Should You Have a Vasectomy?

Many men think about getting a vasectomy at some point in their lives after making the decision to not have any more children. Learn the pros and cons about undergoing this procedure.

There are a number of reasons why men might decide to get a vasectomy. Perhaps they have made a decision with their significant other not to have any additional children. Some couples decide it’s easier for the man to undergo a vasectomy than for the woman to continue on birth control or have a tubal ligation (tubes tied). For other men, they may have made the personal decision to not have children.

Men who are thinking about a vasectomy should fully understand the procedure before making their final decision.

Vasectomies are an Effective Form of Birth Control

Vasectomies are very effective in preventing pregnancy, with the risk of pregnancy after vasectomy approximately 1 in 2,000 men who have post-vasectomy azoospermia. Repeat vasectomy is necessary in less than 1 percent of vasectomies. However, a vasectomy cannot protect against sexually transmitted diseases (STDs). Protection such as condoms are recommended to help decrease your risk of catching or transmitting an STD.

Can a Vasectomy Be Reversed?

In some cases, vasectomies can be reversed. However, the reversal process can be complicated, costly and may still be unsuccessful. If there is any chance you might change your mind about having children, it’s best to wait before having a vasectomy.

Be Prepared for the Procedure and Recovery

A vasectomy is a common procedure to occlude the tubes (vas deferens) by cutting, clipping or burning through a small incision or puncture in the scrotum. Vasectomies take about 30 minutes to complete and are most commonly performed using local anesthesia, which means you can return home after the procedure. Erections and ejaculation will look and feel no different afterward.

When it comes to recovery, most men are back to their normal routine in less than a week. The key to making the recovery as smooth as possible is to rest afterward and prevent injury to the surgical site the first few days after the procedure. Also, using cold compresses, including ice and frozen peas, and wearing scrotal support, such as a jockstrap or compression shorts, can reduce swelling and discomfort during recovery.

Know Your Risks

As with any procedure, there are risks. Fortunately, vasectomy risks are minimal. If blood, immense pain, fever or increased swelling or redness in the scrotum occurs, call your urologist’s office.

Out of 100 men, one or two may experience post-vasectomy pain syndrome, which is when testicular pain (consistent or intermittent) occurs for three or more months. While uncommon, most cases of post-vasectomy pain syndrome can be treated with anti-swelling medications. 

Is getting a vasectomy the right decision for you?

Find a urologist in the University of Maryland Medical System.

Posted by Eric Jackson