/r/Vasectomy

Photograph via snooOG

A place for anyone to ask questions about vasectomies and share their experiences. If you're looking for support (or a recommendation for a supportive underwear), we're here for you.

Thinking about having this procedure done? Get over here, post. We who have braved the knife will tell you all about it, what to expect, and how swollen your balls are gonna get!

Please don't soapbox about why other people need to follow your religious creedo on vasectomies, and/or please take your men's rights activism elsewhere.

If you want to discuss side effects of vasectomy, or PVPS (post vasectomy pain syndrome), please use citations - no conjecture. Please report any comments making claims about side effects that do not include a legitimate citation. This will be enforced.

Please make sure you are familiar with our rules before posting or commenting. Rules will be strictly enforced.

Resources:

Current recommendations by the American Urologic Association

If on younger side, supportive doctor list from /r/childfree

/r/Vasectomy

18,296 Subscribers

2

12 days post op

I had my vasectomy the Friday before the holiday. I had the scalpel procedure cause I didn’t know you could get a no scalpel but it took about sixth months to get in so I was just ready to get snipped either way. Only felt two sharp pains( the first anesthesia and then a push near the end of the procedure). I iced for about three days and was sore til about Thanksgiving. The only thing that bothered me was the stitches coming out but that wasn’t bad. Waited until today unload for the first time. I saw between 7-14 days so didn’t want to go much longer. Fortunately no blood and no different sensation, only sore nuts for a little while after. All in all everything has gone good so here’s a good story that hopefully a lot of you get to experience to without any hiccups.

0 Comments
2024/12/05
05:57 UTC

0

Lumps?

I’m on day 8 of recovery. Wearing a jockstrap, I feel great . Any pain I’ve had has really calmed down the last few days. But when I take it off at the end of the day and shower, the tubes above my balls are still swollen and they are like full on lumps which are still very tender to the touch. I would say they are so big in diameter they almost feel like another set of balls. Please tell me this is normal and temporary? Anything I should do or should I let my doctor know?

1 Comment
2024/12/05
03:59 UTC

0

What is the best vasectomy method to get? In terms of less chnace of pvps and issues down the line

What would be the best vasectomy method to get ?

Would the open ended no scalpel vasectomy with fascial interposition without clips be the best vasectomy one could get?

Im looking at a vasectomy dr and this is the vascemoy he performs : mini-needle no-scalpel open-ended vasectomy with fascial interposition.

2 Comments
2024/12/05
02:43 UTC

2

Incision Sites While Showering (?)

Guys, just got home from the snip, it went just fine. My post-op instructions say I can shower after 24 hours, but I have to keep the incision sites dry.

How did you guys achieve this?

Thanks!

5 Comments
2024/12/04
23:03 UTC

1

How much activity is too much?

I guess it doesn't matter bc you gotta do what you gotta do. Im 24hrs post snip and aside from minor pain when i pinch something, and hella swelling, I'm fine.

With kids I have been sitting down hanging with them so to relax myself.

Just curious how much walking is too much for those of us post snip.

Ive had a little walking (to the fridge for ice, grab a meal, change rooms so the kids can sleep)

Everything seems fine but im wondering if i will prolong recovery by walking around gingerly 30-45 min a day (non consecutive)

4 Comments
2024/12/04
22:34 UTC

2

Office visit didn’t work, now scheduled for OR

2 weeks ago I went in for my office visit to get the procedure done, Valium before, the Dr made the tiny slits, pulled and dug around for over an hour, said she had a hard time grabbing the tube (evidently mine are deep) and when she did get one I would tense up and it would pull back

Now I go in next Friday to the OR - Yippy

4 Comments
2024/12/04
22:31 UTC

44

My semen analysis was crazy.....

I show up to the lab at the hospital. I'm sent to a bathroom used for all of the lab stuff with two stalls. Some guy comes in partway through and drops a deuce in the one next to me, no signal on my phone, and the hospital wifi blocked out all the good sites. Ultimately ended up scrolling Reddit with no sound gifs and managed to get through. Had to get back in the mood multiple times. The entire thing felt pretty ridiculous to me.

Just wanted to get it off of my chest and had nowhere else to go.

24 Comments
2024/12/04
21:35 UTC

1

Hit 2 weeks monday

They left me a note saying not to ejaculate for 2 weeks the I have to ejaculate 30 times to clear out live sperm. Which sucks cause I'm single so no help in that department. They gave me 2 cups for samples do I just put one sample in there or am I supposed to keep going till it's full?

