Vasectomy is a birth control method based on the cutting and ligation of sperm carrying ducts with a minor surgical intervention. In this way, the passage of sperm into the semen is prevented. A man who has had a vasectomy can ejaculate, but it cannot cause pregnancy because there is no sperm in the fluid that comes out of the penis. Vasectomy is a permanent method of birth control. Even if sperm continues to be produced in the testicles since the function of the sperm duct is eliminated, pregnancy does not occur because these sperm are prevented from coming out and reaching the woman’s ovaries during sexual intercourse. Sperm cells, which continue to be produced normally in the body, continue to be constantly renewed like all other cells, but they cannot leave the body. Vasectomy does not cause permanent damage to the genitals and does not affect sexuality in any way. It does not have any negative effects on hardening and ejaculation. Sperm, which make up 3% of the semen fluid, do not mix with this fluid after the vasectomy procedure, but it does not reduce the amount of semen secreted. As with all other birth control methods, a vasectomy does not have a 100% chance of preventing pregnancy. Although there is a 1% chance, there is a possibility of pregnancy despite vasectomy.
Vasectomy is a simple and quick surgical procedure. It can be performed in office conditions using local anesthesia. After the area is anesthetized, the sperm duct under the skin is found over the scrotum and fixed with the help of a tool. A very small incision of 3-5 mm in length is made on the skin tissue above the sperm canal and a part of the sperm canal is cut out by taking it out from this incision and the ends are closed by connecting them. There is no need for suturing the incision opened after the procedure. The operation takes about 20 minutes on average.
Pain relievers and anti-inflammatory drugs may be required after vasectomy. Supporting the testicles during the first 24 hours after the operation and applying cold compresses to the interstices will help reduce swelling and pain. You can take a bath the day after the procedure, but it is recommended to avoid sports and similar activities in the first week after the procedure.
It is not recommended to have sexual intercourse for 7 days after the vasectomy procedure. After 7 days, sexual activity can be resumed normally. However, since the contraceptive effect will not occur immediately, it is strongly recommended to use a condom or other birth control method.
Vasectomy usually takes effect within 12 weeks. Some doctors say that this happens after 20-25 ejaculations and the sperm ratio in the semen is completely gone.
All men over the age of 18 can have a vasectomy procedure. Married men in Turkey need to get their spouse’s consent before having a vasectomy. It is also recommended that childless men under the age of 35 consider other contraception options such as condoms before having a vasectomy, as it is considered an irreversible procedure.
There is no pain during the vasectomy, but a slight pulling sensation may be felt as the sperm duct is pulled out. Mild pain and swelling may occur in the testicular area after vasectomy, but these symptoms usually disappear within a few days.
The sperm duct connected during the vasectomy procedure can be reopened and restored by surgical intervention, but this procedure is more laborious and the chance of success decreases depending on how much time has passed since the vasectomy procedure. In other words, a man who has had a vasectomy is likely to have children again, but the success rate of the reversal operation is low.