How soon can I have sex after a vasectomy?

Men have a vasectomy in order to not have to worry about conception when they are making love. A vasectomy is one of the few ways men can have control over their reproductive capacity. It’s also one of the most reliable ways to prevent an unwanted pregnancy.You may have questions before or right after having a vasectomy. Here are some answers to the most frequent questions.

What is a Vasectomy?

Considered a minor surgery, a vasectomy is when the vas deferens is cut and the two ends are seal and tied together. Depending on factors that your urologist can discuss with you, you will either have a conventional vasectomy or a “no-scalpel” vasectomy.

During a conventional vasectomy, the surgeon will make one or two small incisions in the skin of the scrotum to access the vas deferens. The surgeon may remove a small piece of the vas deferens before searing the ends and tying them off with a suture. The procedure is repeated on both sides. The small cuts in the scrotum may be closed with dissolvable stitches or simply left to close on their own.

For a no-scalpel vasectomy, your urologist will locate the vas deferens by feeling for it under the skin of your scrotum and place a small clamp on the vas. A minute hole is made in the skin, which is stretched open so the vas deferens can be lifted out to cut, and then the ends are tied or seared, and replaced.

What will sex be like?

A vasectomy is a fairly simple procedure without long-term effects on sexual activity. Your surgeon may recommend abstaining from sex for a short time afterward. This is to allow the incisions and sutures time to heal.

Normally the recommendation is to wait for any pain or swelling to resolve before having sex. The reason you should wait to have sex is because if it is too soon, you could reopen the site of the incisions and infection-causing bacteria might enter the incision.

Most men can resume sexual activity within a week or two. During the time shortly after your vasectomy you should use an alternative form of birth control because it takes a little while before all the sperm is cleared from your ejaculate. Your doctor will test your semen sometime after surgery, usually around six to twelve weeks.

Having a vasectomy rarely changes anything about ejaculation or orgasm. There are a few cases of post-vasectomy pain syndrome. But most patients have only the following post-surgical inconveniences which generally go away on their own:

  • mild to moderate pain or discomfort
  • bruising or soreness of the scrotum
  • blood clots in the scrotum
  • swelling in your genital area or scrotum
  • blood in the semen

Having the peace of mind that a vasectomy delivers sometimes can enhance sex life, with better arousal and erections. About three months after your surgery, you can have unprotected sex without fear a possible pregnancy. However, it is always wise to use protection with a new partner.
To find out more about the vasectomy procedure, visit St Pete Urology’s websit.

Vasectomy vs Tubal Ligation

Are you done having children or just feel sure you never want kids? If so, then you may consider having a permanent birth control (sterilization) procedure. For couples, sterilization can be performed on either a man or woman, with the procedure for men called a vasectomy while for women it is known as tubal ligation (getting your tubes tied). Sterilization is a common method of birth control, with more than 23 percent of all couples in the United States relying on it to stop having children.

What is tubal ligation? What is vasectomy?

Tubal ligation is a sterilization option for women. During the procedure, the fallopian tubes are sealed off or blocked to prevent ova (eggs) moving from the ovary via the fallopian tubes, preventing them from meeting with male sperm. A vasectomy is a sterilization option for men in which a man’s vas deferens tubes are blocked or tied and cauterized to prevent the transportation of sperm during ejaculation. While both vasectomy and tubal ligation are viable options, only one of the two procedures may be necessary when a couple chooses sterilization as a method of birth control. And often, vasectomy is the most preferred method of sterilization for couples because it is simpler, safer, cheaper, more reversible and more effective than tubal ligation.

Safety of vasectomy and tubal ligation

Both tubal ligation and vasectomy are extremely safe. However, tubal ligation involves hospitalization of women as the procedure is performed under general anesthesia. Tubal ligation is a more complex and lengthier procedure. On the other hand, a vasectomy, particularly the no-scalpel procedure, can be performed in as little as 10 minutes with the patient allowed to go home soon after operation. Vasectomy is less invasive and the doctor barely scores the scrotum skin. So when as a couple you are choosing between a vasectomy and tubal ligation, then the safety, convenience, minimal complications and short recovery time should make vasectomy the better option.

Risks of vasectomy and tubal ligation

Tubal ligation is typically a laparoscopic procedure that requires many hours or days of recovery. There also may be serious complications associated with general anesthesia, perforation of intestines or even infection. Tubal ligation also may cause long term side effects such as painful menstrual cycles and pelvic pain, though this occurs rarely. A vasectomy is a simple, minimally invasive outpatient procedure which takes less than one hour. It also does not have scientifically proven long-term risks or complications.

