What is vasectomy?
Vasectomy is a birth control surgery that is done to a man. In many cases, women undergo birth control surgeries such as tubal ligation or hysterectomy. In vasectomy, the tubes carrying the sperms (vas-deferens) are blocked or disconnected so that no sperm is ejaculated in the semen. With no sperms in the ejaculate, impregnating a woman becomes impossible.
Types of Vasectomy:
- Conventional Vasectomy – In this type of procedure, a small incision is done in the scrotum to reach the ‘tubes’ (Vas Deferens). The tubes are then disconnected and sealed. Usually the sexologist will be able to reach both the tubes through one incision; in some cases, a second incision may be required to reach the second tube. The cut ends of the tubes will be stitched. The stitches dissolve over time and a scar tissue will form at the ends effectively closing the tubes.
- No Scalpel Vasectomy – In this procedure, no incision will be made. Instead, a small hole will be made in the scrotum. The hole will be stretched to reach the tubes. Rest of the procedure will be the same as conventional vasectomy. As no cut is made, there will be minimal blood loss and healing will be faster.
Effectiveness of Vasectomy Surgery:
Vasectomy surgeries are 100% effective in preventing pregnancy. However, precaution such as condom should be used for the first few weeks after vasectomy surgery. In some cases, there may be sperms in the Vas Deferens that can travel out of the body and can cause pregnancy. In order to avoid this scenario, your sexologist will advise you to use protection for at least 2 to 3 weeks after surgery.
Is vasectomy reversible?
Vasectomy is not 100% reversible. The chances of reversing are very small. So, when a man decides to go for vasectomy, he (and his partner) must be 100% prepared to not have any children in the future.
Can a man still perform sex and ejaculate after vasectomy surgery?
Yes, except the release of sperms via ejaculation, vasectomy does no other changes to the body. Testosterone will be produced, erections and ejaculation will also be normal. The only difference after vasectomy surgery is that there is 0 sperm in the semen released.
What are the risks of undergoing vasectomy surgery?
Just like any other surgery, there are some risks with vasectomy surgery too.
- Sperm Granuloma – If the sperms spill out during the surgery, it can cause a tender lump under the skin.
- Epididymitis or Orchitis may occur after vasectomy, typically within the first year after the surgery.
- Infection when not done with utmost care. This is one important reason why you should see only the best sexology doctor and clinics for your medical and surgical needs.
- In very rare cases, the tubes may grow back and allow passage of sperms causing pregnancy.
- Pain, bleeding, swelling even after several weeks after surgery.
If you have any of the above problems, you must see your doctor immediately for further evaluation and treatment.
Who should go for vasectomy?
- Adult men, in a stable relationship and not planning to have any more children.
- Men who are not intending to change their partners in the future.
- If you or your partner are suffering from any genetic disorders and you don’t want to pass it on to your off springs.
- If pregnancy is a risk factor for your female partner.
How to choose best surgeon for vasectomy in your city (Chennai)?
Google will show a big list of doctors and everyone claims to be the best sexologist or best surgeon or best in their fields. It is up to you to evaluate the doctor by going through his/her experience, expertise, the trainings that he/she has undergone. This will give you a fair idea and you can shortlist some doctors.
Then you need to evaluate the facilities in the clinic. Please avoid small and mediocre clinics as you will put yourself at risk of post operative complications. Looking for cheap surgical options or cheaper doctors is equal to putting your life at risk. Call the clinics or hospitals and check if your insurance will cover your costs. Once you have done enough background check, you can confidently meet the doctor and get the treatment done with very little to no risks or complications.