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    Vasectomy is surgery a man may choose if he does not want to father any more children. It is permanent male birth control.



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    What is a vasectomy?

    Vasectomy is surgery a man may choose to have if he does not want to father any more children. It is lasting (permanent) male birth control.

    During the surgery, 2 tubes called the vas deferens are cut and sealed. The vas deferens carry sperm from testicles to the urethra. The urethra is the tube inside the penis. Once they are cut, sperm can't get into the semen or out of the body. The testes still make sperm, but the sperm die and are absorbed by the body.

    A man who has had a vasectomy still makes semen and is able to ejaculate. But the semen doesn't contain sperm. The testosterone level and all other male sex traits stays the same. For most men, the ability to have an erection is unchanged.

    The procedure to reverse a vasectomy doesn't always work.

    Types of vasectomy

    Conventional vasectomy. Small cuts are made on each side of the scrotum to reach the vas deferens.No scalpel vasectomy. This method is done through 1 tiny hole in the skin. A tool is used to gently stretch the skin opening so that the vas deferens can be reached. Because no cuts are made, there is little bleeding and no stitches. It heals quickly with little or no scarring.

    Why might I need a vasectomy?

    Choosing a vasectomy as a form of birth control may be a good choice if:

    You are an adult male.

    You are in a stable relationship and both partners agree to permanent birth control.

    Pregnancy would be a health risk for your partner.

    You or your partner has a genetic disorder that you don’t want to pass on to a child.

    Vasectomy may not be the best choice for you if:

    You are not sure if you want to have children in the future.

    You may have other partners in the future.

    You plan to have children by reversing your vasectomy.

    What are the risks of a vasectomy?

    Vasectomy is very safe, but all surgeries carry some risks. Some possible risks of vasectomy include:

    An inflammatory reaction to sperm that spill during surgery called sperm granuloma which can cause a tender lump under the skin

    Epididymitis or orchitis (painful, swollen, and tender epididymis, or testis) may occur after vasectomy. This most often occurs during the first year after surgery.


    In rare cases, the vas deferens may grow back together. This could cause an unwanted pregnancy.

    Pain that lasts long after surgery

    Short-term bleeding, swelling, and bruising

    A man can often start having sex again soon after vasectomy. But another birth control method should be used. This is because some sperm may stay in the vas deferens for some time after surgery. Other birth control should be used until the surgeon tests the semen to be sure there are no sperm left. This is often about 3 months after surgery.

    There may be other risks, depending on your specific health condition. Talk with your healthcare provider about any concerns you have.

    How do I get ready for a vasectomy?

    Your healthcare provider will explain the procedure and you can ask questions.

    You will be asked to sign a consent form before the test. Read the form carefully and ask questions if anything is not clear.

    Tell your healthcare provider if you are sensitive to or are allergic to any medicines, latex, tape, or anesthesia.

    Check that your healthcare provider has a list of all medicines (prescribed and over-the-counter), herbs, vitamins, and supplements that you are taking.

    Talk with your healthcare provider if you have a history of bleeding disorders or if you are taking any blood-thinning (anticoagulant) medicines, aspirin, ibuprofen, or other medicines that affect blood clotting. You may need to stop these medicines before the surgery.

    If you smoke, stop as soon as possible. This will improve your recovery from surgery and your overall health status.

    Your healthcare provider will tell you about any other specific things you need to do to get ready for surgery. Follow any directions you are given for not eating or drinking before the procedure. You may also be given instructions for cleaning your scrotal area before surgery. You may be asked to bring a jockstrap to wear after surgery.

    Ask your healthcare provider if you will need someone to drive you home.

    Based on your health condition, your healthcare provider may ask for other specific preparation.

    What happens during a vasectomy?

    Vasectomy is almost always done under local anesthesia. That means the area is numbed, but you are awake. It takes about 30 minutes and is done as an outpatient. This means you go home the same day.

    Generally, vasectomy follows this process:

    You will be asked to remove any jewelry or other objects that might get in the way during procedure.

    You will remove your clothing and put on a hospital gown.