2 Comments
2024/12/04
20:18 UTC

0

Deadly scrotal infection from vasectomy

Hi there, why is nobody talking about the risk of a deadly scroral infection called Fournier-gangreen causing sepsis and shock, i found out that it is rare but possible there are some cases patiënt died, the mortality rate is 50%. Its crazy that this is not in the risks of the procedure! Did your dr talk about this?

23 Comments
2024/12/04
16:07 UTC

1

Kaiser DC area

I'm wondering if anyone on this subreddit has experience getting a vasectomy through Kaiser in the Mid-Atlantic Region. I've been waiting for months, finally had my appointment, but the Doc said I was too nervous (probably right) and so we had to reschedule for six weeks later (at least next time they'll give me something to calm me down).

Once I got home I got to wondering and realized I had no idea what kind of procedure he was going to do. I emailed and they said he does no-scalpel, no needle, but uses titanium clamps. I don't love the idea of the clamps, but I'm not sure if anyone else in the Kaiser system does it differently.

1 Comment
2024/12/04
15:47 UTC

7

24hrs post vasectomy

I had a traditional vasectomy yesterday -- at least I think so -- I have dissolvable stitches which I assume means scalpel. I was pretty anxious at the consult and didn't really absorb as much as I should have.

But basically, I live near a fairly major hospital system and I reached out to their urology department about getting the procedure. I took the first available doc, which I don't necessarily recommend since it's probably better to do some more research, and did my consult. Scheduled that same day and was prescribed a xanax for anxiety.

Yesterday morning I was pretty on edge and nervous. I had a 12:30 arrival time and took my xanax at 12. My wife drove, dropped me off, and by that point the xanax kicked in and I was feeling very calm and very slightly loopy. I put on a gown, talked to the nurse, and was taken back into the room. She got me set up and prepped (I shaved the night before), Doc came in, and we were ready to go.

Procedure itself wasn't bad. He gave me a few shots that honestly were like rubberband slaps. Really not bad at all. Then he was working on the left one, and even though it didn't hurt I was pretty clenched up. The nurse asked if I was okay and it was more from anticipation than anything else. He was done that side in 4-5 minutes -- and I know because they had Christmas music playing lol. Then he repeated the right side, and at this point I felt a little pain and jerked back. He gave me one more shot, pain was gone, and back to it. Maybe another 5 minutes later, I'm all done. Doc said I looked all good down there, nurses gave me care info, and wife drove me home.

Pain yesterday was minimal. Some dull aching, but like a 3/10 at worst. This morning I feel mostly fine, still some very dull aching, more on the right side than the left. But totally manageable and not at all a big deal. I'm icing on schedule and taking advil on schedule, even though I probably don't need the pain meds at this point.

I took a shower, changed the gauze, and had a little bloody spotting, which I was told is normal. Now it's just ice and hanging out, but really I'm pretty pain free.

So honestly, the build-up anxiety was worse than the procedure itself. I'd say the procedure was on par with getting a cavity filled. A little more mild stinging from the shots and some weird "tugging" (that's not the right word, it's more like you feel someone rooting around down there, because that's what he's doing), plus the fun burning smell. I also told them I felt something cold at one point and they exchanged a confused look, but it was just an instrument he had resting against my skin lol.

At this point, I'd easily recommend getting it done. Take the xanax/anxiety meds if offered and just get it done. Now my only worry is some kind of long term healing problem, but I plan on abstaining for a week, even though my doctors say I can start sexual activity after a few days.

Hope this helps anyone on the fence. It really wasn't that bad!

4 Comments
2024/12/04
15:37 UTC

1

1week post vas surgery

So I decided to get a vasectomy after our second child and scheduled my consultation. The dr was super easy going answered all my questions and we scheduled it. Surgery time comes in relaxed ( Valium was prescribed to take 30 min pre op). He comes in does his thing and tbh the only “pain” during surgery was the needle to numb everything.

Fast for an hour post op I go to pee, and this Dr doesn’t normal stitch the incision site but after, but there was a hematoma so of course I freak a little go back over to the Dr and he takes care of the hematoma and I requested stitches to ya know avoid bleeding like that again.

