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What is a vasectomy?
A vasectomy is a safe and very efficient procedure designed to make a man sterile. The doctor cuts the two tubes called deferential vessels that transport sperm from the testes into some pockets in the scrotum, which keeps the sperm before ejaculation.
In simpler terms, vasectomy blocks the only ways sperm can leave the body. Sperm are absorbed into the body. Men who have a vasectomy may have sex and ejaculate, but their sperm will no longer contain sperm, so they will no longer be able to fertilize the egg and thus not cause a pregnancy.
Is vasectomy a good choice for postpartum contraception?
If you are absolutely sure you will not want to conceive more children, a vasectomy is the right choice for you and your partner. The main benefits are convenience and freedom: You don't have to put on a condom every time you want to have sex, and your partner doesn't have to take his pill every day or insert or apply any intrauterine device before having sex. Also, after the initial recovery period, vasectomy has no side effects and has an extremely low failure rate. There are about 1 in 1,000 chances that a man who has had a vasectomy should leave a woman pregnant.
An added benefit: you will make a long-term savings. Once you have paid for the procedure, (many insurance companies will raise the bill for you), you will not have extra contraceptive expenses.
Although vasectomy can sometimes be reversible, it is considered permanent. If you think you might change your mind, this procedure is not the right choice for you. The cost required to reverse the procedure is high, and there is no guarantee that it will be successful. Before you get to the knife, ask yourself a few things like: how would you feel if you lost your partner through death or divorce or separation and later decide to have a child with another person? Try to imagine all the possible scenarios that could make you think.
How is Vasectomy done?
In the most common type of vasectomy, the doctor makes a small incision or cut on each side of the scrotum. Then he lifts the deferential vessels to the surface, cuts them in two, cauterizes their heads or ties them apart (some doctors use titanium clips instead of tying them), and then basket the scrotum in place. The procedure is usually done right in the doctor's office. It lasts about 30 - 60 minutes and requires only local anesthesia, so you are awake during the procedure.
Some doctors now do an even simpler operation called a scalpel vasectomy. In this procedure the doctor gives you local anesthesia and then uses your fingers to handle the deferential vessels as close to the skin surface. Once they are positioned, he uses a special tool to make a small hole in the skin. When he sees the tubes through that hole, he cuts them off and then cauterizes them or ties their heads. You will not need stitches (the small hole will heal itself). The procedure takes about 10-60 minutes.
How long is the recovery?
You will probably feel pain a few days after this. Some men have severe pain for several days, but your doctor will prescribe painkillers to help keep your pain under control. Schedule yourself lying in bed for a few days and use an ice pack on the scrotum to reduce swelling. (It would be a good idea to bring an ice pack to the doctor's office, along with a suspender to support your scrotum after the procedure). If you schedule your surgery for Friday, you will probably be able to return to work on Monday, unless you do physical work. It would be wise to wait a week or more before having sex, riding a bike, lifting weights, jogging, playing golf, or engaging in other stressful activities. If you have a vasectomy without a scalpel, you are more likely to feel less pain and recover in a shorter period of time.
Some patients will develop minor complications. The incision or stitches on your scrotum may become infected. And sometimes even the tubes can become infected. Tell your doctor if you notice blood or pus, if you develop a fever above 100 degrees Fahrenheit, or if you feel severe pain. You may have an infection. Some men have scar tissue in the scrotum that may need to be removed. Bleeding at the subcutaneous level can cause hematoma or swelling or swelling, a problem that goes away in 2-3 days. If the swelling persists, apply an ice pack and rest.
How do we prepare for vasectomy?
To reduce the risk of bleeding, do not take aspirin or ibuprofen for 2 weeks before vasectomy. On the day of the operation do not eat breakfast. This is just a precaution for rare cases when you develop complications that require stronger anesthetics. Take a shower and wear comfortable clothes. Talk to the doctor about other precautions needed in your case.
After surgery is it necessary to worry about preventing pregnancy?
With a success rate of over 99%, vasectomy has virtually total effectiveness. But do not be too hasty to eliminate all other forms of pregnancy prevention. For the first 15 or 20 ejaculations after vasectomy, a few missed sperm will remain in your vessels.
Your doctor will want you to do a spermogram (sperm control) after about 20 ejaculations to make sure that it does not contain sperm anymore.
Long-term effects of vasectomy
Are there long-term effects of the procedure?
Not. Men are often amused by a thin voice when talking about vasectomy. The operation has no effect on the voice of men, on the production of hormones, facial hair, sexual appetite or sexual function. The deferential vessels transport only sperm, so the operation only prevents these cells from reaching the sperm. (These are then absorbed into the body). Unless you have a microscope and a sample from the bed sample, you won't notice any difference. Finally, there is no evidence that this procedure increases the risk of prostate cancer, as some people previously mistakenly believed.
Can vasectomy be reversed?
Sometimes, but it is an expensive procedure that does not always work. if you really want to have a backup plan, talk to your doctor about storing some sperm in a sperm bank and think about using another contraceptive method - there are lots of contraceptive methods reversible.
How do I start?
If you and your partner both agree that vasectomy is the best contraception for you, contact your doctor and ask for referrals for someone who has a vasectomy. Any doctor, urologist, or medical sister can perform the procedure but should look for someone who has performed at least 100 operations.
Experienced doctors are generally the best at reducing pain or discomfort. If you want to seek a doctor who does vasectomies without scalpel.