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The Future of Family Planning, Vasectomy as a Safe and Effective Option

Vasectomy is a procedure of male birth control. It’s a minor surgery to block sperm from reaching semen that ejaculates from the penis. Semen still exists, but with no sperm. After vasectomy, the testes still make sperm but are soaked by the body. You can still have an orgasm and ejaculate. Vasectomy is a better method to prevent pregnancy. Before getting a vasectomy, you have to know that you don’t want to have a child in the future. However, it’s a reversible process. Every year, approximately more than 500,000 men in the United States go for a vasectomy for birth control. It’s also called male sterilization. 

 

The testicles are where sperm and male sex hormones are produced. The male reproductive cells known as sperm are made in the testicles and can fertilize a female partner’s eggs to have a child. The testicles are located at the base of the penis in the scrotum. The “epididymis” is a coil-shaped tube via which sperm exit the testes and remain until they are ready for use. The vas deferens (or “vas”) is a lengthy tube that connects each epididymis to the ejaculatory duct. The vas enters the inguinal canal (groin area) from the bottom portion of the scrotum. Later, it enters the pelvis and travels behind the bladder. Here, the vas deferens and seminal vesicles combine to form the ejaculatory duct. Semen is created during ejaculation when sperm and seminal fluid from the seminal vesicles combine. Your penis’s tip is where the semen exits after passing through the urethra. Ejaculate-containing sperm may result in conception.

What can you expect?

Before procedure 

Your doctor will want to consult with you to ensure that a vasectomy is the best method of birth control for you before performing one. Be ready to discuss the following during the first consultation (appointment).

Knowing that a vasectomy is a long-term procedure and is not recommended if there is even a remote possibility that you might want to father children in the future.

How does your spouse feel about whether you’re in a relationship or have children?

You have more birth control options.

What vasectomy surgery entails, how to recover from it, and potential side effects

Family practitioners or general practitioners occasionally perform vasectomy procedures, but most are carried out by urologists, who are specialists in the male reproductive system. A vasectomy is typically performed under local anesthesia at a doctor’s office or surgical facility, meaning you’ll be awake and receive medication to numb the surgical region.

During procedure

 

Typically, a vasectomy procedure lasts between 10 and 30 minutes. Your doctor will probably do a vasectomy by performing the following steps:

Use a tiny needle to administer a local anesthetic to your scrotum to numb the surgical site.

Once the surgical region is numb, make a little cut (incision) in the upper section of your scrotum. Alternately, use the “no-scalpel” approach to pierce the scrotum rather than make an incision. Find the vas deferens, the tube that discharges sperm from your testicles. The drawback of some of the vas deferens is through the puncture or incision. When the vas deferens is dragged out of the scrotum, cut it. By tying it, applying heat (cauterizing), using surgical clips, or a combination of procedures, the vas deferens are sealed. The ends of the vas deferens will then be placed back in the scrotum by your doctor. Close the surgical region’s incision. You might use glue or stitches. The wound may occasionally be allowed to heal on its own with time.

 

After procedure 

You can have some swelling, soreness, and bruising after a vasectomy. Usually, it improves over a few days. You’ll receive recovery instructions from your doctor. Your physician might advise you to:

 

Call your doctor immediately if you notice any infection-related symptoms, such as blood flowing from the surgical site, a temperature greater than 100.4 F (38 C), redness, or escalating pain or swelling.

After your vasectomy, you should wear tight-fitting underwear and support your scrotum with a bandage for at least 48 hours.

For the first two days, apply ice packs to the scrotum.

After surgery, reduce your activity. After surgery, you must relax for 24 hours. After two or three days, you can resume light exercise but avoid sports, heavy lifting, and labor-intensive jobs for about a week. Overdoing it could result in scrotal pain or bleeding.

For about a week, abstain from all sexual activity. You can experience discomfort or see blood in your semen if you ejaculate. Use another method of birth control if you engage in sexual activity until your doctor certifies that sperm are no longer present in your semen.

After a vasectomy, you will ejaculate semen (seminal fluid), but after roughly 20 ejaculations, it will no longer contain sperm (the reproductive cells). A vasectomy prevents the testicular sperm from reaching the semen. Instead, the innocuous sperm is absorbed by the body.

Risks of Vasectomy

The possibility that you might later decide against wanting to father a kid is a potential issue with vasectomy. Your vasectomy might be reversible, but there is no assurance it will be successful. Reversal surgery is more complex than vasectomy, can be costly, and occasionally is futile.

Following a vasectomy, additional methods, such as in vitro fertilization, are also an option. These methods are, however, expensive and occasionally ineffective. Make sure you don’t want to father children in the future before having a vasectomy.

You shouldn’t get a vasectomy if you have testicular illness or chronic testicular pain. The majority of men who undergo a vasectomy experience no adverse effects at all, and serious complications are pretty uncommon.

 Following surgery, adverse effects may include

Bleeding or a hematoma (blood clot) in the scrotum

A bloody sperm sample

An injury to your scrotum

Infection at the site of surgery

Mild discomfort or agony

Swelling

Included in delayed problems are:

 

1% to 2% of patients who undergo surgery may develop chronic discomfort.

Testicular fluid accumulation might result in a dull pain that gets worse after ejaculation.

Granuloma, an inflammation brought on by sperm leakage

Pregnancy should your vasectomy fail, which is uncommon.

A spermatocele is an aberrant cyst that forms in the epididymis, a tiny, coil-shaped tube on the upper testicle that catches and distributes sperm.

A testicle’s surrounding fluid-filled sac (hydrocele) enlarges the scrotum.

Unfounded concerns

Many men think that getting a vasectomy may result in significant issues, but these worries are incorrect. A vasectomy, for instance, won’t:

Affect your sexual performance.

 The only way a vasectomy will change your masculinity or sex drive is by preventing you from becoming a father. Even more sexual satisfaction has been reported by men following vasectomy.

Damage your sexual organs. 

 There is extremely little chance that surgery will harm your testicles, penis, or other reproductive organs. The loss of a testicle can occur in scarce circumstances when the blood supply is damaged, although it is unlikely to occur if your surgeon is proficient.

Increased risk of certain cancers

Although there have been some questions in the past concerning a potential connection between vasectomy and testicular or prostate cancer, there is no proof of such a connection.

Increased risk of heart disease.

 There doesn’t seem to be a connection between vasectomy and cardiac issues, similar to cancer fears.

Cause pain

 During surgery, you can experience some moderate discomfort and pulling or tugging, although severe pain is uncommon. Similarly, you might experience some pain following surgery, but the discomfort is mild for most guys and subsides within a few days.

 Conclusion

A vasectomy doesn’t offer immediate pregnancy prevention. Until your doctor says there is no sperm in your semen, use a different method of birth control. You must wait several months or longer and ejaculate 15 to 20 times or more to remove all sperm from your semen before engaging in unprotected sex.

Six to twelve weeks after surgery, most doctors perform a follow-up semen examination to make sure there are no sperm still present. To evaluate your sperm, your doctor will need some samples from you. Your doctor will have you masturbate, ejaculate into a container, or use a specific condom without lubricant or spermicide to catch semen during sexual activity to obtain a sperm sample. The presence of sperm is then determined by microscopically examining your semen.

A vasectomy is a reliable method of birth control, but it won’t shield you or your partner from STIs like chlamydia or HIV/AIDS. Therefore, even after a vasectomy, if you are still at risk of contracting an STD, you should use other kinds of protection like condoms.

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