What are the advantages?
- No (noticeable) change in the semen
- No change in sex drive or climax sensation
- No change in the testes
- No change in erections
- No need to use other methods of birth control
During a vasectomy, the vas deferens tubes are accessed through a small incision (one or two) in the scrotum. Each tube is isolated, a small section removed and sealed (closed) using either heat (cauterization) and a small titanium clip or suture. This prevents the passage of sperm but does not change the amount of semen in any way that can be noticed - most semen is made in glands above the tubes.
A no scalpel vasectomy will be pain free... or almost – and over after 30-45 minutes. The majority of patients say that it is better than going to the dentist or getting blood drawn! The doctor uses a very fine needle (the size of a hair) for local anesthesia. This numbs the skin and area around the tubes. General anesthesia is not needed.
Vasectomy is extremely effective (it fails less than 1 time in 2000). But, it can take up to 3 months for it to start working. The semen needs to be checked after the surgery to make sure there is no more sperm in it. Until then, another method of birth control must be used or pregnancy can occur. Most patients have no sperm in their semen the first time it is tested.
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