    You will be asked to empty your bladder.

    You will lie on your back on an exam table.

    Your scrotum may be shaved and cleaned with an antiseptic solution.

    Source : www.hopkinsmedicine.org

    Where Does Sperm Go After Vasectomy?

    A vasectomy stops sperm from being ejaculated but doesn't stop the body from producing it. Where does the sperm go after vasectomy? Pollock Clinic explains

    Where Does Sperm Go After Vasectomy?

    A vasectomy doesn’t stop the production of sperm – it stops sperm from being included in the semen you ejaculate. So what happens to the sperm that’s still being produced?

    Whether you know it or not, your testicles are a sperm factory set up to produce sperm throughout your life time.

    How Sperm Is Made?

    A man’s testicles are full of tiny coiled tubes (called seminiferous tubules) that not only produce sperm but help move it through your system. Inside the tubes are sperm nurse cells which manage sperm stem cells. Sounds pretty crowded down there, right?

    The tubes are surrounded by testosterone-producing cells that stimulate sperm development by impacting the nurse cells, which in turn control the sperm stem cells.  The sperm factory produces sperm cells on a schedule to make sure production will last a lifetime.

    It takes about 70 days for your sperm to be developed and ready for action. But that’s what we’re trying to avoid  – not the action, but the outcome from it.

    Once the sperm is developed, it needs some help to be able to make the big swim to the egg. Before it passes into the tubes (vas deferens) that carry it to the ejaculation point, it goes through a duct that adds proteins to improve it’s performance.  Now it’s ready to go.

    A vasectomy stops the sperm cell in it’s tracks. (See the before & after pictures below.) Vasectomy blocks the vas deferens which makes it impossible for the sperm to travel to the urethra. That’s where it mixes with seminal fluid and gets ejaculated during orgasm.

    The best part of vasectomy is that you still get the orgasm, just without the risk of a pregnancy.

    But if the body keeps producing sperm, where it does it go once the tubes are cut?

    Sperm After Vasectomy

    While your sperm is maturing, it’s stored in a tightly coiled tube – literally 15 to 18 feet long –  called the epididymis. This is where sperm is transferred to the vas deferens and heads off to do it’s part in fertilizing an egg.

    Once you have a vasectomy, the sperm can no longer move out of the tube.  The membrane (lining) of the  epididymis  absorbs most of the sperm where it dissolves.  It’s a natural part of the body’s process.

    Most every man goes through times when sex is less available or orgasm is harder to achieve. Your body is producing sperm during those times too.  So sperm production doesn’t really cause a problem.

    Open-Ended Vasectomy

    But can it be if you’re having sex on a regular basis?  We don’t think so, but as a man ages, the testicles age as well.  As in any factory, the sperm machinery can start to operate less efficiently.  So here at the Pollock Clinics, we use an open-ended vasectomy technique. The open-ended technique leaves the bottom end of the vas tube open (uncauterized), while the end of the tube leading to the penis is cauterized.

    In other words, open-ended vasectomy may offer a vehicle for sperm drainage after vasectomy.

    While studies are not conclusive, it is postulated that leaving one end open may permit sperm to leak out. For men having a vasectomy, this can mean less post-operative discomfort because there is no sudden pressure back-up to the testicles.  Clearly if the path to the penis is blocked, there’s no risk of fertilizing eggs by accident.

    Instead of relying solely on the membrane in the epididymis, sperm are simply reabsorbed back into the testicles in a natural process that causes no pain or pressure.  Open ended vasectomy is part of the no scalpel, no needle vasectomy procedure that Pollock Clinics are known for worldwide.

    Before & After Vasectomy

    The images below show how sperm is carried from the testicles to the urethra, where it becomes part of the ejaculate during orgasm. The after image demonstrates how the vas deferens are blocked to the penis, but remain open-ended on the bottom.



    Source : www.pollockclinics.com

    Ejaculation after vasectomy: What to expect

    Once the body has healed, ejaculation after a vasectomy should be the same as it was before. Learn more about this and how long sperm remains in the semen here.

    How does a vasectomy affect ejaculation?

