During a vasectomy, the vas deferens tubes are cut and sealed to prevent the supply of semen into the sperm. It is an outpatient procedure that is safe and effective and is often done under local anesthesia.

The risks are minimal and even though a vasectomy is reversible, you need to be certain you don’t want to father more children as it is considered as a permanent procedure.1

Vasectomy effectiveness against pregnancies is solid but you could still contact STDs so using protection is recommended.

Before the procedure

Before a vasectomy, you will have initial consultations with your doctor where they mainly discuss it with you to ensure it’s what you really want. There are general doctors who do the procedure but urologists are most recommended.

During the consultative visit, the urologist will want to know if you are aware that vasectomies are permanent and that it’s not recommended if you plan on having children in the future. They will also discuss other birth control options available to you and ask about your spouse’s opinion. Finally, they will take you through the possible risks and recovery period.

During the procedure

Vasectomies take less than an hour and your urologist will start by numbing the surgical area using a local anesthetic. Depending on the type of technique being used, they could either make a small incision on the scrotum or a puncture for the no-scalpel technique.

The urologist will locate the vas deferens and then remove part of it through the incision. The tubes are cut and sealed using techniques such as surgical clips, cauterizing, or tying them individually, before being returned in the scrotum.

Your doctor will close the puncture or incision using stitches or glue though there are instances where the wound is left to heal on its own.

After the procedure

After the vasectomy, you will experience mild pain and swelling but this usually resolves after a few days. The urologist will give you recovery instructions that may include placing ice packs on the bruised area for the first few days.

You should avoid physical activity for the first 48 hours and strenuous exercises for at least a week as this may lead to bleeding inside the scrotum. Sexual activity should be put on hold for 7 days and before you get confirmation from your doctor that your semen doesn’t contain sperm, use another form of birth control.

The doctor may recommend wearing a jockstrap to support the scrotum after the procedure. If you notice any signs of infection like pus from the scrotum and high temperatures, seek immediate medical advice.

Vasectomy Effectiveness: the Results

The effects of a vasectomy aren’t immediate and you will have to ejaculate at least 15 to 20 times before or semen is completely free of sperm. During this period, it is possible to get your partner pregnant so you need to keep off unprotected sex.

To confirm that the vasectomy was a success, the urologist will have to test your semen around 12 weeks after surgery.

Links to sources used

  1. Vasectomy: How it Works – https://med.virginia.edu/urology/for-patients-and-visitors/mens-health/vasectomy-how-it-works/