The vasectomy operation is a simple, safe and effective method of permanent surgical contraception for men.
Prior to scheduling your procedure Dr Morton will meet with you to discuss a range of considerations that you need to be aware of prior to undertaking the procedure. For instance, the choice of local or general anaesthetic.
A vasectomy should be considered a permanent form of sterilisation. Although a vasectomy reversal is possible, this procedure is more complicated than a vasectomy.
A vasectomy causes no changes in sexual function, erections, orgasm, or libido. It also does not increase the risk of developing any additional medical conditions such as dementia or prostate cancer, but it does not prevent sexually transmitted infections.
The Vasectomy Procedure
A variety of techniques exist to perform a vasectomy, but regardless of the technique used, the principles of vasectomy remain the same.
After medication has been given to numb the scrotum, a small opening is made in the skin and the vas deferens is located. The vas deferens is then brought outside of the scrotum, cut, and occluded (blocked).
The occluded vas deferens is then placed back into the scrotum. A dissolvable stitch is sometimes used to close the skin.
What to Expect At Your Procedure
For the procedure in the doctor’s surgery, you are given a local anaesthetic. There is no need to fast (abstain or eliminate food) for this procedure; however, for the day surgery with sedation, the patient will be required to fast.
After you have healed from the vasectomy, your sex life shouldn’t change at all. You will still ejaculate almost the same amount of semen as you did before, and you will not notice a change in your sex drive. In fact, some men report having an even stronger sex drive because they no longer have to worry about pregnancy.
What is a Vasectomy?
A vasectomy is a surgical sterilisation procedure for men to prevent future fertility.
For pregnancy to occur after intercourse, sperm from a man fertilises an egg from a woman.
In men, sperm is normally transported from the testicles into the ejaculate by the vas deferens, a thin, muscular tube.
During a vasectomy, the vas deferens is cut and blocked. This prevents sperm from mixing with the ejaculate fluid.
A vasectomy results in ejaculate that does not carry any sperm and therefore cannot fertilise an egg.
Because sperm only make up about 10% to 15% of ejaculate volume, after a vasectomy there are usually no perceptible changes to the ejaculate or seminal fluid.
In Australia, vasectomy is the fourth most commonly used birth control method after condoms, oral contraceptive pills used by women, and tubal ligation (a surgery performed for women to prevent pregnancy).
Compared with tubal ligation, a vasectomy is more effective, safer, and less expensive.
Remember: Birth control methods must be continued until the sperm count is tested and confirmed negative at 15 weeks.
Following a vasectomy, it is still possible for sperm to be in the ejaculate fluid for weeks to months.
Because of this, it is necessary to prove the absence of sperm in the ejaculate prior to having intercourse without a backup form of birth control.
This is done by a post-vasectomy semen analysis. Until this has been proven, there is a chance of pregnancy.
Unprotected intercourse should not be attempted until the doctor has told you that you no longer have sperm in your ejaculate.
Post Vasectomy Semen Analysis Instructions
On leaving the Surgery you will be provided with a collection container to capture your semen specimen. Please ensure you name is written on the container.
The sample should be collected at home, if possible, and preferably by masturbation. While other methods, such as a condom, may be used, they may affect the results (especially motility). If a condom is used it must have no lubricant or spermicide.
For best results the patient should refrain from ejaculation for at least 72 hours prior to collection.
The sample should be brought to the laboratory within 1 hour of collection and should be protected from heat/cold during transportation.
Recent studies have actually concluded that a vasectomy positively impacts on the sexual satisfaction of couples due to the loss of fear of pregnancy. The procedure should be seen as permanent.