Researchers are studying other male birth control methods, such as reversible vasectomy or hormonal methods. Reversible vasectomy involves plugging the vas deferens and then removing the plug when birth control is no longer wanted.
Hormonal methods include pills or injections that the man would use to prevent sperm production. So far, no new method has been shown to be effective enough, with low side effects, to be marketed for men. Author: Healthwise Staff. This information does not replace the advice of a doctor. Healthwise, Incorporated disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use and Privacy Policy. Learn how we develop our content.
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Surgery Overview A vasectomy is considered a permanent method of birth control. Advantages Vasectomy is a safer, cheaper procedure that causes fewer complications than tubal ligation in women.
You may be given an oral or intravenous IV medicine to reduce anxiety and make you sleepy. If you do take this medicine, you may not remember much about the procedure. Each vas deferens is located by touch. A local anesthetic is injected into the area. Your doctor makes one or two small openings in your scrotum. Through an opening, the two vas deferens tubes are cut. The two ends of the vas deferens are tied, stitched, or sealed. Electrocautery may be used to seal the ends with heat.
Scar tissue from the surgery helps block the tubes. The vas deferens is then replaced inside the scrotum and the skin is closed with stitches that dissolve and do not have to be removed.
Why It Is Done A vasectomy is a permanent method of birth control. How Well It Works Vasectomy is a very effective It usually takes 10 to 20 ejaculations to completely clear sperm from the semen. Spontaneous reconnection of a vas deferens or an opening in one end that allows sperm to mix with the semen again. This is very rare. Risks The risk of complications after a vasectomy is very low. Complications may include: Bleeding under the skin, which may cause swelling or bruising.
Infection at the site of the incision. In rare instances, an infection develops inside the scrotum. Sperm leaking from a vas deferens into the tissue around it and forming a small lump sperm granuloma. This condition is usually not painful, and it can be treated with rest and pain medicine.
Surgery may be needed to remove the granuloma. About one in four Australian men over the age of 40 has had a vasectomy. After the procedure, ejaculated semen will not contain sperm. Instead, the sperm will be reabsorbed into the body. Contact your closest clinic and ask for a vasectomy assessment appointment. If you are looking to have a vasectomy, you will need to have an initial assessment.
During this visit the vasectomy procedure is explained and an examination is performed to make sure that you are able to have the procedure safely performed under local anaesthetic. We will take you through any questions you may have to make sure the procedure is right for you. Family Planning NSW uses the no-scalpel technique.
This technique only requires a single small puncture in the skin of the scrotum, and does not require any stitches. The procedure takes approximately half an hour and is done under local anaesthetic. This is a quick, effective and relatively painless procedure that means less bruising and reduced risk of infection. Family Planning NSW does ask you to arrange to have someone drive you home after the procedure as a precaution. After the procedure, it is normal for there to be a small amount of bruising and mild discomfort which supportive underwear and over-the-counter pain killers will help with.
You can also use an ice pack to reduce swelling. You can return to work, or light duties if you have a physically demanding job, within a few days. After five days, you can resume sexual activity. Your vasectomy will not impact your sexual performance or ability to ejaculate.
However, it is important to note that your vasectomy will not be immediately effective. It will take a few months after the vasectomy for the sperm to clear out of the ducts.
You will need to use a different method of contraception until you get the all clear. If you notice that your scrotum has gotten much bigger or you are in pain, call your urologist right away.
If you have a fever, or your scrotum is red or sore, you should have your urologist check for infection. There is a small risk for post-vasectomy pain syndrome. This occurs in 1 or 2 men out of vasectomies. Post-vasectomy pain syndrome is a pain that can follow a vasectomy.
If this occurs, see your urologist as sometimes the specific cause can be treated with medicine or a minor procedure. Studies show men who have had a vasectomy are not at a higher risk for any other medical conditions such as heart disease, prostate cancer, testicular cancer, or other health problems. After your vasectomy, you may be uncomfortable for a few days.
To reduce your pain, you may need mild pain medication to take care of any pain. Severe pain may suggest infection or other problems and you should see your urologist. You may have mild pain like what you'd feel like several minutes after getting hit "down there. It may be painful or sensitive to touch or pressure, but it isn't harmful. Your urologist will give you instructions for care after a vasectomy.
Most men go home right away after the procedure. You should avoid sex for days or activities that take a lot of strength. Swelling and pain can be treated with an ice pack on the scrotum and wearing a supportive undergarment, such as a jockstrap. Most men fully heal in less than a week. Many men are able to return to their job as early as the next day if they do desk work. 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.
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