Vasectomy , Yes or No ?

[Phil C. McNasty]

Not quite a zero chance of pregnancy. Even after checking level after 3 months having zero semen presence your body may reconnect the vas deferens. It's rare but it does happen. I should know

From AI:


A vasectomy is one of the most effective and permanent forms of birth control, with an overall failure (pregnancy) rate of less than 1%. The overall risk of pregnancy is just 0.58%. However, the timing and risk of failure depend on a few critical factors: [1, 2, 3]

Failure Rates By Type

• Early Failure: Occurs when the vas deferens tubes reconnect naturally (recanalization) or when a semen sample isn't tested. It happens in about 0.3% to 0.6% of cases. [1, 2, 3, 4]
• Late Failure: Occurs when the severed ends find a way to reconnect years after the procedure has been cleared. This is incredibly rare, affecting only about 1 in 2,000 cases (0.05%). [1, 2]

Why Vasectomies Fail

• Not Waiting for the "All Clear": The overwhelming majority of early failures happen because couples have unprotected sex before a post-vasectomy semen analysis confirms that all remaining sperm has cleared out of the system. [1, 2]
• Spontaneous Reconnection: The severed ends of the vas deferens can occasionally heal and form a tiny, microscopic tunnel, allowing sperm to pass through again

How to Ensure Success

1. Get Tested: You must use an alternative form of birth control immediately after the surgery. A follow-up semen test (usually 3 to 6 months post-procedure) is required to verify that the sperm count is zero. [1, 2]
2. Consult a Specialist: Studies show that vasectomies have a significantly lower risk of failure when performed by a urologist, compared to other practitioners, and when a post-vasectomy semen analysis is completed

 

[angrymime666]

From AI:


A vasectomy is one of the most effective and permanent forms of birth control, with an overall failure (pregnancy) rate of less than 1%. The overall risk of pregnancy is just 0.58%. However, the timing and risk of failure depend on a few critical factors: [1, 2, 3]

Failure Rates By Type

• Early Failure: Occurs when the vas deferens tubes reconnect naturally (recanalization) or when a semen sample isn't tested. It happens in about 0.3% to 0.6% of cases. [1, 2, 3, 4]
• Late Failure: Occurs when the severed ends find a way to reconnect years after the procedure has been cleared. This is incredibly rare, affecting only about 1 in 2,000 cases (0.05%). [1, 2]

Why Vasectomies Fail

• Not Waiting for the "All Clear": The overwhelming majority of early failures happen because couples have unprotected sex before a post-vasectomy semen analysis confirms that all remaining sperm has cleared out of the system. [1, 2]
• Spontaneous Reconnection: The severed ends of the vas deferens can occasionally heal and form a tiny, microscopic tunnel, allowing sperm to pass through again

How to Ensure Success

1. Get Tested: You must use an alternative form of birth control immediately after the surgery. A follow-up semen test (usually 3 to 6 months post-procedure) is required to verify that the sperm count is zero. [1, 2]
2. Consult a Specialist: Studies show that vasectomies have a significantly lower risk of failure when performed by a urologist, compared to other practitioners, and when a post-vasectomy semen analysis is completed

Yay for me and my wolverine testicles. Pretty much they disclose all this stuff when you go for your consultation. If you follow their list of procedures as you have listed above more than likely they will be fine. However despite following directions voila, it happened 8 months later even after semen analysis and shooting zero.

It is rare. My doctor said if it happened a second time I could be a case study. Lucky round 2 was successful.

 

[angrymime666]

Got it. Do you freeze your sperm in case you want to have kids in future ? Or is the the reversal procedure is pretty guarantee to regain sperm back ?

No no freezing. Reversal are possible. I don't know the success rate. There are also other methods for sperm extraction involving a needle. A costly procedure for sure. Usually they try the reversal and then go the other route.

 

[Endurance2024]

Had mine 24 years ago after we had twins. Not much to add other than if you have a significant other, milk it for all it's worth. Play up the huge physical sacrifice you made, men are notorious for being sucks after medical procedures anyway, so lean into it. Make her treat you like a king for as many days after as you can lol. Also, the first orgasm after, bust so you can see it and don't do it alone. Not sure what timeline they recommend waiting now, I was told 10-14 days back then. There will probably be so much volume that it will be a sight to see, not to be wasted inside a condom, or jacking off alone. But also, practically speaking, it's good to make sure there isn't anything abnormal in the cum, especially blood, although you'd probably notice that problem in other ways earlier than a couple weeks. I was in my early 30's when I had mine and it was agony waiting 2 weeks, I'm surprised just the water pressure in the shower didn't put me over the edge lol. But I came so hard when my wife sucked me and then finished me by hand that the first blast hit the wall over my head and the second got me in the face lol.

Yeah I played the sympathy card also .. LoL

 

[Endurance2024]

Apart from some brief pain for a few days post op, there are no downsides to be honest (actually to be fully honest, I had a bit more pain after ejaculation for a few months, apparently happens rarely, and I did not care. Slightly achy balls for half a hour for zero chance of pregnancy….). Zero change in orgasms / ejaculation. Keep in mind that sperm make up less than 5% of the volume of semen.

Find a doc who does the “no scalpel” technique it’s a quick, office based procedure. No anesthesia/ sedation. Just local. Faster recovery, less pain/ bruising after. It was a bit weird having your balls out and the doc finding your vas and cutting and clipping it off. The only discomfort during was a bit of a pulling, tugging sensation in your scrotum/ balls.

As others have said, ice is your friend after and keep activities a minimum for several days (eg no heavy lifting/ intense exercise/ sex). I had some bruising a few days after, NBD.

IMO, every guy who is sure he doesn’t want to father any more children should do it. It’s not cutting your balls off, just the tiny tube that carries sperm to mix with your semen.

Over 25yrs ago for me.
I was reluctant to have my nuts go under the knife but manned up and made the sacrifice as the wife did her part several times over.
I didn't have any issues afterwards really. Just feeling sorry for myself and felt violated to some extent as the two small holes healed over the following week. Violated also during the procedure. Was a local freezing and good thing there wasn't a mirror allowing you to watch cause when the doc pulled out the tubes one at a time (how do I know when that happened) I still remember the feeling of a string moving in my tummy as the doc tugged and pulled it out, snipped it and did the knots and stuffed it back in.
Hey I survived .. just don't read this and you'll be fine.
Oh and after all these years I can still feel around and find those knots

 

[Endurance2024]

Got it. Do you freeze your sperm in case you want to have kids in future ? Or is the the reversal procedure is pretty guarantee to regain sperm back ?

Don't do it if it's possible you want to have kids in the future.

 

[curvluvr]

I had it done about 15-20 years ago after having two kids.
Recovery time was about a week for me, if I recall correctly.

When I had it done. my urologist asked me to come back a few months later to do a sperm count check to verify that the procedure was successful.
After a successful sperm count check (zero), I'm free and clear.
He did mention that he had a patient who repeats the sperm count check every year and keeps records, just in case he ever gets accused of getting someone pregnant. The patient was a pretty famous guy in the entertainment/arts industry, and was pretty active.
But no need for most of us mortals to recheck regularly.

All of the advice here is good. No need for me to repeat.

 

[HobbyHorse]

For my part, I say no.
You never know what the future holds.
I had one about 30 years ago.
15 years ago a new, younger wife wanted kids.
Got a reversal (not covered by OHIP) by a highly recommended surgeon that then cost about $8,000.
Marginally successful (fertile but low sperm count). If I had to do it over I would not…