If your vision for the future includes children, he should avoid taking testosterone. Are there Complications? They’re more interested in learning about how soon they can return to work and the gym.

There can be permanent damage to a man’s sperm production. Want to share yours? Trying sensual exercises with your partner. The vans deferens only affects the sperm, which the body will continue to make. Vasectomy represents one of the most effective forms of birth control. Ruptures are usually asymptomatic and not problematic. The tubes are surrounded by testosterone-producing cells that stimulate sperm development by impacting the nurse cells, which in turn control the sperm stem cells. When treatments are needed, they include surgery, radiation or androgen deprivation therapy.

Make sure you are breathing naturally throughout this process and avoid pushing down as if you are forcing urination. So, the only thing that will change after having your vasectomy is that your sperm will no longer be ejaculated during your orgasm (but the rest of your semen will be). Normally, sperm antigens are not exposed to the immune system because of the blood–testis barrier and other epithelial barriers along the reproductive tract. Sewing up the tube prevents “recanalization,” which can occur when microscopic channels grow between the severed ends of the vas. That’s why “it’s what we consider the canary in the coal mine,” Dr.

9/1000 man-years (MY) of observation in men with vasectomy and 1. It happens when the penis “breaks. I hope a solution comes through soon, and we can get back on track. If diagnosed with low T, his doctor will likely discuss prescription testosterone therapy. Diabetes contributes to ED by damaging your nerves and blood vessels. I don't want to take drugs to combat this issue, I'm becoming very depressed due to this. Medically speaking, erectile dysfunction after a vasectomy or a vasectomy reversal is very rare. (2) Swerdlow et al (1987)193 Case–control 259 cases 22 1.

Side effects of certain medicines. The tube that connects the testicles to the outside world is often cut or sealed to prevent them from exiting the body during ejaculation. Eating better and exercising can improve matters for men diagnosed with the condition; many also have other health challenges, such as obesity or diabetes, which lifestyle changes can help. Vasectomy is one of the most reliable forms of birth control. So what causes erectile dysfunction after a vasectomy or a vasectomy reversal? Does vasectomy affect my sex drive or my ability to have sex? The nerves involved in erectile function and ejaculation are not affected, and vasectomy does not lead to impotence or other sexual difficulties. (17) 3561 nonvasectomized Rosenberg et al (1986)113 Case–control 2238 cases Myocardial infarction- all 332 1.

  • My fiance is pushing me to go for a vasectomy as she feels the risks are highly unlikely.
  • Injected medicines.

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(6) 30–34 years: The treatment steps are: Many doctors take a step-by-step approach to treating erection problems. When reversal fails, options can include: My wife and I talk a lot – she has patiently supported me, come to therapy every fortnight, and even now is considerate of my needs – but, understandably, is frustrated. Even with an erection problem, a man may still have sexual desire and be able to have an orgasm and to ejaculate. Undergoing in vitro fertilization (IVF) using the patient’s sperm that is harvested (microscopic epididymal sperm aspiration -MESA), or by using donor sperm. Diseases that affect blood vessels, such as diabetes, high blood pressure, and high cholesterol.

Most urologists take a conservative approach and try non-surgical treatments like applying hold and cold compresses or wearing a scrotal-support garment as a first tier of approach. If a problem develops with any of these things, erectile dysfunction could be the consequence. (9) Hypertension NR 0. 61, 62, 63 Epididymitis following vasectomy is uncommon, with most studies reporting rates of approximately 1–3% of men who have had a vasectomy, but rarely have unvasectomized controls been included in these studies. Some evidence suggests that age at vasectomy plays a role, with younger men being more likely than those older to develop antisperm antibodies. About, contrary to what you might see in today’s mainstream media, instead of increasing sexual enjoyment, porn often leads to less satisfying sex in the long run and, for many consumers, no sex at all. 494 cases, 703 controls Whites: This caused some concern for men about the safety of the procedure. During ejaculation, this sperm containing fluid is ejected through the ejaculatory duct and through the penis during orgasm.

During surgery, you might feel minor pain, but severe pain is rare. Aerobic exercise, try to do between 10 and 20 repetitions each day. Prosthesis offers unparalleled spontaneity and reliability, and initial satisfaction rates exceed 90 percent for men and their partners. 82, 83, 84, 85, 86, 87, 88, 89 Preliminary data from Anderson and coworkers indicated that infectious HIV could be found in semen from some HIV seropositive vasectomized men. Only the patients’ written consent is required, although it is recommended that the patient discuss this decision with his wife or partner. (1) 326 controls Chi et al (1990b)114 Case–control 348 cases Fatal cardiovascular disease (ischemic heart disease, nontraumatic cerebrovascular disease, hypertensive disease) 36 1.

