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Vasectomy - Treatment, Procedure And Side Effects

What is the treatment?

A vasectomy surgery is considered to be a method of birth control that can last for an entire lifetime. It is performed to prevent a man from releasing sperms when he ejaculates. In this treatment, the ducts which carry the sperms, known as vas deferens are cut, clamped or sealed in each testicle. This will prevent the sperm from getting mixed with the semen that is ejaculated from the penis. As an egg from the female ovary can never get fertilized without the sperms in the semen, it eliminates any chances of pregnancy. The testicles will continue producing sperms after the surgery, but they will be absorbed by your body.

It should be kept in mind that it generally takes a few months after you have undergone a vasectomy surgery for all your remaining sperms to be reabsorbed or ejaculated. You must test your semen sample to be sure that you have a zero sperm count. Otherwise, there may be chances of your partner getting pregnant.

There are two methods of performing a vasectomy surgery. One is the conventional method where small cuts are made on each side of the scrotum to reach out to the vas deferens to cut or seal them. The cuts are then closed. The other method is the no-scalpel vasectomy where a small clamp will hold the vas deferens in position. A small hole is made on the skin of a man’s scrotum, and the surgeon cuts away a piece of the vas deferens before sealing it up.

Vasectomy is considered to be a highly effective and one-time procedure. The surgery can also be performed on an outpatient basis.

How is the treatment done?

The treatment of vasectomy involves the following steps:

  • Firstly, the scrotum and the testicles will be shaved and cleaned with some antiseptic to clear the area from all kind of germs.
  • A medicine will be given to you either in the form of a tablet or through an IV (intravenous) channel. This is mainly to reduce the anxiety.
  • The surgeon will locate your vas deferens by touch and inject the area with a local anesthesia.
  • The doctor then makes a small opening in the scrotum, and both the vas deferens will be cut. The two ends of each of the vas deferens will be tied, sealed or stitched. Sometimes, the ends can be sealed with heat by the process of electrocautery. Scar tissues from the surgery will also help in blocking the tubes.
  • The vas deferens will be then replaced back in your scrotum. The skin will be closed with stitches that can dissolve by itself. There would be no need to remove them. The procedure takes about half an hour and can be done in the doctor’s clinic.
  • In the case of a non-scalpel vasectomy, a clamp is used to poke through the skin of your scrotum to make an opening. This procedure has fewer complications and less bleeding compared to the conventional method.

Who is eligible for the treatment? (When is the treatment done?)

A man would want to undergo vasectomy surgery in the following situations:

  • If he wishes to have no children in the future
  • If he is in a physical relationship with a woman who has health problems, making pregnancy unsafe for her
  • If both the partners have genetic disorders which they do not wish to pass on
  • If he and his partner are not interested in other birth control measures

Who is not eligible for the treatment?

People who are not eligible for vasectomy include:

  • If someone is suffering from a hernia in the groin. A hernia has to be treated first and then a vasectomy surgery can be performed.
  • Skin infection in the scrotum
  • If the tip of the penis is inflamed or swollen at the time of surgery
  • Undescended testicles in each side

Are there any side effects?

The side effects of vasectomy surgery include:

  • Bleeding under your skin can cause bruising or swelling
  • There can be chances of an infection at the place of incision. In rare cases, the infection may develop inside your scrotum.
  • Leaking of sperm from the vas deferens and formation of a lump. This condition can be treated with medicines and adequate rest.
  • The tubes that move the sperm from the testicles can suffer from inflammation
  • In very rare cases, the vas deferens grows back together, and the man becomes fertile again.

What are the post-treatment guidelines?

Listed below are some post treatment guidelines that a man who has undergone vasectomy can follow:

  • The scrotum generally stays numb 1 to 2 hours after the surgery. You can apply cold packs in that area for comfort.
  • Change the dressing if it is stained or soiled
  • You can take a bath from the day after you have undergone the surgery
  • You must lie on your back on that whole day after the surgery was performed
  • A jockstrap will provide protection to the area and at the same time keep you comfortable
  • It is recommended to avoid heavy lifting for at least a week

How long does it take to recover?

It normally takes one or two days to get back to your daily routine. The surgery does not affect your sexual activities, but you must use some other form of birth control until you check with your doctor to confirm zero sperm count. You must go for a follow-up test for your sperm count 2 months after the vasectomy has been performed on you.

What is the price of the treatment in India?

The cost of a vasectomy surgery in India ranges from Rs. 85,102 to Rs. 1, 04,740. The prices may vary in different clinics and cities.

Are the results of the treatment permanent?

The failure rate of vasectomy has been observed to be very low. It is considered to be one of the most effective forms of birth control. By any chance, if sperms are found in your semen, there may be a requirement for a second vasectomy.

