How vasectomy works
Sperm are formed in a man's testes, and they mature in an area attached to the testes called the epididymis. It takes nearly 90 days from the time of sperm production for them to travel gradually up two tubes called the vas deferentia and then become available for ejaculation. Before ejaculation, fluids from the seminal vesicles and the prostate are combined with sperm to form semen. Vasectomy interrupts this process by closing off the vas deferentia, preventing the sperm from joining the other fluids. Because the sperm's contribution to volume is less than 5 percent, there is no noticeable change in the man's semen.
A man's virility is not affected by vasectomy, because it doesn't change the testes' production of the male hormone, testosterone. His sex drive, potency, male characteristics, and sexual pleasure should be unchanged. In fact, roughly 30 percent of men report improved sexuality after a vasectomy, most likely because the worry of pregnancy is eliminated. After a vasectomy, sperm continue to be produced but at a decreased rate. Those that are produced die and are absorbed by the body.
What is vasectomy?
Vasectomy is a minor surgical procedure, performed in the office, that renders a man sterile by stopping the flow of sperm from the testicles to the penis. Sperm (spermatozoa) are reproductive cells made by testicles. Semen is the fluid that carries the sperm and is what comes out during ejaculation. Semen comes from the prostate and seminal vesicles. Ejaculate is from semen, not sperm. Most men do not notice a change in the amount of fluid they ejaculate after vasectomy.
Though it is not always necessary, it is advised to have someone come along to drive you home. Resting and applying an ice pack to your scrotum for a couple of days following the procedure will significantly speed your recovery and reduce the risk of complications.
A pre-vasectomy consultation is required for all patients who desire sterilization. This visit with your physician will allow him to obtain information about your general health and perform an examination. You will receive information about vasectomy and have the opportunity to get all of your questions answered. At the conclusion of the visit, you can schedule the vasectomy procedure if you choose to do so.
Vasectomy is performed after you receive medication to completely numb the area. One or two small incisions are made on the scrotum. A piece of the vas defrens is removed and both remaining ends are obstructed. Incisions are very small and only require a few stitches. The procedure itself only takes 30 minutes.
We recommend you spend the first 48 hours resting and remaining sedentary. If you have a desk job you may return to work in 2-3 days. If your job involves heavy lifting, climbing stairs or standing a lot, you may need to modify your duties or be off for 5 -7 days
Your insurance will likely cover the cost of both the initial consultation and vasectomy procedure. Insurance may defer some costs to you through deductibles and copays. We will verify your benefits prior to procedure so you are aware of the cost of the procedure.