 Can you advise me
about sperm storage |
 There
are many private companies offering
this
facility.
Prices are usually around £200
($300, € 300)
per year. It is a viable albeit
expensive option to preserve sperm
should a need occur.
|
| How can I ejaculate if you separate
my tubes? |
>95%
of the ejaculate consists of prostatic
fluid. This is unaffected
by vasectomy. Sperm is added to the
seminal fluid and
makes
up for the rest. |
| How long does a vasectomy take? |
This
depends on the method, the surgeon
and his experience. Generally
no more than 1/2 hour.
|
| How much does vasectomy cost? |
Please refer to the specific part
"Price"
in "How 2 judge a service"
Back to top... |
| Does Vasectomy protect against
AIDS, HIV, Hepatitis...? |
No.
Condoms are the only option to
help preventing sexually
transmitted illnesses.
Back to top... |
| Does Vasectomy Hurt? |
The
application of a local anaestetic
is uncomfortable. Most
patients compare
it with a local anaestetic at the
dentist. After skilled application
of local anaestetic most patients
should be completely pain free.
However, I do feel there are differences
between
doctors in the application of local
anaestetic as well as in the type
of local anaestetic used. There
is good evidence, that pain and
bleeding
after a vasectomy is statistically
much lower when a no-scalpel approach
is used. This may be due to reduced
trauma during surgery.
Click here
for more information...
Back to top...
|
| Can I have a general anaesthetic? |
Vasectomy
should generally not be performed
under general anaestetic
if at all possible as the risks
of a general anaestetic outweigh
the
benefits in most patients.
Back to top... |
| I am scared of having an injection
into my bits... |
Your
testicles should be far away from
the injection site for
local anaestetic.
Back to top...
|
| How soon can I get back to work? |
There
are no hard and fast rules and there
is no scientific evidence
available on this question. I advice
most patients to rest for 48 hours
after vasectomy if they have office
based jobs. However, patients in
jobs requiring manual labour may
be better advised to rest
for a little longer.
Back to top... |
| When can I have sex again? |
Generally,
as soon as you are comfortable, but
we sometimes advise
our patients not to have sex for
a week to avoid trauma to their scrotum.
Remember to use some other kind of
birth control until you know you
are sterile.
Back to top...
|
| Will vasectomy change me sexually? |
The
only thing that will change is that
you will not be able to make
your partner pregnant. Your body
will continue to produce the hormones
that make you a man. You will have
the same amount of semen. Vasectomy
won't change your beard, your muscles,
your sex drive, your erections, or
your climaxes. Some men say that
without the worry of accidental pregnancy
and the bother of other birth control
methods, sex is more relaxed and
enjoyable than before.
Back to top... |
| Will I be sterile right away? |
No.
After a vasectomy, there are always
some active sperm left in
your system. I feel it takes about
20 ejaculations to clear them. You
and
your partner
should use some other form of birth
control until your semen has been
tested.
Back to top... |
| Does vasectomy cause any medical
illnesses? |
Most
medical experts, including special
panels convened by the National
Institutes of Health and by the World
Health Organization, have concluded
that vasectomy is a safe procedure.
A number of studies have examined
the health effects of vasectomy.
The body of research evidence continues
to be reassuring and suggests that
vasectomised men are no more likely
than other men to develop heart disease,
cancer, or other illnesses.
Back to top... |
| Can vasectomy be reversed? |
Yes,
but success cannot be guaranteed.
Generally, the longer you had your
vasectomy the less likely a reversal
will be successful. Sperm
storage could
be an alternative, but perhaps you
are not quite ready for a vasectomy,
yet?
Back to top... |
| Is vasectomy 100% safe? |
No
surgical procedure is 100% safe.
Like in sterilisation there
is a recognised failure rate in vasectomy.
The chances of an early failure are
usually quoted as 1:200, a late failure
(failure after previously negative
sperm samples) is often quoted as
1:2000.
Back to top... |
| What are the side effects of
vasectomy |
Usually
none apart from some mild possible
discomfort after the
operation. However in a small percentage
of patient there can be significant
bruising (very significantly reduced
in No-Scalpel Approach), infection
or prolonged pain.
Back to top... |
| What is PVP? |
PVP
stands for "post vasectomy
pain (syndrome)". Like most
syndromes in the medical world
it is ill-defined
and ill-understood. It affects
a very small number of patients,
who
complain of significant and prolonged
testicular pain following a vasectomy
procedure.
Applying the name of a
"syndrome" to post-vasectomy
pain" mainly helps the lawyers.
Any surgery
to any body part creates a small
amount of patients with prolonged
pain problems.
Personally, I have not seen a
case, yet.
Back to top... |