What are the alternatives to the treatment?

The alternatives to vasectomy surgery would include using condoms during the intercourse to prevent your partner from getting pregnant. Apart from this, you and your partner can mutually decide and she can opt for birth control pills, cervical cap or diaphragm to prevent unplanned pregnancies."

Safety: High Effectiveness: High Timeliness: High Relative Risk: Low Side Effects: Low Recovery Time: Very Low Price Range: Rs. 85,102 - Rs. 1, 04,740

Popular Health Tips

Vasectomy - 5 Myths Debunked!

MBBS, MS - General Surgery, FRCS - General Surgery , Fellowship in Minimal Access Surgery
General Surgeon, Delhi
Vasectomy - 5 Myths Debunked!

Vasectomy is synonymous with sterilizations and is one of the most stress-free procedures for couples who want to limit their chances of pregnancy and child birth. It is a process that has been perfected over the years and is still the most reliable method to avoid impregnation. However, there are still some myths and allegories associated with it. Though these have considerably reduced in the modern age, there are still some pockets of the world where this is prevalent. Come, let us take a look at some misconceptions and myths regarding vasectomy and the actual truth behind them.

Myth 1: Your sexual performance gets affected.
This is one of the most common misconceptions that are associated with a vasectomy. This is the number one reason why many men are hesitant to go for it fearing that their sex life could get hindered leading to nonperformance.

Truth: This is incorrect. The idea behind a vasectomy is to avoid pregnancy, and there is no reason as to why it would hamper your sex life. You will be able to lead an active sex life, and semen production will also be normal.

Myth 2: Testosterone production will be nil after vasectomy
Sperms are made in the testicles, and hence this myth came into existence that once a vasectomy is performed, you would be unable to produce any sperms and testosterone.

Truth: The simple truth is the myth is entirely baseless. Your sperm production is never eliminated and only your tube for the distribution of sperms is closed by a vasectomy. Hence it in no way affects your sperm production. A vasectomy does not have any effect on the production of testosterone.

Myth 3: Vasectomies stops sperm production
Many people assume fertility with sperm production. Hence once a vasectomy procedure eliminates the fertility aspect your sperm production automatically stops.

Truth: No. This is incorrect. Vasectomies never stop sperm production. They only restrict the sperms from entering into the semen. Sperms have a lifespan of about four days. Hence it is only natural that they are removed and replaced.

Myth 4: You are completely sterile post the surgery
It is easy to assume that you are sterile after you have the surgery. There is no way that having sex can lead to a pregnancy.

Truth: While there is a lot of truth in the above, there can be some instances of live sperms below the procedure point. The complete process of sterility can take about 4 to 5 weeks to occur and for all the sperms to get relinquished. Hence it is safe to not have sex for these weeks. It is also safe to get a semen analysis post the surgery.

Myth 5: Vasectomies are fool proof sterility methods
The high success rates in the procedure have made everyone believe that vasectomy is the sure shot to infertility. It is also 100% efficient.

Truth: While it is true that a vasectomy has a high success rate it is certainly not 100%. There can be instances where there are failures in a vasectomy, and this will not curtail your sterility. There are even known cases when couples have been able to conceive even after a vasectomy. Though the chances are extremely high of becoming sterile, the procedure is not fool proof.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2244 people found this helpful

Infertility: Causes And Symptoms!

MS - Obstetrics and Gynaecology, MBBS
IVF Specialist, Dibrugarh
Infertility: Causes And Symptoms!

Infertility is a condition where a couple, trying to conceive in a natural way is not able to do so even after one year of trying. It is also a matter of worry for patients who are over the age of 35 years and those who are not able to conceive naturally even after 12 months of trying constantly.

Causes: There are many causes of infertility. It may be down to a condition present in one or both partners. Ovulation and fertilisation are the main elements of the conception process and any condition in the female or male can upset either function, which can make it difficult to conceive.

While abnormal sperm production and transport may be a common condition that leads to infertility in males, other factors like side effects of cancer treatments and too much exposure to toxins and chemicals can also play an important role in this regard. For females, the causes of infertility may range from ovulation disorders, uterine and fibroid tumours, uterine and cervical anomalies, damage to or blockage of the fallopian tubes, endometriosis, primary ovarian insufficiency and pelvic adhesions.

Infertility Symptoms in Women

In women, changes in the menstrual cycle and ovulation may be a symptom of a disease related to infertility. Symptoms include:

Treatment: Female patients can turn to medication that will stimulate ovulation, intrauterine insemination, and surgical processes to correct a uterine septum and remove endometrial polyps, or even a hysteroscopy surgery. Male patients can go through a treatment for any existing infections, hormonal injections and medication, surgical options like vasectomy reversal and art or assistive reproductive technology.

