What is a Vasectomy?
Questions to ask yourself:
Would you like to father another child in your lifetime?
If you answer YES….keep on reading but perhaps you should not consider this procedure at this time. If you answer “NO” we are here to help you. If you are not certain or you answer “maybe” sperm freezing or
delaying the procedure should be an option for you.
Vasectomy by DOCS Urology?
Sterilization, including both vasectomy and female sterilization, is now the most popular form of birth control in the United States, chosen by the largest majority of couples who are seeking permanent sterilization. Vasectomy is far simpler and less expensive than sterilization for women. The only condition seen markedly more often in the vasectomized men was epididymitis, a local inflammation near the site of the operation. This complication, which was previously known, occurs mostly within the first year after vasectomy. Treated with heat, it usually clears up in a week.
The Risks of Vasectomy?
The vasectomy operation is quick, safe, and inexpensive. Usually it is performed in a doctor’s office or clinic and takes only 10 to 15 minutes. After giving the man a local anesthetic, a doctor generally makes two small incisions, one on either side of the scrotum, we locate the two thin tubes that carry sperm, seals them off, and that’s it. Usually no sutures or stitches are needed. Once leaving the office and ice pack to the scrotum should be used for about 6 hours. The cost of a
vasectomy is roughly one-fifth the cost of female sterilization. Recovery from the vasectomy operation is rapid, and serious complications are rare. Swelling, bruising, and pain — the most common complaints — occur in about half of men after vasectomy. The discomfort subsides within a week or two and usually responds to treatment with ice packs, mild pain killers, scrotal support and rest.
Men are generally advised to avoid strenuous work or exercise for about 2 days after the operation.
A minority of men develop a small lump of inflammatory tissue called a granuloma near the incision site. Granulomas, caused by sperm leaking into surrounding tissues, usually stay so small that they don’t cause symptoms. If they do cause pain, it is generally treated with bed rest and mild pain killers.
When is it Safe to Have Unprotected Sex?
Vasectomy is one of the most effective means of birth control, with an less than 1 in 100 chance of failure. It does not offer immediate protection from unwanted pregnancy, however. The reproductive tract is not clear of sperm for several weeks, and other forms of birth control must be used until a semen sample, generally checked after 15 to 20 ejaculations and it shows no sperm. The most common reason for vasectomy failure is probably
unprotected intercourse before all sperm have cleared the reproductive tract.
While safety is a major consideration in choosing a birth control method, another important factor is convenience. Vasectomy’s permanence makes it convenient; within 20-25 ejaculations after the
operation, no other steps must be taken to prevent pregnancy. Although this is an advantage to most men who have the operation, it is a drawback for a very small percent of them. Approximately 2 in 1000 men who have vasectomies regret it later and wish to have the operation reversed. The main reasons for requesting a reversal are remarriage, death of a child, or an improvement in finances followed by a wish for another child. Fewer than 10 percent of men who request reversals do so because of physical or psychological problems following vasectomy.
Sex After Vasectomy: No Difference?
No one knows exactly what causes prostate cancer. Some researchers think environmental factors, such as high-fat diets, may be the culprit; some attribute prostate cancer to genetics. Regardless of the cause, the greatest risk factor for prostate cancer is age. The likelihood of developing prostate cancer starts to increase after the age of 40.
DOCS Urology Vasectomy:
The cost of the vasectomy includes the procedure, supplies, post vasectomy visits (if needed and up to 90 days from the procedure). Semen checks will need to be done (as many as needed) to ascertain
that there is no sperm present. This Semen check for sperm by law is performed by an independent lab at an additional expense as determined by your insurance. Vasectomies are performed daily at our
main location during routine office hours.
Sex After Vasectomy: No Difference?
After vasectomy, a man can safely resume having sex (using another form of birth control until his semen is free of sperm) as soon as he feels comfortable. Because the sperm from the area sealed off by vasectomy make up only 5% or a fraction of the total fluid ejaculated, he should notice no difference in the amount of fluid nor in its
appearance. The size of the testicles remains unchanged as well. Two common worries about vasectomy are that it will reduce a man’s sex hormone levels or take away his ability to have sex. These myths have no biological basis, however, because vasectomy only prevents the escape of sperm from the reproductive system, not the release of testosterone, the male sex hormone, into the bloodstream. Both sperm and testosterone are produced in the testicles, but they leave by different routes. Sperm move through a series of ducts that
channel through the reproductive organs to the outside of the body, while tiny veins in the testicles transport testosterone into the bloodstream.
Vasectomized men and their wives usually report either no change or an improvement in marital happiness and sexual satisfaction. For most men vasectomy frees them from worries of unwanted pregnancies and the hassles of other forms of birth control.