Having a vasectomy is the most effective child control method but less than 2.5% of men across the world use it.1 The procedure is very safe and highly effective especially when done by a qualified physician.

It however doesn’t protect you from STDs and there’s a very slight chance (less than 1%) of the vasectomy not taking and you end up impregnating your partner.

Long Term Vasectomy Problems – Top Risks of Having a Vasectomy

Pain and swelling

You may experience pain and swelling after the procedure, especially on the scrotum. The procedure itself is not painful and the pain is usually mild but there are men who experience chronic pain. In the united states alone, approximately half a million men have a vasectomy and of these men, less than 2% have chronic pain.2

You should postpone having sex after the procedure for at least 2 weeks.


All surgical procedures come with a risk of infection but that risk is extremely low when it comes to vasectomies. Infections occur when bacteria is introduced to your reproductive organs during surgery and typically present themselves in about 10 days after the procedure.

The main symptoms of an infection are redness and tenderness on your scrotum accompanied by high fever.

Bleeding after procedure

The bleeding can happen during or after the procedure and is often minimal. Most times it resolves itself within hours but there are instances where hematoma may occur (formation of a blood clot in the scrotum).

The hematoma usually forms when a blood vessel leaks into the scrotum after surgery and isn’t stopped. Small clots often go away on their own but the big clots may require surgery to drain them. Hematomas are extremely rare and only occur in 0.1% of men.

Vasectomy failure

Vasectomies may be the most effective birth control plan for men but there’s a slight chance the procedure fails and your partner ends up pregnant. In some rare instances, the cut ends of the vas deferens may rejoin and end up reversing the vasectomy.

This is one of the vasectomy problems experienced years later.

Emotional changes

Vasectomy regret is a common risk among men especially those that have the procedure in their early 30’s. The regret could be due desire to have another child after a divorce or a remarriage, the loss of a child among others.

When this happens, most men opt for a vasectomy reversal.

Long Term Vasectomy Problems

Some of the problems that occur way later after a vasectomy include vasectomy failure, testicular pain, and loss of a testicular, even though this is very rare. All factors considered, a vasectomy is a safe, non-invasive procedure that only requires a skilled surgeon.

Most of the risks are extremely rare and those that aren’t often resolved on their own.

Links to sources used

  1. A Review of 10 Years of Vasectomy Programming and Research in Low-Resource Settings- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5199180/
  2. Post-vasectomy pain syndrome: diagnosis, management and treatment options- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5503923/