Vasectomy remains one of the easiest and cost effective methods of permanent contraception. Many men opt for the outpatient procedure during the month of March so they can chill out and stay glued to the TV for March Madness the month-long college basketball tournament.
In the past few years, there’s an annual spike of vasectomies of approximately 10% in men getting the prime cut shortly before the nationally-televised tournament begins.
The idea is that, with weeks of games to catch up on, they’ll have plenty to keep them occupied and distracted while they recuperate on the sofa for a few days.
I perform the no-scalpel, no-needle vasectomy in my office. The procedure is usually accomplished in 15 minutes. A single, small, less than 1\4 inch opening, is created on the scrotum using a local anesthetic that does not require a needle to render the skin free of any pain or discomfort. The procedure consists of dividing the vas or the tubes located in the scrotum that transports sperm from the testicles to the ejaculation fluid that exits the penis at the time of orgasm. The vas ends are sealed with tiny clips or sutures. By dividing the vas, no sperm can reach the seminal fluid (semen), which is ejaculated from the penis during sex. Since there is no sperm in the semen, a woman’s egg can’t be fertilized – and the procedure has nearly 100% success rate. Most men will not feel any pain during the procedure. In most cases the small opening requires no sutures and the opening will close within 1-2 days after the procedure.
After a vasectomy, a man’s hormones remain normal, and there is no noticeable difference in his ejaculate volume, since sperm make up only a tiny part of the semen.
Many men ask what happens to the sperm produced by the testicles. Because the sperm cannot come out after the vas deferens is cut, like other dead body cells, the sperm disintegrate and are reabsorbed by the body.
After the procedure, men are instructed to go home and lay flat in bed and apply an ice pack or a pack of frozen peas on top of the scrotum for 30 minutes of each hour. However, many will feel some minimal discomfort for a couple of days after the procedure. Most men can return to all activities including sexual intimacy within 5-7 days after the procedure
After a vasectomy, a man’s hormones remain normal, and there is no noticeable difference in a man’s ejaculate volume, since sperm make up only a tiny part (less than 5%) of the semen.
The procedure does not affect the hormones produced in the testicle (testosterone) and therefore, there is no impact on a man’s virility or libido. The only change is in his fertility!
Bottom Line: Vasectomy is an effective and nearly painless means of contraception. So if you want to watch NCAA basketball games in peace and quiet, talk to your doctor about a vasectomy. It’s a cut above the rest!