  • (9) 10,079 nonvasectomized Giovannucci et al (1992)103 Retrospective cohort 14,607 vasectomized 1,052* 0.
  • What is Erectile Dysfunction Exactly?
  • Testosterone continues to be produced, thus no changes occur in male characteristics, such as voice or facial hair growth.

Male Pattern Baldness Overview

All clinical procedures carry a small risk of complication. But in reality a vasectomy is a safe and effective procedure. Psychological therapy, behavioral therapy, and drugs are the main treatments for PE. Talking about the issue with your partner, doing sensual exercises, and getting counseling.

  • What to think about Although oral medicines for erection problems can be purchased over the Internet, you need to talk with your doctor before using this medicine.
  • However, an ejaculation involves several strong muscle contractions in the genital area, which means having an orgasm could be uncomfortable if the patient is still experiencing swelling, bruising, or tenderness.
  • The vas deferens carries the sperm that mixes with the ejaculate.
  • About half of men with diabetes develop erection problems.
  • Then if you have a problem during the test, it will be safe to use nitrate-containing medicines such as nitroglycerin.
  • It is important to involve your partner in your decision, regardless of the treatment you choose.

Behavioral Therapy

Many men are able to return to their job as early as the next day. It’s estimated that 50 percent of men ages 40 to 70 have this problem. But because it is sold as a dietary supplement, it is hard to know if you are getting the right amount.

Knowing what you know now, what do you think? The result is the prevention of sperm from exiting the body. Ask the majority of men who’ve had vasectomies what they thought the most painful part of the procedure was, and they’d probably say it was the period immediately afterwards (right around when the local anesthesia started to wear off). For most men, erectile dysfunction (ED) after a vasectomy is not caused by the procedure itself. The most common concerns include: If the sperm analysis does detect sperm in the semen the sperm analysis will be repeated at monthly intervals until negative. A vasectomy is considered a permanent form of birth control.

Cialis Daily vs Cialis

Summary of studies examining total mortality in vasectomized and nonvasectomized men Reference Study design Study population Number of deaths in vasectomized men Relative risk (95% confidence interval) Guang-hua et al (1978)105 Retrospective cohort 5761 vasectomized 137 0. In the past there was some concerns suggesting that having a vasectomy could increase the chances of getting prostate cancer, however after careful review of all the data, the American Cancer Society, the National Institute of Health, as well as other major organizations, have found no increased risk. The first step in a vasectomy is to locate and expose the vas deferens. In other cases, medications or other direct treatments might be needed. Article available in:, derived from the bark of a West African evergreen tree, yohimbe was the go-to ‘script for a wonky willy prior to the advent of wonder drugs like Viagra, Walker says. What is the overall step-by-step experience of getting a vasectomy reversal, from the first visit to the post-op phase? The anesthetic will begin to numb the area, and the numbing effect will last approximately 2 hours.

Problems with the nerves (neurologic problems). But some men try complementary therapies. One of the common concerns for people considering a vasectomy is impotence, or erectile dysfunction (ED), which is the inability to sustain an erection or ejaculate. So sperm production doesn’t really cause a problem. What causes erection problems? – One of the more invasive treatments for erectile dysfunction, surgical options also exist.

Sperm can still be present in the vasa deferentia for several months, and couples should still use another birth control method until a doctor advises otherwise.

Erectile Dysfunction & Masturbation

There is a slight chance of pregnancy after vasectomy (around 1 in 2,000) which can occur even after several years. The procedure does not change your current enjoyment of sex or ability to perform. Psychiatrist. Contraindications to no-scalpel vasectomy include: A vasectomy stops the sperm cell in it’s tracks.

And if a man wasn't comfortable with his decision to have a vasectomy, or if he's having second thoughts, it could affect him psychologically. Whether you know it or not, your testicles are a sperm factory set up to produce sperm throughout your life time. I then started researching the post vasectomy problems, and like you found many reports on problems. 4, p699-706, November, 1995 where the authors discuss several possible causes including surgical trauma, hormonal changes, aging, medications, etc. (3) Cardiovascular disease as a group NR 0. Yes, of course there is backpressure, and ruptures, and leakage and testicular atrophy etc.

The sperm factory produces sperm cells on a schedule to make sure production will last a lifetime. Get the facts, to determine a cause and treatment options, physicians evaluate a patient’s detailed medical history and look for obvious causes such as medications known to be linked to erectile dysfunction. “Some cardiac diseases affect the ability to have erections,” Dr. But for a very small number of guys, post-vasectomy pain can be so intense that no amount of icing can make it go away and—in rare instances—requires the vasectomy to be reversed to find relief.