As the days go on in recovery the swelling and bruising were worse days 1-3 I can’t stress enough SIT ON THE COUCH. Walking is fine if you’re like me and hate being still but go easy. The pain meds and ice helped a lot. But as the days wear on you notice hey things are looking better down there!

Now a week and a day post surgery my wife gave me some head and a tit job and I came… a lot. The build up was I’d say 90% of the feeling before, not terrible and maybe a twinge of discomfort between immediate after and 2 min post nutting. Overall no killer or super uncomfortable complications definitely still going easy to let things still settle but overall 9/10 experience hope this helps!

5 Comments
2024/12/04
14:53 UTC

4

Day 6 vasectomy post op pain

Had no scalpel vasectomy by a specialist. First few days zero pain, just felt like I had to be gentle. Day 4 started with a small bit of pain. On day 6 now hurts to walk around (sorta have to walk hunched over) Only hurts in the right side.

Just asking from others what’s normal?

Tia

7 Comments
2024/12/04
08:08 UTC

8

Need to get this done. Suggestions?

I’m 44, 2 kids and coming up on our 20th anniversary.

It’s time.

Never had surgery, doctors make me nervous etc…. I’ve started trying to find someone local to where I live.

What should I ask? What procedure am I looking for?
I don’t like pain.

Bonus points if you have suggestions in the Loudoun County Virginia area

7 Comments
2024/12/04
03:48 UTC

5

6 days post vasectomy: is this pain normal?

As the title says, I’m six days post-op and back at work. My doctor gave me a full release but advised against any strenuous activity for two weeks. I’ve been taking it really easy and keeping my movements to a minimum.

That said, is it normal to still have pain at this stage? From what I’ve read and heard from others, it seems like most people breeze through recovery. I usually have a pretty high pain tolerance, but the discomfort is starting to wear on me.

I’ve been taking medication and icing as needed, but I’m still dealing with this lingering pressure in my lower abdomen. It hasn’t let up since the procedure. Has anyone else experienced something similar, or should I be concerned?

31 Comments
2024/12/04
01:34 UTC

0

Worried About Vas Failure

My husband got his vasectomy a year ago, after the birth of our third child. His urologist sent him home with Fellow Test, where he makes the deposit at home, then ship off the sample. He waited 3.5 months to send in the sample, and cleared his tubes at least 30 times. Fellow sent back the numbers, still in the millions, and sent us another kit to send in his sample. We decided to wait another 3 months (6 months post op) and another 30 or so tube clearings. Got the results back that we are in the clear. Didn't think much about it. For the last 6 months we haven't been using protection, but we also only do the deed maybe once a month due to our work schedules. Recently, I cannot shake the feeling that his vas is going to fail, just a hunch. I've been looking at buying test kits for him (which is okay with) but have been on the fence because of the price. Today, I decided kits are more affordable than babies and bought the kit. Here's the kicker: the tests only show low or high count - not numbers. I was able to find his numbers from his "all clear" sample - and he wasn't at a 0 - he was at 35k / mil. Because he shipped in the sample, they weren't able to analyze motility. The kit I bought won't really help my fears either, because if he's count is low (but not a 0) with motile sperm, there's still a chance, although unlikely, and we wind up pregnant.

Adding: I hate the numbers game and here's why: we are incredibly fertile. All 3 kids were made on the first try. Also there's only a 0.2% chance an IUD will perforate a uterus, and it happened to me, and I needed to have it surgically removed - so - the "very unlikely" just doesn't sit well with me anymore. I want a concrete number of 0. (should we find a lab here in our city where we can get motility analyzed?)

So, am I being overly anxious or are my concerns valid?

0 Comments
2024/12/03
01:30 UTC

1

My friend had his about 2 and a half hours ago

And the place I guess is close by. Still haven't heard from him. I'm thinking they slipped and Bobbitted him. Lol

0 Comments
2024/12/03
21:51 UTC

0

Sperm Test? Plan Ahead.

I had my first post op sperm test about 2 weeks ago, and I want to share my experience with anyone who has a sperm test scheduled or coming up. These tests are time sensitive; that is, you need to collect AND drop off the specimen within a half hour before they are picked up by a courier to be taken to the lab for examination. Since time is of the essence, check to see if the lab that you're taking the specimen to will allow you to collect the specimen there. If not, search the area to find a place where you can discreetly obtain a specimen. I knew the lab I had to drop off my specimen at wouldn't allow me to collect one there, so I checked and there was a cafe nearby that I had planned on using their bathroom (after first buying a coffee to go). Unfortunately the cafe was so small they didn't have a public bathroom! Fortunately there was a popular hiking path nearby, so I drove to the parking lot and used a bathroom there (they even had sinks I could wash my hands in afterwards). I was able to do what I needed to, but I didn't really enjoy the experience. Again, plan ahead and save yourself some grief. Happy collecting!

