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Published on February 06, 2020

Vasectomies - Q&A with Dr. Ashley Brandon

Vasectomy Q&A

What are the benefits of a vasectomy?

A vasectomy is a simple, cost effective, safe procedure that makes a man sterile. It’s the most effective permanent form of birth control method for men.

What does the procedure involve?

A vasectomy is a 10-15 minute procedure in the office, under local anesthetic. One or two small openings are made in the scrotum. Each vas deferens is lifted through the incision. The ends of the vas are sealed off. This keeps sperm from traveling from the testes to the penis. The opening in the scrotum may be closed with skin glue or absorbable stitches, or left to close on its own.

Is a man still able to ejaculate after a vasectomy?

He will still be able to have erections and orgasms and ejaculate normally. Only a very small amount of semen is made up of sperm.

Will a vasectomy affect a man’s sexual performance, his testosterone levels or make him less active and gain weight?

No, a man’s hormone levels will remain the same after the vasectomy. This means his sex drive, hair patterns, energy level and pitch of his voice will not change.

Does a man need to use other contraception after a vasectomy?

Yes, active sperm remain in your semen for a period of time. It takes many ejaculations before they are gone. Semen exams are needed to make sure no sperm remain.

How do I know my vasectomy worked?

He will collect a semen sample at home and bring it to the lab (about 12 weeks after the vasectomy). The sample is checked for sperm. He is sterile only when these samples are clear of sperm. After the doctor confirms he is sterile, he does not need to use any form of birth control.

What happens to sperm after a vasectomy?

The testes will still produce hormones and sperm, but the sperm have no place to go. They are absorbed by the body within the testes.

About the Author

Ashley Brandon, MDAshley Brandon, MD is a urologist with Burlington Urological Associates in Burlington, NC