No change in sex drive.

No change in the ejaculate/semen volume or color.

No change in climax sensation.

No change in erection.

We counsel patients that they should expect no changes in sexual function after a vasectomy. Interestingly, some sources suggest that your sex life may even be better after having a vasectomy!

No, your testosterone levels will not change because of a vasectomy.

Testosterone is produced in the Leydig cells of the testicles in response to luteinizing hormone from the pituitary gland (located at the base of the brain). Testosterone is absorbed into the blood stream and transported throughout the body.

Testosterone levels remain unaffected by a vasectomy because the surgery only involves cutting and sealing the vas deferens, the tubes that just carry sperm from the testicles.

Your testicles will not drop.

There are numerous layers of muscle tissue and connective tissue, called fascia, that support the testicles.

Only the vas deferens is interrupted during a vasectomy. The vas deferens do not support or hold up the testicles.

Essentially, nothing will change.

Only 2-5% of what you ejaculate comes from the testicles.

Almost all of the ejaculate fluid (semen) is secreted from the prostate and seminal vesicles.

You will still produce essentially the same volume and appearance of ejaculate fluid as before your vasectomy, just without any sperm.

No. Not until your 12-week semen analysis is negative for sperm. You should continue to use a form of contraception until you hear from the lab or Dr. Tuczynski that you are sperm-free.

It is important to note that vasectomy does not protect against sexually transmitted infections (STIs), so other precautions should be taken if there is a risk of STIs.

Anesthesia administered with a MADAJET device is as close to painless as it gets. The device is a needle-free injection system that delivers anesthesia through a pop of high-pressure stream. Most men feel a mild, instant of pressure or a snap against the skin— like the snap of a rubber band.

All men find it more comfortable than traditional needle injection because it doesn’t involve a needle piercing the skin.

For men who feel they would benefit from a prescription relaxer before the procedure, you should book a consultation with our doctors before the surgery. Most men do great without any pretreatment.

Vasectomy essentially is putting up a road block on US-23. It’s going to take a while for the rest of traffic north of the road block to clear up.

If you follow the vas deferens north bound, just below the bladder and prostate, there’s a larger holding area called the dilated ductus deferens, which stores sperm until they are to be released with ejaculation. There is still traffic at this storage site on the north bound lanes until enough ejaculations AND enough time has passed from your vasectomy.

There have been studies that evaluated shorter time frames. At 8 weeks about 80% of men will be sperm free after vasectomy. At 12 weeks that number is closer to 95%. If your 12-week sample shows sperm, we’ll repeat another sample 1 month later.

We recommend all patients have a semen analysis done 12 weeks after your vasectomy. We have negotiated a special rate with a FDA & CLIAA certified laboratory for $50 per test. You may order the kit here.

You will be mailed a FDA & CLIAA approved test kit and step-by-step instructions on the next steps. The lab will provide you with confirmation that your sample is negative.

At Cutting Edge Vasectomy, we’ve eliminated the awkward cup handoffs at the doctor’s office.

You may collect your sample in the privacy of your own home.

The test should be done after at least 20 ejaculations AND 3 months after your vasectomy.

Having a vasectomy should be considered a permanent or non-reversible procedure. Dr. Tuczynski does not offer vasectomy reversal. A reversal is an expensive and very technically difficult procedure with no guarantee of success.

Life is unpredictable. If you think you may ever be in a position where you regret having a vasectomy, you may want to research sperm storage options before having a vasectomy. A popular company offering this service is called Fellow. Their website can be found here.

Chronic PVPS is a rare condition that seems to be more discussed on the internet recently. It is defined as testicular pain (on one or both sides) for greater than 3 months after having a vasectomy, severe enough to interfere with daily activities and causing a patient to seek medical attention. Because pain is so subjective, reported rates vary but compiled data would suggest that this is a significant problem for 1-2% of vasectomy patients. Vasectomy reversal, removal of the epididymis, or a special procedure called neurolysis (all major procedures) may be required to alleviate the discomfort. Some literature suggests that post-vasectomy pain syndrome, while rare, may not be reversible. Thankfully, there are physicians that specialize in the management of chronic PVPS.

The clips we use are sterile titanium, making them far less reactive and less traumatic to the surrounding healthy tissue than suture material. You’ll have a better recovery with less risk of trauma, bleeding, and failure.

The clips are about one-third the size of a grain of rice. You will not be able to see the clips, and we don’t expect you to ever feel them. You will not set off metal detectors. You can still have any kind of imagining down the road – including MRI, CT, XRAY, Ultrasound.

Without clips, the risk of failure would increase.

An article reporting a modest association between vasectomy and prostate cancer was published in the Journal of Clinical Oncology (JCO) on September 20, 2014. There have been many articles since then confirming the absence of an association, and the American Urological Association has reaffirmed that vasectomy is not a risk factor for prostate cancer. Data may change someday, and you should understand the uncertainty about the relationship between vasectomy and prostate cancer, and factor this knowledge into your informed consent decision to have a vasectomy.

The problems that can occur after the procedure are usualy quite minor. There may be some pain and tenderness in the area. There may also be some swelling, blue and black marks, which will heal. As with any surgery, there is always a risk for infection, however, this is quite rare following a minimally invasive vasectomy. There’s a small risk that a blood vessel inside of the scrotum can bleed. This rarely happens, but can occur if men don’t follow the aftercare, rest and recovery instructions.

Dr. Michael/Samantha will give you their cellphone number after the procedure. Most issues that arise are minor and can be handled over the phone.

Most sources cite a vasectomy failure rate <0.5%. This beats the potential failure rates of any alternative contraceptive options.

Our technique applies additional steps and precautions.

There is no form of fertility control except abstinence that is free of potential complications. Vasectomy candidates must weigh the risks of vasectomy against the risks (for their partners) of alternative means of contraception as well as the risks associated with unplanned pregnancy and either induced abortion or childbirth.

Vasectomy can provide a means of permanent birth control with a minimum likelihood of complications and maximum chances of effectiveness and safety.

The most painful part is probably hearing Dr. Michael’s comedy routine.

Not everyone goes nuts for it.

But, the balls are in your court.

Just remember, when it comes to a Vasectomy, you’re not broken, you’re fixed!