A vasectomy is an effective and safe procedure for long-term birth control. You must undergo follow-up semen tests after a vasectomy to confirm that there is no sperm in your semen.
What is a vasectomy?
A procedure known as a vasectomy prevents sperm from leaving your body permanently, serving as contraception. The procedure seals off the ends of the sperm-transporting vas deferens tubes. Vasectomy is a safe and reliable method of preventing pregnancy, but it has no anti-infective properties.
Avoiding sexual activity is the only way to prevent getting pregnant. A vasectomy, however, has a very low failure rate. It is possible for sperm to cross the vas deferens after vasectomy in about 1 in 10,000 cases, which is a very small number. For many years, having a vasectomy has been a reliable and effective method of birth control.
Semen samples are routinely examined following a vasectomy to ensure that the procedure was successful. If the sperm counts in your semen samples remain high, you might require another vasectomy.
However, this only occurs roughly once every 10,000 instances, a failure rate much lower than for any other method of birth control. One out of every 100 condoms, for instance, fails about 1% of the time.
Consultation for Having a Vasectomy
You should have an honest discussion about the procedure with your doctor before having a vasectomy. Be certain that having children or more children is something you don’t want. An effective method of long-term birth control is a vasectomy. A vasectomy can be undone, but there is a procedure for that as well.
Additionally, you’ll discuss with your healthcare provider:
Excessive bleeding or blood disorder history.
Antibiotics or local anesthetics, like those in the “caine” family, can cause an allergy or sensitivity. Benzocaine, lidocaine, and procaine (Novocaine®) are some of the “caine” medications.
Scrotal skin disease, especially infected pimples.
Using clotting agents or aspirin-containing medications on a regular basis.
Previous hernia surgery or history of trauma to the genitalia, scrotum, or groin.
A history of genital or urinary tract infections, recent or recurring.
Usage of Blood Thinner
For seven days prior to surgery, avoid using any of these products unless instructed to do so by your healthcare provider. The likelihood of bleeding increases when taking these medications. As follows:
- Nonsteroidal anti-inflammatory medications (NSAIDs), such as aspirin and ibuprofen (Advil®, Motrin®, and Aleve®).
- Coumadin (warfarin).
- Clopidogrel, also known as Plavix®.
- Ticlopidine (brand name Ticlid).
- Oral anticoagulants without vitamin K, such as edoxaban (Savaysa®, Lixiana®), rivaroxaban (Xarelto®), apixaban (Eliquis®), and dabigatran (Pradaxa®).
Shaving and washing prior to Surgery
Shave all of your scrotum hair the night before or the morning of the vasectomy. Hair that appears to fall onto your scrotum from the pubis should also be removed, all the way to the top of your penis. Your scrotum shouldn’t be rubbed with an electric razor. The ideal razor is a single-blade disposable model.
Thoroughly wash your groin and scrotum the day before and the morning of the procedure to lower the risk of infection.
Vasectomies come in two varieties. One involves making an incision, and the other does not involve using a scalpel. Both procedures take place in outpatient surgery centers or doctors’ offices. Both numb your scrotum with local anesthesia. A shot of anesthesia is administered.
Vas deferens, the tubes that carry sperm, are divided and cut off at the ends in both types of vasectomies, preventing sperm from passing through. This prevents the sperm from combining with the semen and releasing during an orgasmic ejaculation in men.
To access the vas deferens, your surgeon will make a skin incision. After that, the vas deferens are separated and tied, clipped, or cauterized. Using an electrical current, cauterizing seals cuts.
A vasectomy causes very little discomfort. Although your scrotum will be completely numb, some men report feeling a slight “tugging” sensation or a sense that things are moving. According to their standard operating procedure, your surgeon will decide whether you need stitches.
Benefits of a Vasectomy
As a form of birth control, vasectomy has many benefits. Effectiveness is the primary advantage. Over 99.99% of pregnancies can be avoided with a vasectomy. Similar to tubal ligation for those who were assigned female at birth (AFAB), a vasectomy is a single procedure that offers long-term contraception. Compared to a vasectomy, a tubal ligation:
- has a simpler.
- has a greater impact.
- can be done without an inpatient setting.
- is safer for you and has fewer complications.
- a great deal less expensive.
Vasectomy is superior to tubal ligation in many ways, if you’re asking which is better.