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.
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.
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. See vasectomy for more information.
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It could be carried out in hospital, clinic, or a physician's office. Your physician and you will talk about getting ready for operation. She or he may also talk about the potential dangers and complications with you. Following the process, follow your physician's guidance for healing.
Preparing for operation
Dick and scrotum with dick pointing around reveal underside. Testicles observable in scrotum. Loop of vas was brought out through little puncture.
Your physician will talk to you about becoming prepared for operation. You might be requested to do the following:
This has to be performed at least a day or two before operation. It gives your physician permission to do the process. In addition, it says that the vasectomy isn't ensured to allow you to get infertile.
Do not take naproxen, ibuprofen, or aspirin for 2 weeks before operation. Bleeding can be caused by these drugs following the process. Additionally, make sure your doctor knows in the event you take any drugs, nutritional supplements, or herbal treatments.
Tell your doctor if you have had any previous scrotal operation.
Organize for an adult family member or pal to provide you with a ride home after operation.
Your physician might also request that you shave your scrotum.
Eat no more than the usual light bite before operation.
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