A man who is fixed

Sex can often be resumed within a week after the vasectomy, but it's important to know that a vasectomy doesn't work right away. After the vasectomy, new sperm won't be able to get into the semen, but there will still be lots of sperm "in the pipeline" that takes time to clear.

You should follow up with your urologist for semen analysis to check for sperm in your ejaculate. During this time, you should use other forms of birth control. The time it takes for your ejaculate to be free of sperm can differ. One in men will still have sperm in their ejaculate at that time and may need to wait longer for the sperm to clear.

You shouldn't assume that your vasectomy is effective until a semen analysis proves it is. Sperm adds very little to the semen volume, so you shouldn't notice any change in your ejaculate after vasectomy. Your partner may sometimes be able to feel the vasectomy site. This is particularly true if you have developed a granuloma.

Ejaculation and orgasm are not affected by vasectomy. The special case is the rare man who has developed post-vasectomy pain syndrome. There is a small chance a vasectomy may fail. This occurs when sperm leaking from one end of the cut vas deferens find a channel to the other cut end.

Once your urologist clears you with a sperm test showing no sperm or less than , sperm, with none moving, the risk of pregnancy is 1 in In rare cases, the testicular artery may be hurt during vasectomy. Other problems, such as a mass of blood hematoma or infection, may also affect the testicles.

Yes, but if you haven't stored frozen sperm you'll need an additional procedure. The vas deferens can be surgically reconnected in a procedure called vasectomy reversal.

If you don't want to have vasectomy reversal, sperm can be taken from the testicle or the epididymis and used for in vitro fertilization. These procedures are costly and may not be covered by your health plan.

Also, they don't always work. If you think you may want to have children one day, you should look into non-permanent forms of birth control before deciding to have a vasectomy. Read the latest issue of Urology Health extra, the Urology Care Foundations patient-focused magazine. This web site has been optimized for user experience and security, therefore Internet Explorer IE is not a recommended browser.

Thank you. Urology A-Z Vasectomy. What is a Vasectomy? Diagram of the Male Reproductive System Enlarge. After Treatment. You must continue to use birth control to prevent pregnancy until your semen sample is totally free of sperm. Brugh VM. Hinman's Atlas of Urologic Surgery. Philadelphia, PA: Elsevier; chap Surgery of the scrotum and seminal vesicles.

Campbell-Walsh-Wein Urology. Wilson CL. In: Fowler GC, ed. Pfenninger and Fowler's Procedures for Primary Care. Updated by: Sovrin M. Review provided by VeriMed Healthcare Network. Editorial team. Watch this video about: Vasectomy. After your scrotum is shaved and cleaned, the surgeon will inject a shot of numbing medicine into the area. The surgeon will make a small cut in the upper part of your scrotum. The vas deferens will then be tied off or clipped and cut apart.

The wound will be closed with stitches or surgical glue. For this procedure: The surgeon will find the vas deferens by feeling your scrotum. You will get numbing medicine. The surgeon will then make a tiny hole in the skin of your scrotum and then tie off and cut a part of the vas deferens. Why the Procedure is Performed.

Vasectomy may be a good choice for a man who: Is in a relationship, and both partners agree that they do not want children or additional children. They do not want to use, or cannot use, other forms of birth control. Is in a relationship and a pregnancy would be unsafe for the woman partner because of health problems. Is in a relationship, and one or both partners have genetic disorders that they do not want to pass on.

Does not want to be bothered by having to use other forms of birth control during sexual activity. Vasectomy may not be a good choice for a man who: Is in a relationship with someone who has not decided on whether to have children in the future. Is in an unstable or stressful relationship. Is considering the operation just to please a partner. You and your partner should take time to really think about whether it is the right choice for you.

If performed under local anesthesia, pain medicine will be administered directly to your scrotum to numb the area. You will be awake for the procedure. With conscious sedation, you will receive medications to sedate you and relieve any anxiety during the procedure in addition to receiving local anesthesia directly to your scrotum.

Regardless of the anesthesia, the procedure is the same. The physician will disconnect the vas deferens—the tubes that transport sperm from the testicles.

After the surgery, sperm will not be able to leave the testicles. 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.