After a vasectomy, men can have sex again after about a week, and sexual function and desire remain normal.
Researchers say there are a number of reasons why men choose to have a vasectomy, such as deciding not to have more children; not wanting their partner to get pregnant unintentionally; or not wanting to have children in the first place. However, many people later change their minds. Therefore, before making a final decision, men need to understand this procedure clearly so as not to regret it or have trouble when they want to have children.
"With a vasectomy, the testicles don't stop producing sperm," explains Dr. Michael Werner, medical director and founder of New York-based Maze Sexual & Reproductive Health. "In other words, the 'factory' is still running, but the body breaks down the sperm and they are absorbed into the body."
Men can choose between two vasectomy methods: standard (conventional incision) and no-scalpel. Studies show that the no-scalpel method takes less time to perform and is less likely to cause adverse events such as bleeding and bruising, as well as infection, hematoma, and pain. Men who undergo a no-scalpel vasectomy also return to sexual activity more quickly.
Dr. Gregory Lowe, a urologist at OhioHealth in Central Ohio, says many patients worry that their bodies will undergo a major change after a vasectomy. But this is not true, their "little guy" will still have normal erections; their sex drive will not decrease and their testosterone levels will not change.
Men can return to normal work within two to three days of a vasectomy. There may be some swelling and bruising in the scrotum after the procedure, but this should resolve within two weeks. Most people can return to sexual activity after about a week.
“I want to emphasize that this is a simple procedure and will not change any male sexual function. In fact, some studies have shown that men who have had a vasectomy have sex more frequently than others,” he said.
Vasectomy is a simple procedure but reconnecting the vas deferens is very difficult and complicated. Photo: Freepik
Is a vasectomy 100% effective in preventing pregnancy?
Experts consider vasectomy to be the best method of birth control for men, considered a "permanent birth control" method, with the function of male infertility. If the minor surgical procedure is performed successfully, the rate of men getting their partners pregnant is very low. According to the American Urological Association, the risk of pregnancy after a vasectomy is about 1:2,000.
However, Dr. Gregory Lowe advises men to return to the place where they had their vasectomy for a semen analysis to ensure the procedure was successful. In fact, a vasectomy is not considered successful until the semen has been tested to ensure it does not contain sperm.
"For this reason, you must use some form of protection (such as condoms) to avoid getting your partner pregnant until you know for sure that your semen is sperm-free. This test is usually done about two months after the procedure," the doctor said.
Can a vasectomy be reversed?
Men can still have children after a vasectomy. There are two ways to restore fertility: by having the tubes reconnected or by using assisted reproductive technology such as in vitro fertilization (IVF).
Vasectomy is a procedure that restores sperm flow. However, it is more complicated and difficult than a vasectomy, and not everyone is successful. The chances of success and subsequent pregnancies decrease over time. The success rate for vasectomy is about 75% within 3 years of the procedure. This rate drops to 55% within 4 to 8 years, and to about 40% to 45% after 9 years.
Vasectomy reversals can be quite expensive, even more so than IVF. Therefore, doctors often advise patients to make sure they understand the implications of a vasectomy for fertility before undergoing it. If they are still hesitant, it is best not to go through with the procedure.
Additionally, if vasectomy is not possible, ineffective, or simply not the best option for a man or his partner, they may consider IVF or another form of assisted reproduction.
Before making any decision, men should consult with specialists to better understand the procedure they are undergoing, potential risks, complications... or any issues related to fertility to prevent wanting to have children again in the future.
Zhao Wei ( According to Very Well Family )
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