How Vasectomy Works
Vasectomy is a simple procedure. It makes men sterile by keeping sperm out of semen (the fluid that spurts from the penis during sex). Sperm are the reproductive cells in men. Pregnancy can happen if a sperm joins with a woman's egg.
Sperm are made in the testes. They pass through two tubes called the vasa deferentia to other glands and mix with seminal fluids to form semen. Vasectomy blocks each vas deferens and keeps sperm out of the seminal fluid. The sperm are absorbed by the body instead of being ejaculated. Without sperm, your "cum" (ejaculate) cannot cause pregnancy.
Vasectomy does not affect masculinity and it will not affect a man’s ability to get hard and stay hard. It also will not affect a man’s sex organs, sexuality, or sexual pleasure. No glands or organs are removed or altered. Your hormones and sperm continue being produced. Your ejaculate will look just like it always did. And there will be about as much of it as before.
Vasectomy is not immediately effective. Sperm remains in the system beyond the blocked tubes. You must use other birth control until the sperm are used up. It usually takes about three months. A simple test - semen analysis - shows when there is no more sperm in the seminal fluid. Very rarely, tubes grow back together again and pregnancy may occur. This happens in about one out of 1,000 cases in the first year.
To Prevent Unintended Pregnancy
Vasectomy is the most effective birth control for sexually active men. While it offers no protection against sexually transmitted infection, a man and his partner will need no other contraceptive after a successful vasectomy. You must regard sterilization as permanent, even though it may be reversible in some cases. Your decision to have no biological children in the future must be firm. You must be absolutely sure you will never change your mind or regret your choice - no matter how your life changes.
Reasons for Considering Vasectomy
Do Not Consider Vasectomy If
Consider all other methods before you choose vasectomy. The pill, the patch, the ring, the shot, and IUDs are more than 97 percent effective. Most women can use them with little risk of serious complications. Other methods that have little or no side effects are condoms, female condoms, diaphragms, caps, shields, periodic abstinence, and contraceptive foams, jellies, and suppositories.
A woman also may want to consider sterilization. There are new sterilization procedures for women that reduce the cost, recovery time, and risks of the procedure. But vasectomy is simpler, costs less, and has fewer risks. In all cases, the results must be considered permanent. So, think carefully about what sterilization will mean for both of you - and your futures.
Vasectomy is a low-risk procedure. Complications can occur with any kind of surgery. Major complications with vasectomy are rare and are usually associated with infection. Warning signals include
Other potential problems
Complication rates for vasectomy are generally lower for the non-incision, no-scalpel method - when the skin of the scrotum is not cut - than for methods that include cutting the skin.
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