20 Comments
2024/12/03
22:10 UTC

4

Is there any way to get insurance to cover a reversal for pain reasons in the state of Illinois? I’m not at that point yet (11 weeks out) but I feel I need to prepare for it as I still have congestive epididymitis(that I developed after 10 days)?

I’m just feeling incredibly discouraged especially after posting in the vasectomy pain sub. I just don’t see how my body can possibly learn to absorb AND dispose of all the sperm I produce in a day.. especially if what I had is a close ended vasectomy… I assume it is due to the cauterizing and the absence of a granuloma.

14 Comments
2024/12/03
22:04 UTC

8

I'm aware how strange this must sound..

Day 5, pain isn't to bad, but I have a strange sensation where I can only describe as in my arse. Like behind my gooch, not painful and not pleasurable either like a strange pressure feeling. As if I am posting this 😂 please don't say I'm alone with this.

4 Comments
2024/12/03
20:07 UTC

14

Vasectomy done 90 mins ago - report

Pre-procedure anxiety was fairly high. Blood pressure, usually normal, was 160 / 90. They said virtually every guy is similar. Most clothes remained on, just trousers and underwear off. Doctor had a good old rummage, inspecting each side and feeling all around. Declared that things were where he expected, we're good to go. Nurse chatted banalities as the doctor injected into the vas on each side. Definitely some discomfort, but below the lashing-out threshold. Manageable with a bit of deep breathing. Then he went to work. I could feel movement, but no pain. Some weird sizzling noises, but no odour. Took about 6/7 minutes, at which point he said we were done, and that it went well. Applied a bandage. I was surprised at how freely I could move. Got myself dressed. Tied my own shoes. Nothing could stop me. Sauntered though to the next room. Was given the post-op chat about how to manage, ice, change bandages, keep things tight. BP now 125/78. Wife picked me up, drove home. Still no pain 90 mins later. I took paracetemol before and ibuprofen afterwards. Expecting the pain to rise but I'm pretty thrilled at how things have gone *to this point*.

13 Comments
2024/12/03
14:54 UTC

2

Second test - negative

Just had my second test after 10 weeks and as I go to the clinic I got immediately the result that it is negative - no sperms. I had my first test after 8 weeks and it was also negative. Now I have to do a last one in a few weeks. If it is negative as well I am officially sterile. That is nothing I will be happy about but I am looking forward to the first condom free sex after 1 1/2 years.

3 Comments
2024/12/03
13:22 UTC

2

Feels like vas attached to incision site?

2 weeks after op and pain is pretty much gone but strangely it feels like there’s a lump under the incision site and as strange as it sounds, it feels like the vas on my right side is attached to the incision site. Anyone experienced this?

Will speak to my doctor and arrange an appointment but just wondering if anyone else experienced something like this?

8 Comments
2024/12/02
23:00 UTC

3

Experience with vasectomy revision?

I got a vasectomy 2 years ago, and the surgeon used titanium clips to block the vas deferens. I feel pain whenever pressure is applied to the clips. It got to the point where I completely lost interest in sex because the pain just wasn't worth it. I had an appointment with the urologist today to discuss options for pain remedy, and one of the things he mentioned was a vasectomy revision: he would remove the clips, scrape out the scar tissue, and tie the vas deferens off another way. Does anyone have experience with a vasectomy revision? The urologist said it's only about 50/50 that it would solve the pain.

2 Comments
2024/12/02
23:00 UTC

3

If you are anxious (like I am), get IV sedation or general anesthesia

Just wanted to share my experience with how the procedure went today. I'm about 7 hours post-op.

This took me 5 years to work up the courage to even go see the doctor about it. Anxiety is a bitch. Swore I would never get one of these (I was just scared), however it's not worth blowing up my marriage due to pride/fear, we don't want kids, and it will really help my wife out. So, bit the bullet so to speak.

