This article
discusses
vasectomy effects, cost, after, procedure, side
effects, reverse, recovery.
According to the most recent studies, vasectomies have no effect on the
production of testosterone or other hormones. The body still produces
both sperm (which is reabsorbed by the body) and seminal fluid (which is
ejaculated).
Vasectomies are considered so safe and simple that they're generally
performed under local anesthetic in a doctor's office or in a clinic.
The doctor makes one or two incisions in the scrotum through which each
sperm carrying tube (vas deferens) can be lifted out, cut, and closed,
thus blocking the passage of sperm. The operation takes 20 minutes.
Cost: $100-$250 (depending on clinic or physician). Usually covered by
Blue Shield or other private medical insurance. If it is performed on
Friday afternoon, most men can go back to work on Monday. Best to wear
an athletic supporter and to avoid heavy labor for a week to 10 days.
There may be some discomfort for several days. Usually ice packs and
aspirin provide all the relief that is needed. Contraception is still
necessary for the first 10 to 12 ejaculations after a vasectomy-until
two samples of semen, generally taken a week or two apart, show no
sperm.
See
vasectomy
for more information.
Physical after-effects: Sperm antibodies develop in about 50% of
vasectomized men. One type of antibody immobilizes sperm. The other
causes sperm to agglutinate (clump together). These antibodies may
prevent restoration of fertility in men whose vasectomies have later
been reversed. But it is not yet known for what length of time these
sperm antibodies go on being produced-and under what conditions the body
stops producing them.
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Increased cholesterol and atherosclerotic placque. The results of an
experiment on monkeys at the Oregon Primate Research Center, which
concluded that vasectomies produced increased cholesterol and
atherosclerotic placque, were widely publicized. However, there were
only five monkeys in the experimental group and the monkeys' diet
contained twice the cholesterol found in an ordinary human diet. This
study will have to be refined and repeated on a much larger scale before
any firm conclusions can be drawn. Meanwhile, a low-cholesterol diet may
be desirable for vasectomized men.
Reversibility. Vasectomies can be reversed-sometimes. Although major
surgery is involved, microsurgical vasotomy (reconnecting the tubes) is
the technique when remarriage or another major life change makes a man
decide to father children again. Some doctors claim a 40% to 50% success
rate on vasectomy reversals (provided the wife is fertile, of course).
This figure will probably rise as microsurgical techniques continue to
become more sophisticated.
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