Can you still ejaculate after a vasectomy?

A vasectomy does not affect your ability to ejaculate. Neither does it have any adverse effect on the appearance of the ejaculate. You will still have normal ejaculations and enjoy orgasms after the procedure.

Why is there no change in ejaculation?

A vasectomy is a surgical procedure done on the vas deferens—the tubes that transport the sperm to the urethra, which then carries it out of the body during ejaculation. During the procedure, your doctor will cut and seal the vas deferens tubes to make it impossible for sperm to leave the body via ejaculation.

Even after a vasectomy, your body will still function normally. Your testes continue to make sperm, but the sperm cannot pass through the vas deferens and are reabsorbed back into the body. As a result, you are no longer able to get your partner pregnant. With an almost 100% success rate, this procedure is considered one of the most effective birth control methods.

You will continue to have normal ejaculations because sperm only makes up 2-5% of the semen. The rest of the semen is made in the seminal vesicles and the prostate gland. You will hardly notice any difference in its volume.

A vasectomy does not affect semen quality, texture and amount, and does not reduce the sensation during orgasm.

First ejaculation after a vasectomy

You should wait for a few days after the surgery before you have sex or masturbate. Following a vasectomy, you will feel some pain, soreness, swelling, and discomfort in your testicles, particularly around the small wounds on each testicle where the doctor made the incision.

It is advisable to avoid sex for 1-2 weeks to prevent the irritation of tissues that are already swollen and sensitive. After about two weeks, you can resume sexual activity.

The discomfort felt during the first few ejaculations should lessen with time. There may also be some blood in the semen. If you experience discomfort well into the third week, you should see your doctor as it may be a sign of a complication.

Roughly 1-2% of men who have a vasectomy experience post-vasectomy pain syndrome—a chronic testicular pain that lasts for at least three months. The condition causes constant or occasional pain and may lead to painful ejaculations.

Sexual activity after a vasectomy

With the pain and swelling gone, you can resume sexual intercourse with your partner. However, it is important to remember that sperm will still be present in the tubes for several weeks. To avoid pregnancy, you should use condoms or another form of birth control for at least the first three months after the procedure.

You will need a follow-up test after three months or about 20 ejaculates to check for sperm in the semen. If you still have sperm in your ejaculate at this point, you will need to use another form of contraception until a semen analysis confirms that your ejaculate is sperm-free.

Just like sexual intercourse, it is safe to masturbate after the vasectomy wound has healed and the swelling and pain are gone. To obtain semen for analysis, your doctor will ask you to masturbate into a cup at home or in the doctor’s office. You do not need additional precautions before masturbating after a vasectomy.

Enhanced sexual performance

A vasectomy does not have any adverse impact on bodily processes, hormones, or penile structure. Hence, it does not affect sex drive, sexual performance, ejaculation, or erectile function.

You will still have the same libido level as before, get erections, ejaculate, and have orgasms. And with the stress of unplanned pregnancy eliminated, you should find lovemaking more spontaneous, pleasurable, and satisfying.

The procedure also does not affect the secretion of the male hormone testosterone. There is usually a little testosterone boost because the hormone is no longer lost in the vas-deferens fluid when you ejaculate. And by helping you to reabsorb some testosterone into the body, it should give a slight boost to your sex drive.

Likewise, because erectile dysfunction can be triggered by stress, not worrying about unwanted pregnancy means you are freer to experiment during intercourse. Your greater confidence to engage in sexual activity can enhance the experience and improve your overall sexual performance.

Safe, effective vasectomy

Are you a man who is done having children? If so, you can have a safe, effective vasectomy procedure at St Pete Urology. At our state-of-the-art facility in St Petersburg, Florida, hundreds of vasectomies are performed every year with remarkable success. Our patients can enjoy their sex lives with more freedom to express themselves and without the fear of unplanned pregnancy.