    Medically reviewed by Alana Biggers, M.D., MPH — Written by Jayne Leonard on October 8, 2019

    Ejaculation after a vasectomy remains the same as it was before the procedure. There is no change in either the person’s ability to ejaculate or the appearance of the ejaculate fluid.

    The only difference in ejaculation is the absence of sperm in the semen. Neither the person who underwent the procedure nor their sexual partners will be aware of this difference.

    A vasectomy is a minor surgical procedure and a permanent method of male birth control. Each year, more than 500,000 men in the United States have a vasectomy.

    During the procedure, a doctor will cut and seal the vas deferens tubes — the two tubes that carry sperm from the testicles to the urethra. After a vasectomy, the body will still produce sperm, but the sperm cannot enter the semen or leave the body through the ejaculate.

    Read on to learn more about ejaculation after a vasectomy.

    First ejaculation after surgery

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    After a vasectomy, a person should wait a few days before having sex or masturbating.

    People who can get an erection and ejaculate before the vasectomy will still be able to do so after the procedure. The only change to ejaculation is that the semen will no longer contain sperm.

    For the first few days after a vasectomy, most individuals feel some pain, swelling, and discomfort in their testicles. There will be a small wound by each testicle where the doctor made the surgical incision.

    As a result, it is advisable to wait for a few days after a vasectomy before having sex or masturbating. This delay helps a person avoid irritating tissues that are already swollen and sensitive.

    After a few days, it is probably safe to resume sexual activity. Most people heal quickly enough to return to their regular activities within a week.

    The first few ejaculations may feel somewhat uncomfortable, but this discomfort should not persist for too long. There may also be a small amount of blood in the semen.

    If ejaculation is still causing discomfort after a few weeks, it is best to see a doctor. This discomfort may indicate a complication of the surgery, such as post-vasectomy pain syndrome.

    About 1–2% Trusted Source Trusted Source

    of people who have a vasectomy will experience post-vasectomy pain syndrome, which is chronic pain in the testicles that lasts for at least 3 months. This syndrome can cause constant or occasional pain, and it may result in painful ejaculations.

    During sex

    Once the swelling and pain go away, people can safely resume sexual activity. Doing so before the wounds have healed increases the risk of pain and infection.

    It is important to use condoms or other forms of birth control for a few months after the procedure. Additional contraception is necessary to avoid pregnancy because a vasectomy does not work immediately. Sperm is still present in the tubes for several weeks.

    Also, a vasectomy does not protect against sexually transmitted infections (STIs). Aside from abstinence, condoms and other barrier contraceptives provide the best protection against STIs.

    At some point, individuals will need to go for a follow-up test to check for sperm in their semen. Most urologists recommend checking the semen at least 3 months or 20 ejaculates after the vasectomy, whichever occurs first.

    At this point, 20% of people will still have sperm in their ejaculate. They will need to continue using another form of contraception, such as condoms, until a semen analysis confirms that the ejaculate is free of sperm.

    Many people worry that a vasectomy will have a negative effect on their sex life, but research indicates that this is not the case. A 2017 survey

    Trusted Source Trusted Source

    found that many males reported an improvement in sexual satisfaction after a vasectomy, while there was no change in satisfaction for their female partners.

    Other research Trusted Source Trusted Source

    reports that there is no association between a vasectomy and a reduction in the frequency of sex.


    It is safe to masturbate once the vasectomy wounds heal, and the pain and swelling go away. People do not need to take any additional precautions before masturbating after a vasectomy.

    Once a person has waited 3 months or had 20 ejaculates — either through sex or masturbation — they can see a doctor for a follow-up sperm analysis. The doctor will ask them to masturbate into a cup at home or the doctor’s office to provide a semen sample.

    What happens to sperm after a vasectomy?

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    After a vasectomy, a person should not experience changes in their sexual drive or function.

    The testes will continue to make sperm after a vasectomy.

    The only difference is that the sperm cannot pass through the vas deferens tubes into the urethra. Instead, the body reabsorbs the sperm.

    Source : www.medicalnewstoday.com

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