This is why a back-up birth control method is necessary to effectively prevent pregnancy.

  • They’re a permanent and reliable form of birth control for couples.
  • ED issues can motivate a reluctant man to see a doctor for a checkup.
  • It can signal health problems beyond your genitals.
  • Most men are relieved to discover that a vasectomy actually causes very little pain or discomfort after the procedure and recovery is typically quick.
  • The risk of injury of your testicles, penis or other parts of your reproductive system during surgery is very little.
  • I had consumed alcohol and did feel tipsy, I have always found alcohol enhanced my erections and sexual desire.

Vasectomy Patient Education

Personal information is not protected. The physical process of getting an erection should not be affected by having a vasectomy, because the procedure is unlikely to have any physical effect on a man’s ability to get and sustain an erection. The vas ends are tied, cauterized, or closed using clips. ” Men do have a biological clock. Just as it’s important to fully consider the implications of having a vasectomy, it’s important to think about the reversal. 188, 189 More recently, as part of the process of updating their vasectomy guidelines, the American Urological Association (AUA) performed a meta-analysis of 10 comparative cohort studies and found that there was no statistically significant difference in relative risk of prostate cancer in vasectomized men compared to men without a vasectomy and no relationship between time since vasectomy or age at time of vasectomy and prostate cancer.

This specialist can look for penile and testicular causes of sperm problems, as well as consider other health issues that may be involved. 90 Subsequently, 46 HIV-seropositive men were studied before vasectomy and for 3 months afterward; although levels of cell-free virus in the semen remained stable after vasectomy, cell-associated HIV was detected in significantly more men after vasectomy. Although numerous studies have examined the effects of vasectomy on the epididymis in various laboratory animals, similar studies in men are lacking. The snip promises sterilization, but that’s not all: With more than a hundred years of research about vasectomies, there’s never been significant evidence that they cause impotency. To learn more, see Prevention.

Make sure all the doctors you see know that you took one of these medicines. There are a few reasons for testicular pain after a vasectomy that vary by types of symptoms exhibited and treatment required: Can a vasectomy cause ED? More than one type of treatment may be used at the same time. Smoking or using tobacco. It's important that another form of contraception is used until we give you the all clear. Recovering after vasectomy reversal takes usually 1 to 3 weeks.

Resuming Sexual Activity

Erectile dysfunction immediately following vasectomy I am a very healthy 37 yr old male and I had a vasectomy 6 weeks ago. This prevents the sperm from exiting the penis during ejaculation. Vasectomy works by stopping sperm from getting into a man’s semen, the fluid that he ejaculates. Neither he nor the urologist would report this as a post vasectomy problem. The color and consistency of your ejaculate/semen will not change either. Once completely numb, the doctor will make 1 - 2 small openings in the skin and will gently pull up each tube called the vas deferens. Patients should not undergo a vasectomy until they are completely sure this is the right decision for them.

Being sterilized is a life-changing decision, too:

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In both cases, men are given a local anaesthetic before the procedure. Use of sildenafil (Viagra) in patients with cardiovascular disease. Therefore, doctors often recommend waiting a week or more before resuming sexual activity. Many of these conditions are treatable at UC San Diego Health. But the possible link between bike riding and erection problems has not been proved. Then you can better control and delay climax on your own. The most likely explanation is that men who elect to have a vasectomy are mentally more stable, because a causal relationship of vasectomy to better mental health is unlikely. Getting ED from a vasectomy is rare.

Montague DK (2020). A urologist, endocrinologist or primary care doctor can test a man for testosterone deficiency. Patients are typically asked to abstain from sexual activity for one month following the vasectomy reversal. The testicles continue to produce semen and are not affected. What I hope to do is collate as many personal negative experiences as possible. (2) 401–405 Hypertension 33 0.

Patients may be sent home with a prescription for pain medication, though Tylenol may be all that is needed to relieve any discomfort. Summary of results of three record-linkage studies of disease incidence in vasectomized men and comparison subject. “If you think about it, it makes total sense,” Dr. Instructors, this is a comprehensive book, covering almost every aspect of prostate cancer, from diagnosis through treatment and recovery. The use of tobacco, alcohol, or illegal drugs.

What Are The Contraindications Of Vasectomy?

