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.
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? 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. Infection 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.
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. This is where the upper portion of the tube is either cauterised or ligated while the end closer to the testes remains open. This has a lower risk of complications than other methods and appears to be a popular choice among Australian doctors.
Importantly, vasectomies are only fully effective after around three months as it takes time for sperm to clear completely from the vas deferens. Someone who has had a vasectomy may wish to have the procedure reversed, for a variety of reasons. Not every service that offers a vasectomy will offer a vasectomy reversal, called a vasovasostomy.
But it can be done. The procedure essentially involves reconnecting the previously disconnected vas deferens. Read more: Here's what's on the horizon for a male contraceptive pill — but don't hold your breath. It's common to have some mild discomfort, swelling and bruising of your scrotum for a few days after the vasectomy. You can take painkillers, such as paracetamol , to help. See a GP if it's still painful after taking painkillers. It's common to have blood in your semen in the first few ejaculations after a vasectomy.
This isn't harmful. Wear tight-fitting underwear or athletic support day and night for the first few days to help support your scrotum and ease any discomfort or swelling. Make sure you change your underwear every day. It's usually safe for you to have a bath or shower after your operation — check with your doctor what's suitable for you.
Make sure you dry your genital area gently and thoroughly. You can usually return to work 1 or 2 days after a vasectomy, but should avoid sport and heavy lifting for at least a week after the procedure to prevent complications.
See a GP if you still have symptoms after a few days. You'll need to use another method of contraception for at least the first 8 to 12 weeks, as it can take this long to clear the remaining sperm in your tubes. How long this takes varies from man to man. There's still a risk of pregnancy during this time. About 12 weeks after the procedure, you'll need to produce a sample of semen, which will be tested for sperm.
Once tests have confirmed that your semen is sperm-free, the vasectomy is considered successful and you can stop using additional contraception. Some men may need 2 tests. But until it's been confirmed that your semen is free of sperm, continue to use another form of contraception. A few men will continue to have small numbers of sperm in their system, but these sperm don't move and are less likely to make your partner pregnant.
If you're one of these men, your doctor will discuss your options with you. The test also helps to identify the rare cases in which the tubes naturally rejoin themselves. It's possible to have a vasectomy reversed. But the procedure isn't always successful and it's rarely funded by the NHS.
You have a better chance if it's done soon after the vasectomy. Even if a surgeon manages to join up the vas deferens tubes again, pregnancy may still not be possible, so you should be certain before going ahead with the vasectomy. You should only have a vasectomy if you're sure that you don't want more, or any, children. It should always be seen as permanent. This is because although reversal is sometimes possible, it may not be successful. Even with a successful operation, it may still not be possible to father a child.
But if you're under 30, you'll find many surgeons are reluctant to do it in case your circumstances change and you regret it later. After a successful vasectomy, your testicles will continue to produce the male hormone testosterone just as they did before the procedure.
Your sex drive, sensation and ability to have an erection won't be affected. The only difference is that there'll be no sperm in your semen. A vasectomy should not decrease your sex drive , nor should it negatively impact your ability to have an erection or orgasm.
Only five to 10 percent of the ejaculate comes from the testicle. The remainder comes from upstream structures such as your prostate and seminal vesicles.
Thus, ejaculation will still look and feel the same. Just microscopically, there will be no sperm in the semen. If you experience any changes in your sexual drive or functioning after the procedure, contact your physician. You will need to continue to use other birth control methods until your semen sample comes back completely sperm-free and you get the okay from your physician.
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