If these methods fail, the patient or the couple can always turn to methods like in vitro fertilisation. For other mild reasons, lifestyle changes along with a stress free environment can help in increasing the chances of conception. If you wish to discuss about any specific problem, you can consult a gynaecologist.

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Temporary and Permanent Contraceptive Methods

Gynaecologist, Pune
Temporary and Permanent Contraceptive Methods

Using contraceptive methods is the easiest method for a couple to avoid pregnancy and enjoy a tension free physical relationship. People have used birth control methods for thousands of years. Today, we have many safe and effective birth control methods available to us.

All of us who need birth control want to find the method that is best for us. If you're trying to choose, learning about each method may help you make your decision. Only you can decide what is best for you. Some contraceptives, such as condoms, will also protect a person from sexually transmitted diseases (STDs).

The methods can be categorised into temporary and permanent methods:

Temporary methods:

1. Withdrawal method: This involves removing the penis from the vagina before ejaculating. Ejaculation should be away from the introitus. However, it requires extreme self-control on the part of your man.

2. Barrier methods: These methods prevent sperm from entering the uterus. Barrier methods are removable. Types of barrier methods include:

a. Condom: This is the oldest barrier method. A condom is a thin tube that the man puts over his penis. This keeps the sperm from getting to the egg. Condoms are also called rubbers.
b. Female condom: This is like a condom, but it goes in the woman's vagina.
c. Diaphragm and cervical cap: These are put in the woman's vagina to cover the cervix
d. Contraceptive sponge: This is a sponge that is filled with spermicide and is put in the woman's vagina over the cervix.
Barrier methods can be easy to use and have few side effects.

3. Hormonal methods: These can only be used by women. Hormonal methods cause changes in the woman's reproductive cycle and include birth control pills, birth control patches, emergency contraception pill, Implants and so on. Unlike barrier methods, hormonal methods do not interfere with sex.

4. Intrauterine methods: In this method an object called an intrauterine device or IUD is put in the woman's uterus. There are two types of IUD: the copper IUD or an IUD with hormones implanted on it. The hormonal IUD has better protection against pregnancy but costs more. You need not do anything once it is inserted. Also, it is effective for up to 10 years.

Permanent methods:

Of course, the permanent methods are more effective for preventing pregnancy than the temporary methods. The decision to proceed with a permanent method should only be made if a person is absolutely sure that no more children are desired. The biggest problems after a permanent procedure is regret that it was done.

Sterilization is a permanent form of birth control that prevents a woman from getting pregnant. These procedures usually are not reversible.

a. A sterilization implant is a non-surgical method for permanently blocking the fallopian tubes. The doctor places a coil in each Fallopian tube through the vagina and uterus block each tube completely. It may take up to 3 months to completely block the tubes.

b.Tubal ligation is a surgical procedure in which a doctor cuts the fallopian tubes. This procedure blocks the path between the ovaries and the uterus. The sperm cannot reach the egg to fertilize it and the egg cannot reach the uterus.

c. Vasectomy is a surgical procedure that consists in cutting the tubes that carry sperm. This procedure blocks the path between the testes and the urethra due to which the sperm cannot leave the testes and hence cannot reach the egg. It can take as long as 3 months for the procedure to be fully effective.

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The Pros And Cons Of Having A Vasectomy

MD - General Medicine
Sexologist, Delhi
The Pros And Cons Of Having A Vasectomy

The Pros and Cons of Having a Vasectomy

When guys reach that point in their lives when they know they don't want children (or they have plenty of them and don't want more!), they often choose to undergo a vasectomy. Most men who undergo the procedure have no lingering effects and often are happy with the results. But there are some terrified of undergoing any sort of procedure, worried about a penis injury happening when they get a vasectomy. The truth is that there are pros and cons to the procedure, and every man needs to know what those are in order to make an informed decision.

The pros of vasectomy:

Any man who wants to have a vasectomy must understand what he will benefit from the procedure. Here are some of the reasons many men choose to do it:

1) No more kids. The most obvious "pro" of vasectomy is that it prevents a man from fathering children. In the world of birth control, this is almost as close as a guy can get to not having that particular responsibility.

2) The procedure is quick. The procedure is a "one and done" situation - a guy goes in, gets a snip, and is out of the doctor's office within an hour or so. This one simple procedure is all he needs.

3) Recovery is quick, too. Most men are told to take it easy on the couch for a few days. He might have some soreness for a few weeks, as well as bruising, but within a month or so he's right as rain.

4) No more condoms. It usually takes about 20 ejaculations for a guy to rid his body of all semen and thus be fine with not using a condom while having sex. As long as he's in a monogamous relationship, he can enjoy the freedom of unprotected sex without worry.