Had an initial consult with one guy. Was extremely anxious for the whole consult, BP and heart rate through the roof. First guy didn't seem to care and his whole spiel took 1 minute. This guy rubbed me the wrong way, so I found another doctor. What I found is you have to be comfortable with the person operating on you, it really helps to put mind over matter if you trust the person with the sharp objects in your junk.

Second doctor was totally different. Consult appointment took 15 or so minutes, he talked through things way more throughly, what to expect, operative timeline, options for managing anxiety, possible side effects, best practices to avoid complications, the works. Suggested that with anxious patients IV sedation or general anesthesia is better since everything is relaxes and your body isn't fighting him while he works. He can also take his time to ensure the job is done right. My wife kept track of when I was actually getting operated on and it took 25 minutes exactly.

Seriously. Doctor shop until your find the right person who meets your needs and who you feel comfortable with. Find a person you can trust since your balls will literally be in his (or her) hands. What sold me was he said "this is the most sensitive part of a mans body and we have to respect that".

Cool. Schedule procedure 3 weeks out. Did pre-op blood work, had medical clearance appointment with GP in the in-between time.

Procedure day. Walk back, strip down, nurses take vitals and paperwork. Wait for 1.5 hours since I was the second surgery of the day. Mainly trying to catch some sleep since I didn't sleep much the night before. Talk to the doc and anesthesiologist and CRNA somewhere in there. Didn't receive pre-op meds, didn't seem to need them as I was tired from not sleeping the night before.

Wheeled me back to the OR. Anxiety ramps up quite a bit. CRNA and nurse put a mask on and then quite literally it was like a light switch. Closed my eyes, took a couple deep breaths and the next thing I knew I'm back where I started with a nurse next to me monitoring my vitals.

Took 15-20 minutes to wake up, got dressed, they gave me a snack and wheeled me out to my wife.

Got home and have been sitting on ice with literally zero pain, maybe a slight twinge here or there when getting up to use the bathroom but seriously that's it.

Looked over my post op notes and apparently I got closed ended with clips. Don't really care that it was done that way, that's how this doctor does it. Managing the anxiety and getting through the procedure with the desired outcome is more important to me.

So, lots of people are going to say that you don't need sedation or general anesthesia. For all of those people that are anxious like me and avoiding it due to fear (especially of being awake during it) - if you really want it done, get the sedation or general anesthesia. Truly. I wasn't awake or aware of anything they did, which is great because I know I wouldn't have made it through or even shown up. Didn't have to suffer through a nurse handling my junk getting me ready, or the doctor sticking me with the needle, or any other part of the operation. Literally, awake in the OR one moment, lights out, wake up in recovery. Get dressed, go home, sitting on ice. Didn't and don't feel a thing.

5 Comments
2024/12/02
20:57 UTC

0

Vasectomy reversal

8 days after reversal

I only made it 8 days after my reversal without ejaculating. It wasn’t sex so no jostling going on. Was this a terrible move? Have I done harm?

11 Comments
2024/12/02
19:52 UTC

6

Can simply being horny make congestive epididymitis worse?

So I’m 11 weeks post procedure and had my follow up last Wednesday where the doctor said I have epididymitis. When I told him about my very frequent(1-2 times every day and like 4 times a day the 7-10 days post procedure) ejaculation habits he effectively told me that that either caused the epididymitis or kept it from going away. He essentially said sperm gets deposited in the epididymis during ejaculation so yeah it makes sense to me why I still have this issue. He recommended abstaining completely for 2-4 weeks. Fine enough by me but I have a question that I didn’t think of until now. Can merely just being horny alone cause sperm to deposit in the epididymis particular when precum is present?

Edit: he said lead up to ejaculation not during

52 Comments
2024/12/02
19:36 UTC

2

5 hours post procedure

I had the scalpelless procedure done at 8am this morning. Quick, no issues, barely felt anything. Even the anesthesia was nothing compared to at the dentist. Drove myself home, did a little computer work, now laying down and icing.

First time coming in here to see what people have to say, and I had been planning on trying to be up and about and such tomorrow, but after browsing a bit I think I'll try to just chill in bed as much as I can tomorrow too.

3 Comments
2024/12/02
18:38 UTC

6

Best Underwear for support?

I wear boxers that don’t have any support. Does anyone have a good underwear suggestions to support for a few weeks post vasectomy?

20 Comments
2024/12/02
17:14 UTC

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