Efficacy of vasectomy and tubal ligation

Both vasectomy and tubal ligation are very effective. Studies examining the failure rates of vasectomy and tubal ligation have rated them among the most effective methods of birth control, with less than 1 in 100 chance of pregnancy after sterilization. However, because tubal ligation is more invasive and women have to stop using all forms of contraception after attaining a certain age, vasectomy is more appropriate.

Cost of vasectomy and tubal ligation

The costs associated with vasectomy and tubal ligation is quite different. A tubal ligation costs four times as much as a vasectomy. The average cost of a tubal ligation procedure is $2,000 or more while the average cost of a vasectomy procedure is $500, though the exact price varies from one surgeon to another. Nevertheless, if you have to pay for sterilization straight from your pocket, then a vasectomy may be more preferable as it is less expensive.

Reversibility of vasectomy and tubal ligation

Vasectomy and tubal ligation are considered permanent procedures. While a reversal of either is possible, the reversal procedures are quite expensive and without guarantee of success. While at least half of couples have reported successful pregnancy after a reversal of either type of sterilization, success rates depend on a number of factors, including the age, time since sterilization and type of surgery. So if you are not really sure that you do not want children, you should consider other birth control methods such as the implant (IUD) instead of sterilization.
Birth control is not the sole responsibility of women and their male partners should work with them to choose safer and more effective methods of birth control. A vasectomy has lower risks of complications, lower costs and more convenience than tubal ligation. However, before making a decision, it is important to speak with your doctor to obtain all the crucial information necessary for making an informed decision. At St Pete Urology, we help couples to make the right birth control decisions and to have access to safe and effective procedures. For more information, visit the “St Pete Urology” site.

How is a Vasectomy Done?

Vasectomy is one of the most effective and safest methods of birth control. It is also a quick, easy and office-based procedure that patients can walk in and out of without assistance. During a vasectomy, the small tubes in the scrotum called vas deferens are either cut or blocked off to prevent sperm from leaving the body to cause pregnancy. The surgical procedure takes 10-30 minutes and you can return home on the same day.

Specialized attention

At St Pete Urology, we ensure that patients get the best and safest operation possible. Our vasectomy procedures are typically performed in the office of a urologist, a doctor specialized in treating conditions of the urinary tract and reproductive system. Prior to the procedure, the urologist discusses all aspects of vasectomy with the patients and their partners as openly and candidly as possible. This ensures that the procedure is performed only on the right patients. We also give all our patients close and confidential attention and help them through the decision-making process.

Types of vasectomy

There are two types of vasectomies: the conventional (incision) method and the non-scalpel [no-cut) method. With the incision method, the urologist makes 1 or 2 small cuts in the scrotum in order to access the vas deferens. A tiny section of the vas deferens is cut and removed, then the ends are cauterized (sealed with heat) and tied with stitches. The urologist completes the operation by performing the same procedure on the other testicle, either via the same opening or a second scrotal incision. After the vas deferens is tied off, the doctor applies skin “glue” or a few stitches to close the opening(s) in the scrotum.

With the non-scalpel method, the urologist makes a tiny puncture hole on one side of the scrotum. Using the hole, the doctor finds and pulls out the vas deferens from under the skin. After cutting and removing a small section of the vas deferens, the doctor ties off or cauterizes its ends before putting it back in place. The procedure then is repeated on the other testicle. No stitches are necessary because the puncture holes are quite small. Since you will be awake throughout the procedure, the doctor gives you a localized anesthetic to numb the scrotum and minimize pain and discomfort. However, you will still feel some pulling and tugging during the procedure.

Recovery

Whether performed through the incision or the non-scalpel method, vasectomy is typically a minimally invasive procedure that you will recover from quickly. After the procedure, you will experience mild to moderate pain and soreness in the scrotal area, but this can be managed easily with pain medication. It will take you about 5-7 days to return to full activity and 1-2 weeks to resume sexual intercourse. Be sure to contact your doctor as soon as you experience any complications.

Ignore the myths

Vasectomy will not change your sexual desire or performance. It does not affect your levels of testosterone, erections and volume of ejaculate. In fact, based on available clinical data, vasectomy does not have any long-term effects on sex drive in men. On the contrary, many men have reported a remarkable improvement in their sexual vigor and enthusiasm after the procedure because they have been relieved of the fear of unwanted pregnancy. Vasectomy also will not increase your risk of prostate enlargement or prostate cancer. So if you are thinking of having a vasectomy, ignore the myths and speak with your doctor for help.