5) No pressure on a partner. Some men find themselves with a partner who can't use certain birth control methods. By getting a vasectomy, he relieves his partner of the responsibility of figuring out birth control.

The cons of vasectomy:

Though there are many pros to the procedure, there are some risks that men need to carefully consider.

1) It's a surgical procedure. Even though the procedure has been used for a long time and has been perfected by numerous doctors, there is still a risk anytime someone uses a scalpel on a delicate area. Though rare, some men have reported problems that lingered after the surgery.

2) No protection from sexually transmitted infections. Many men had the best of both worlds when they used condoms: The protection from pregnancy and from infections. However, a man who has a vasectomy still has to use a condom if he doesn't have a steady, monogamous partner.

3) Reversal can be tough. Though the procedure for vasectomy is quick and easy, reversing it is much more involved. If a man changes his mind and decides he really does want to have more children, it will be an uphill battle to make it happen.

4) Sometimes it doesn't work. In a small percentage of men, the vasectomy doesn't "take." This means that a guy who had a vasectomy could wind up with a surprise baby a few years down the road.

5) Some men feel regret. Though most men who undergo the procedure are happy with the outcome, some men are deeply affected by the fact that they are no longer fertile. This can lead to depression and related problems, which can affect every part of a man's life.

The decision to have a vasectomy is a very important one that a man should never take lightly. Before the procedure and after, he should pay close attention to his penis health, including the use of a good penis health crème (health professionals recommend Man 1 Man Oil, which is clinically proven mild and safe for skin). A crème that contains L-carnitnine can help protect the nerves of the penis; L-arginine can help ensure blood flow stays ample. Shea butter and vitamin E, both known for their healing properties, are also great for a man recovering from a vasectomy.

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Vasectomy Reversal

MD - General Medicine
Sexologist, Delhi
Vasectomy Reversal

So You're Thinking About a Vasectomy Reversal?

So, you've had a vasectomy and are now thinking about having it reversed. For one reason or another, you thought that a vasectomy would be a great idea and would protect against unwanted pregnancies. Sure it made sense at the time, but now you wish that you never had it in the first place. Well, congratulations! You are now part of a very large group of men who have come to hate the very thing that they thought they would enjoy so much.

Don't get me wrong, I believe that getting a vasectomy done is a great idea. It can protect you, your assets, and your reputation from being ruined or destroyed. However, times change, and as the years go by, what you may want out of life may change. What you wanted ten or fifteen years ago may be greatly different from what you want now.

For the most part, men who want to have their vasectomy reversed are looking for one thing - to start a family. And how can you start a family if your equipment isn't working properly? In short, you can't, or you have a very, very low chance of doing so (less than 0.1%). So what do you do in this situation? You start researching how to get a vasectomy reversal, and that might lead you here.

In the surgery the doctor will decide on which type of reversal will be done, in most cases either a vasovasostomy or a vasoepididymostomy. In either case, the main objective is to reconnect the detached ends of the vas deferens tube. The main difference between the two is that a vasoepididymostomy has a much lower chance of being successful.

If you do decide to have the surgery done, the recovery period is very similar to that of a vasectomy surgery. In most cases, you will be advised not to have sex for around 2-4 weeks and you will be able to return to normal activity within a few days. You will be advised to avoid getting your scrotum wet, and within a few months and after a few sessions of semen analysis, you will be told whether or not if the surgery was a success.

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Popular Questions & Answers

I want to do vasectomy operation Want to know more about the same Will it affect pleasure?

MS(gen.surg), M.B.B.S.
General Surgeon, Kota
Vasectomy is a sterilization procedure, todays date there are scar less surgery available (NSV) after that you can not reverse this. But sexual life is normal but before goes for this you should prepare your mind.
1 person found this helpful

I am 70 years old vasectomised 20 years back having lot of sex desire requires no pill for erection, but my wife 65 years have no interest in dec, although she gives me hand job off & on, l don't get satisfaction out of it.

Sexologist, Noida
Its not clear what do want out of your question other wise this is ok divert your attention to wards god/guru if you have faithin nature then start enjoying other thinghs except sex) around you do some creative work do yoga exercise.

Vasectomy surgery details vasectomy disadvantages and surgery cost. After sex life.

MBBS, MS - General Surgery, DNB - Urology/Genito - Urinary Surgery
Urologist, Bangalore
Very safe surgery. Disadvantage is that you won't become father after that. No change in you sex life at all.
1 person found this helpful

I want to do vasectomy ,will any body know me detail benefits and problems after operation? Which is the best clinic/ trivandum for this operation and how much expenses is there?

Sexologist, Panchkula
Vasectomy is a minor operation with no side effects. Benefit is that it Is a minor operation. You can get it done from good government hospital. You have to go to surgery.
3 people found this helpful

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Having issues? Consult a doctor for medical advice