Vasectomy is a simple operation that provides birth control in men. A vasectomy prevents you to get your partner pregnant by cutting and closing the tubes that carry the sperm to the semen.
Surgery is simple and the risk is very low. For most men, vasectomy has no visible side effects. You should ensure that you do not want to become a father in the future before having a vasectomy. A surgery that reverses the vasectomy procedure is very complex and does not always restore fertility.
Vasectomy is a good birth control option for men who are confident that they do not want to become a father in the future.
- Vasectomy is almost 100 percent effective in protecting against pregnancy.
- Vasectomy is a small operation with a low risk of complications or low side effects.
- The cost of a vasectomy is much less than the cost of long-term use of contraceptives for women or the cost of neutering.
Vasectomy is usually a very safe procedure. Severe side effects or complications are rare.
Side effects immediately following vasectomy include:
- Damage to the hay bag
- Bleeding or blood clot formation (hematoma)
- Infections in the surgical area.
Which may occur some time after the surgery complications include the following:
- In a rare case that vasectomy fails to block sperm-carrying tubes or sperm flow, re-occurrence of sperm occurs with pregnancy. A semen analysis about three months after surgery may confirm the absence of any sperm.
- Fluid accumulated in the testes, which can worsen with ejaculation and cause annoying pain in the testicles
- Inflammation (granuloma) in the vicinity of the testis as a response of the immune system to leaked sperm
Although several investigators have suggested that vasectomy increases the risk of prostate or testicular cancer, studies have found no direct link between the two.
If you change your mind about having a child, it may be possible to reverse your vasectomy. However, there is no guarantee that the operation of reversing vasectomy will work, and this surgery is more complicated and risky than vasectomy itself. Before vasectomy, you must be absolutely sure that you will not want to become a father in the future.
This is usually done by a urologist while some family doctors perform a vasectomy. Urologists are doctors who specialize in the excretory and reproductive system.
- Talk to your doctor
Deciding to have a vasectomy can be a challenging decision since you will not be a father in the future. Before performing a vasectomy, your doctor will want to have an in-depth conversation with you to ensure that vasectomy is the most appropriate form of contraception for you. If you are in a relationship, it is a good idea to take your spouse to the first meeting with your doctor. Be prepared to discuss the following topics:
- Whether you are likely to want children in the future
- How your partner feels about your decision if you have a relationship
- Whether there are other contraceptives available to you
- What is effective in vasectomy and healing process and possible complications
Before your surgery, your doctor will give you instructions on how to prepare. It may prompt you to do the following:
- Stop using aspirin one to two weeks before surgery
- Stop taking drugs such as warfarin, heparin and anti-inflammatory drugs, such as ibuprofen, that can thin your blood three to four days before surgery. Acetaminophen is appropriate.
- Clean and shave the area to be operated. Thoroughly wash your genital area on the day of surgery.
- Take the medication prescribed by the doctor 30 minutes to an hour before the surgery to relax you.
What can you expect?
Vasectomy is usually performed in an operating room or office under local anesthesia, which means that you will be awake and take medication to numb the area to be operated.
This includes the use of special clamps to make a small hole in the bag and occlude each carrier vessel. This can be preferred because the hole will not be fully visible and will heal without stitch marks. There is less risk of bleeding or infection than other vasectomy techniques. A vasectomy usually takes 20 to 30 minutes.
Following a vasectomy, you will have some injury, swelling, and pain. Usually heals in a few days. Your doctor will give you the following instructions to take care of yourself after vasectomy:
- Support with a bandage and full-fitting underwear for at least 48 hours after a vasectomy.
- Use an ice pack at regular intervals to relieve swelling and pain for one to three days after surgery.
- Rest for 24 hours after surgery. You can probably do light activities after two to three days, but you will need to avoid doing sports, lifting heavy goods and doing heavy work for a week or several.
- Do not take aspirin or ibuprofen for three to seven days after surgery. These drugs increase your risk of bleeding.
- Don’t have sexual intercourse for a week. You can see blood in your semen when you discharge for three to four days after surgery.
- Indicate an infection, such as pus or blood leakage from the surgical site, if you have a fever, worsening pain or swelling, see your doctor immediately.
- Vasectomy does not otherwise affect your normal sexual function or masculinity.
- Vasectomy does not provide immediate protection against pregnancy. To prevent pregnancy after vasectomy, you will need to use an alternative contraception method for at least three months after surgery until your doctor confirms that you have no sperm in your semen.
- Your sperm count will gradually decrease after this procedure. Your doctor will test your semen for three to four months after a vasectomy to make sure there is no sperm. A few weeks from now, you will need to give your doctor another sample of your sperm to check again that there is no sperm in your semen. To produce a sperm sample, your doctor will ask you to masturbate and ejaculate in a special container or use a special condom to collect your semen. If you have produced the semen at home, you will need to have the semen sample checked by your doctor within one hour. Your semen is then examined under a microscope to see if there is sperm.
- Always use a condom during sexual intercourse if you are not connected. A vasectomy is an effective form of contraception, but it will not protect you or your partner from sexually transmitted diseases such as chlamydia or HIV / AIDS.