At St Pete Urology, we have offered non-scalpel vasectomies for many years and incision vasectomies for much longer. We provide comprehensive vasectomy services that include pre-procedure consultations, a safe and effective office-based procedure, and all the requisite follow-up testing. If you are thinking about having a vasectomy, call or visit us for help. For more information, visit the “St Pete Urology” site.

Top 3 Questions Frequently Asked by Women about Vasectomy

For couples who have made the decision not to have any more children, vasectomy is a trustworthy and effective birth control method. Though performed on a man, vasectomy is a permanent birth control method with 99.85 percent efficacy and a guarantee that the woman will not have unwanted pregnancies in the future. It does not interfere with a man’s sex drive, erections, orgasm and ejaculation and is only accompanied by temporary discomfort in men. But as with men, many women have worries about the procedure and are concerned whether it can hurt their relationships, sexually and emotionally. Here are the top 3 FAQs women ask about vasectomy.

1. Is vasectomy a perfect form of contraception?

As a permanent means of preventing pregnancy that works through the cutting of the vas deferens, tubes carrying sperm from the testes to the penis, vasectomy ensures sperm does not exit the penis during ejaculation. After the procedure, a man’s body continues to produce sperm, but the secreted sperm die and get reabsorbed by the body. A man cannot make a woman pregnant after vasectomy as long as the couple has used an alternative birth control method for the first 8-12 weeks after the procedure to allow the sperm count in the semen to drop to zero. Once the man has had a follow up test of the semen to confirm there is a zero sperm count, the couple can enjoy sexual activity without any more worries of pregnancy or need for other birth control methods.

2. Is vasectomy easier and more effective than tubal ligation?

Women can have their “tubes tied” surgically by a gynecologist. Tubal ligation is the closing of the fallopian tubes to prevent sperm from reaching an egg (ovum). When not undertaken during a caesarian section (C-section), tubal ligation is a complex procedure requiring a hospital setting, abdominal incisions and general anesthesia, posing a greater risk of complications such as scar tissue, bleeding and longer recovery. On the other hand, vasectomy is a less complex 15-20-minute procedure often performed by a urologist in an ambulatory surgery center (or rarely in the doctor’s office or hospital setting) using local anesthesia and accompanied with minimal to mild discomfort. Vasectomy also can be performed using the no-scalpel technique that requires no incisions, ensuring recovery occurs within a few days. In a sense, vasectomy is easier to perform and more effective in preventing pregnancies than tubal ligation.

3. Can vasectomy be reversed?

For women exploring vasectomy as a permanent birth control method, there is usually the question of what happens when life’s circumstances change after having the procedure and there is a need to conceive naturally. What if we lose all our children or find ourselves in a situation where we need a child after years of having a vasectomy? Well, for such couples, the option of vasectomy reversal can be explored. St. Pete Urology Center has a team of skilled and experienced vasectomy reversal urologists offering reversal services with over 90 percent success rate to couples who wish to have the procedure reversed in order to conceive naturally.

Our team of urologists understands that a vasectomy is a major life decision for couples and provides answers to a broad range of questions on the issue. For more information on vasectomy, visit the site, St Pete Urology.

Are vasectomies permanent?

You may have made the permanent decision to go for a vasectomy so you do not father any more children. But now, the circumstances of your life have changed and you and your partner want a baby. Can you reverse your condition? Well, yes.

Vasectomy reversal surgery can allow you to father a child again. In the U.S. about 600,000 vasectomies are performed each year, but 5 percent of men also seek a vasectomy reversal surgery annually. While there is no guarantee that your fertility will be restored after reversing a vasectomy, the American Urology Association has confirmed that 75-99 percent of men will have sperm return to their semen after the reversal and 30-75 percent of female partners become pregnant following the reversal.

Vasectomy Reversal Procedure

Surgery to reverse a vasectomy is a risk and takes longer to complete than the initial vasectomy procedure, usually 2-4 hours when performed by an experienced urologist. The urologist will apply a local anesthesia or just use general anesthesia. With the help of a powerful surgical microscope, the urologist will reattach the previously severed sperm ducts or vas deferens, with various incisions made on the scrotum to expose the ends of the vas deferens that were severed. The task takes a patient and skilled surgeon to reattach the ends successfully. After reversal surgery, a jockstrap and dressing is applied to create pressure on the incisions. Intermittent ice packs and pain medication are prescribed to reduce swelling and discomfort. The stitches will dissolve in ten days.

