Most men go home right away after the procedure. You should avoid sex for days or activities that take a lot of strength. Swelling and pain can be treated with an ice pack on the scrotum and wearing a supportive undergarment, such as a jockstrap. Most men fully heal in less than a week. Many men are able to return to their job as early as the next day if they do desk work.
Sex can often be resumed within a week after the vasectomy, but it's important to know that a vasectomy doesn't work right away. After the vasectomy, new sperm won't be able to get into the semen, but there will still be lots of sperm "in the pipeline" that takes time to clear.
You should follow up with your urologist for semen analysis to check for sperm in your ejaculate. During this time, you should use other forms of birth control. The time it takes for your ejaculate to be free of sperm can differ. One in men will still have sperm in their ejaculate at that time and may need to wait longer for the sperm to clear. You shouldn't assume that your vasectomy is effective until a semen analysis proves it is.
Sperm adds very little to the semen volume, so you shouldn't notice any change in your ejaculate after vasectomy. Your partner may sometimes be able to feel the vasectomy site. This is particularly true if you have developed a granuloma. Ejaculation and orgasm are not affected by vasectomy. The special case is the rare man who has developed post-vasectomy pain syndrome. There is a small chance a vasectomy may fail. This occurs when sperm leaking from one end of the cut vas deferens find a channel to the other cut end.
Once your urologist clears you with a sperm test showing no sperm or less than , sperm, with none moving, the risk of pregnancy is 1 in In rare cases, the testicular artery may be hurt during vasectomy. Other problems, such as a mass of blood hematoma or infection, may also affect the testicles. Yes, but if you haven't stored frozen sperm you'll need an additional procedure.
The vas deferens can be surgically reconnected in a procedure called vasectomy reversal. If you don't want to have vasectomy reversal, sperm can be taken from the testicle or the epididymis and used for in vitro fertilization.
These procedures are costly and may not be covered by your health plan. Also, they don't always work. If you think you may want to have children one day, you should look into non-permanent forms of birth control before deciding to have a vasectomy.
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Depo-Provera is a form of birth control. It is an injection, or shot, that contains progestin. You must get…. Natural family planning NFP is a form of pregnancy planning. It does not involve medicine or devices. It tracks…. Visit The Symptom Checker. Read More. Progestin-Only Birth Control Pills. Depo-Provera: An Injectable Contraceptive. Tubal Sterilization Tubal Ligation. Natural Family Planning. Birth Control Options. Intrauterine Device IUD. Emergency Contraception. Path to improved health Vasectomy may be the safest, most effective kind of birth control.
How should I prepare for the operation? What can I expect after the operation? The instructions may include: Wear tight-fitting underwear or a jock strap to support your scrotum. Use an ice pack to help with the pain and swelling. Get plenty of rest. Limit yourself to light activity until you heal. Is it okay to take medicine? When can I return to work? Will the vasectomy work right away? This could be because of patient anxiety or because other procedures will be done at the same time.
There are two ways to perform a vasectomy. In either case, the patient is awake during the procedure, but the urologist uses a local anesthetic to numb the scrotum. With the conventional method, the doctor makes one or two small cuts in the scrotum to access the vas deferens.
A small section of the vas deferens is cut out and then removed.
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