guide

Vasectomy is a type of permanent birth control that prevents sperm release when a man ejaculates during a sexual intercourse.

Success Rate
It is a very effective form of birth control with 99.85 percent effectiveness rate. Only 1 out of 1,000 women will have an unplanned pregnancy after their partners have had vasectomy. And this can only happen in the first year after the surgery. Until sperm count is confirmed to zero, another birth control method should be used. It takes 10 to 20 ejaculations before the semen becomes clear of sperms.

What Happens during Vasectomy?
- First, the testicles and scrotum are shaved and cleaned with antiseptic.
- The patient may be given oral or intravenous (IV) medicine to reduce anxiety.
- A local anesthesia is injected.
- The vas deferens from each of the testicles is cut, clamped or sealed.

The entire process takes about 20 to 30 minutes. It can be done in the office or clinic and performed by a family medicine doctor, a urologist, or general surgeon.

The surgery is done to prevent the sperms from mixing with the semen when it is ejaculated from the penis. If the semen doesn't contain any sperms, the egg will not be fertilized and no pregnancy will result. The testicles will still produce sperms but it will be reabsorbed by the body, similar to how sperms that are not ejaculated are reabsorbed by the body for those who have not undergone vasectomy. The nature of the procedure has it that a man will still ejaculate the same amount of fluid, just without sperms.

What to Expect After Surgery
- Expect that after the surgery, your scrotum will feel numb for the next one to two hours.
- Cold packs should be applied on the area.
- Lie on your back for the rest of the day.
- Ease the discomfort and protect the area by wearing a jockstrap or fit underwear.
- Swelling and minor pain in the scrotum will be present for several days following the surgery.
- If your work is not that physically demanding, the doctor can allow you to go back to work after one or two days.
- Avoid heavy lifting for a week.

As for sexual intercourse:
- You can resume anytime you feel comfortable. But ideally, you should wait for about a week.
- Remember that you can still get your partner pregnant until your sperm count is zero.
- Until it is confirmed that you have zero sperm count, you and your partner should make use of another form of birth control.
- You can go back to your doctor to have your sperm count checked.
- You may also purchase a home testing kit.

Advantages
- It's a safe and not so expensive procedure to have as permanent birth control method.
- At the same time, it won't interfere with your ability to have erections or orgasm.
- It won't even affect your sex drive although you will feel mild aching in the testicles during arousal for the first few months after the vasectomy.

Keep In Mind
Vasovasostomy is the process to reverse Vasectomy. However, keep in mind that:
- Vasovasostomy is not always successful.
- Even after a successful Vasovasostomy, you will have far less pregnancy success rate.

 


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