My opinion is that reproductive functions are some of the most basic that our bodies perform, and bodies don’t adapt well to having the natural flows we have shut off. I am positive that I'm not mentally protecting the area or that it’s psychological and my penis is smaller and softer and it DOES feel somewhat desensitized. Other solutions include local treatments to the penis such as tiny injections, penile pumps or a vacuum device that increases blood flow to the penis. Should I Try Injection Treatments? After a vasectomy, you can usually return to work 1 or 2 days but should avoid sport and heavy lifting for at least a week after the procedure to prevent complications. I have reread the CBS News story [ www. Pain worsens after epididymectomy I had a vasectomy four and a half years ago and was in constant pain.

Putting ice packs on the bruise and taking over-the-counter pain medication can help; Infection of the surgery site; Mild pain or discomfort; you can take over-the-counter pain medicine and wear supportive underwear that does not let your testicles hang.

In addition, you might notice he is producing less semen. The amount of fluid that comes out of the testicle with sperm is less than 1% of the overall ejaculate volume. Vasectomy and impotence An estimated 500,000 men undergo a vasectomy in the United States each year, according to the American Urological Association. ED is an early marker for vascular problems. There are several medical journal articles you may want to refer to:

A vasectomy cuts or blocks the vas deferens, the tube that carries sperm away from the testicle to be added to semen.

(9% effective, too). Your best defense against health problems like this is to learn everything you can about it so you can tackle the problem at the root. To date, however, anti-DNA antibodies have not been detected in vasectomized men. ” and “Will a vasectomy cause erectile dysfunction? Here are some other things you can do that may reduce your risk for erection problems: There are two “buyer beware” alerts after a vasectomy. A recent study published in the Journal of Clinical Oncology noted a connection between vasectomies and prostate cancer.

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Surgery on penile blood vessels What to think about Think carefully about nonsurgical options and about the possible risks of surgery. Taking medicines and getting counseling for depression or anxiety. Exercises work well, but they may not be a lasting answer. 157 Almost 30 epidemiologic studies of vasectomy and the risk of prostate cancer have been reported in the literature since the mid-1980s (Table 6). If the doctor determines that there are psychological rather than health-related roots to his erectile issues, such as depression, stress or anxiety, antidepressants or anti-anxiety medications can be helpful. (1) 978 controls Stanford et al (1999)173 Case–control 753 cases 297 1.

NR, not reported.

Following vasectomy surgery, it only takes about 24-48 hours before you can return to a fairly normal lifestyle. Both male and female sex hormone levels diminish with age in men, and lowered estrogen levels can contribute to health problems, such as osteoporosis. After a vasectomy, the way of having an orgasm or ejaculating will not change. A sperm check is completed about 6 weeks after the procedure, or after at least 15 ejaculations.


Trying counseling if a psychological cause is suspected. Swelling and pain can be treated with an ice pack on the scrotum and wearing a supportive undergarment, such as a jockstrap. Keep reading to learn about treatment options. Although rare, some patients have experienced on-going discomfort in the scrotum and groin area following a vasectomy.

Therefore, there is no risk of pregnancy to his sexual partner. The vasectomized men had a significantly higher mean serum potassium concentration (4. )It amazes me that doctors so often want to do more irreversible surgery when surgery failed in the first place. No contraceptive method is 100% guaranteed, but vasectomy is one of the most effective methods available. My thanks and blessings go out to you too. 222 Vasectomy appears to be a safe and highly effective method of fertility control with a risk profile that compares favorably with that of methods of fertility control used by women. It’s a natural part of the body’s process.

There have now been nearly four decades of intense research on potential long-term health effects of vasectomy.

With other symptoms such as loss of hair, enlargement of the breasts, or backache. The cyclical pain response you mentioned has been observed by numerous patients and doctors as being part of an autoimmune reaction to continued sperm production, which will continue even though your epididymis has been removed. Is sperm quality different after a vasectomy reversal? It can also give you greater sexual confidence and understanding to improve your partner's satisfaction. One review of 14,000 men who’d had various types of vasectomy reported six conceptions among their partners, but as many as 10% of men in some surveys have significant amounts of sperm in their semen a few months after a vasectomy. (7) 242 Thyrotoxicosis 4 1. He may develop erectile dysfunction, and the curvature can make sex difficult or even impossible. Nonetheless, the topic remains of considerable interest with reports of studies on the topic appearing regularly in the scientific literature.

But high doses of zinc can be dangerous.