What Results Should You Expect?

A critical factor that determines the success of a vasectomy reversal is how long ago the original vasectomy procedure was performed. For instance, if you opted for vasectomy reversal 3-10 years after the original vasectomy, you have up to 97 percent chance of success in rebuilding your vas deferens and at least 50 percent chance of impregnating your partner. Waiting for more than 15 years reduces pregnancy rates to 30 percent. Secondly, one of the effects of a vasectomy is that your body may actually stop recognizing its own sperm, developing antibodies against them. If this occurs, there is a very low chance that vasectomy reversal will restore your ability to impregnate your partner. The urologist will help you determine if this has occurred.

Even though vasectomy reversal is a tempting option, a vasectomy should always be considered permanent. Remember, pregnancy success rates after a vasectomy reversal are very low, influenced by length of time since the original vasectomy, your general health and age, your partner’s fertility, presence of sperm antibodies, and the technique used for reversal. Therefore, you must never take a vasectomy as a sort of experiment that you will reverse in the future. Similarly, results for a vasectomy reversal are not immediate, often taking up to 15 months for sperm to reappear.

Talk to your urologist to determine if you can reverse your vasectomy. For more information on reversing vasectomies, visit the site, St Pete Urology.

What is the success rate of vasectomy?

Do you have the number of children you’ve always wanted? Have you decided that parenthood is not for you? If you feel ready for a family planning method that will free you from ever worrying about unexpected pregnancies again, vasectomy may be the permanent birth control method for you. During a vasectomy procedure, the surgeon will cut the tube known as the vas deferens in order to stop sperm from getting into semen and causing pregnancy.

How reliable is vasectomy?

Success rate of vasectomyVasectomy is a more reliable method of preventing pregnancy than any other method of birth control. For instance, in comparison to the female equivalent called tubal ligation (a surgery performed to tie off the fallopian tubes and prevent an egg from meeting sperm cells) there are zero fatalities per 100,000 vasectomies but about 4 deaths for the same number of tubal ligations. The cost of a vasectomy is $700-900 while tubal ligation is about $2,500, and the overall failure rate of vasectomy is 1 in 1000 as opposed to tubal ligation’s rate of 1 in 200. Vasectomy is simpler, safer and has a shorter recovery time than tubal ligation.

What is the success rate of vasectomy?

Vasectomy has a success rate of more than 99%. It is generally agreed that a 1 in 2000 failure rate with vasectomy is vastly better than the 1 in 200 cases of tubal ligation. In fact, according to a 2005 review of total failures with vasectomy, it was reported that only 183 failures occurred in 43,642 vasectomies (just 0.4%), with 60 pregnancies occurring after 92,184 vasectomies (0.07%). Nevertheless, a vasectomy may fail if your surgeon misses the vas deferens during the operation or, in extremely rare cases, if the tube grows back. If tube re-growth occurs, the vas deferens will be much smaller than it was before the vasectomy.

In some cases, sperm can cross from one cut end of the vas deferens to the other, particularly during the first 3 months of the procedure. This is why your urologist will advise you that the procedure is not immediately effective and you must use another form of contraception until you have provided two semen samples that are sperm free, typically 2-3 months after a vasectomy. If your urologist finds sperm after repeated tests of your semen, you may have to repeat the procedure. About 1% of vasectomies are repeated before they become fully effective.

Will vasectomy affect your performance?

After many years of study, vasectomy has not been associated with any physical or health problem. It will not affect your virility as it does not change the production of the male hormone, testosterone. Therefore, your sex drive, erection, ejaculation, sexual pleasure and male characteristics will remain unchanged. In fact, 30% of men have reported improved sexuality after vasectomy, an improvement attributed to reduced worries about pregnancy. Following vasectomy, sperm production will continue but at a reduced rate and the sperm produced will die and get absorbed by the body as it normally happens in men who do not ejaculate their sperm.

Remember, a vasectomy means you will not be able to father a child, at least not without the huge cost and complications of reversal surgery. Therefore, you must never undertake vasectomy lightly. Before you and your partner choose this method of birth control, you should both consider it carefully. Talk to your doctor about the pros and cons of the procedure, the technique to be used, and whether it is appropriate for you. Want to know more about vasectomy? Visit St Pete Urology in St Petersburg, Florida.