Risk Factors

The narrower tube is likely to clog before larger arteries in the heart. That’s a good reason to get over the embarrassment and talk to your doctor. Men don’t get hot flashes, but they do experience age-related declines in sex hormones that mirror female menopause. Because vasectomies are usually performed on men who are in their thirties and forties at the time of the procedure, several decades of life remain after vasectomy during which long-term effects on health might manifest themselves. The procedure involves cutting and sealing the vas deferens - the tube that carries sperm to the testicles. Your doctor can find out if you have an erection problem by asking questions about your health and doing a physical exam.

While your sperm is maturing, it’s stored in a tightly coiled tube – literally 15 to 18 feet long – called the epididymis. Furthermore im only able to maintain an erection during vaginal penetration whilst im on top of my wife with my wifes legs are pushed up and back, as this gives me more sensation in my penis. Vasectomy and vasectomy reversal are big changes and big decisions, and this can lead to depression, stress, and anxiety, all of which can contribute to erectile dysfunction. (8) 600 Prostatic hypertrophy 7 0. (3) 360 controls Nienhuis et al (1992)97 Retrospective cohort 13,246 vasectomized 1 0.

But now this has dropped to about 15,000.


(2) 729 controls Thornhill et al (1988)195 Case–control 240 cases 3 3. In more than three out of four men this leads to an autoimmune response wherein your body starts an antibody war on it’s own cells that will not stop as long as you are producing sperm cells, which is likely to be a long time. Even though it is in some cases reversible, it is considered to be a permanent method, as reversal is not always possible or successful.

These creams/sprays are put on the head of the penis about 20 to 30 minutes before sex. Men can expect to return to work within 24 to 48 hours of their procedure. Faulty sewing My friend (Joe) had an in-office vasectomy (scalpel w/ stitches) in December by a general M. 4, 5, 6, 7, 8, 9, 10, 130 Approximately 3% of nonvasectomized men have sperm-immobilizing antibodies,120 whereas anywhere from 25 to 60% of men develop sperm-immobilizing antibodies in the first year after vasectomy. During this time, you should use other forms of birth control. Vasectomies take about 15 minutes and require 48 hours of downtime, with little discomfort, for most men. Surveys have shown up to one third of vasectomy patients have experienced some sort of chronic testicular pain as a result of their procedures.

I am very rarely totally pain free.

Why someone who has had a vasectomy might get ED

Wearing a condom can also help dull sensation. For a few months after the procedure, continue using some form of birth control to give your body time to expel or absorb the remaining sperm. Epididymectomy was suggested to me by several doctors, then I had one doctor who has been honest with me all along tell me that this procedure often damages the nerve and blood supply to the testicle and can result in long-term testicular atrophy and eventual removal of the testicle. I'm glad you were able to find out what you needed to before having the procedure, and not the hard way after. (2) 15,357 matched controls Spitz et al (1991)163 Case–control 343 cases NR 1.

Having surgery to place an implant in the penis. Popular health centers, over a five-year period, 31% of the 810 men involved in the study developed some form of erectile dysfunction. This usually gets better with time. What can be done:

One does not have to be a "rocket scientist" to realize that there is a huge difference between tying off a female tube where the ovary produces ONE EGG a month, to tying off the Vas where the Testicle produces and keeps on producing up to TWO HUNDRED MILLION SPERM EVERY DAY! During the initial healing period, men are advised to support the scrotum by wearing snug underwear or using a bandage. We will contact you to tell you if the procedure was successful. Lifestyle tips for good urologic health, try to do between 10 and 20 repetitions each day. Physical pain can be an issue as well, such as in post-vasectomy pain syndrome (PVPS). Treating PVPS will involve identifying the exact cause of the pain and tailoring a plan to address those matters. (4) NR 1636 controls Zhu et al (1996)171 Case–control 175 cases 61 0.


The only thing that really changes about your semen after a vasectomy is that it no longer contains sperm. Generally speaking, causes for erectile dysfunction can be divided into two categories: What is the recovery period like? Feel free to ask the doctor about these other methods. The brain monitors testosterone levels and when it detects adequate amounts of the hormone, it directs the testicles to go on vacation. Let me know what area of the country you are in and I’ll try to get a recommendation for you of a urologist who may be of more help. What is ed? *How can I treat impotence naturally, without harmful side effects? As a premier high-volume center in the Northwest offering these services, we receive extensive referrals for even the most challenging of cases.

Two of the five studies reported a moderate but significant elevated risk of prostate cancer in vasectomized men,160, 163 one reported a nonsignificant increased risk,159 and the other two reported no increased risk. Prices are dramatically lower than those offered by legal online pharmacies. Thank you from the bottom of my heart for sparing me from what might have been! Erectile dysfunction. The penile artery is one-tenth the diameter of coronary arteries.