wazektomia, dowód miłości

Blog o wazektomii

  • 30 ejaculations. Why we wait so long for the EFFECT.

    Semen analysis after a vasectomy
    3 months / 30 ejaculations

    I HAD THE PROCEDURE. THE VAS IS CUT. THE PASSAGE FOR SPERM IS SEVERED. SO WHY DO I HAVE TO WAIT?

    After a vasectomy you have to wait 3 months (and 30 ejaculations) for the procedure to take effect

    THAT’S RIGHT – before finally inaugurating intercourse without additional contraception, you have to wait a while!

    This happens for a very mundane reason – after being produced by the testicles, sperm are not stored there at all. They travel to the area of the prostate, where they combine with the other components of the ejaculate and wait there for ejaculation. Every man has such a stored reserve of ejaculate. After the vas is cut, this reserve must be emptied before you can have sex without protection. That is why a minimum of 30 ejaculations or 3 months are needed. Once the desired semen analysis result has been achieved, you can safely have sex without additional contraception.

    And why do I have to test my semen at all?

    Semen analysis after a vasectomy should be considered a mandatory step. Its importance should not be underestimated. Skipping the semen test can result in an unwanted pregnancy.

    First, we test the semen to check whether the vasectomy was effective at all. Of course, with the Open Ended method the failure rate is exceptionally low, half a per mille (one case in 2,000), but the effectiveness of the procedure should always be verified. That way we avoid surprises in the future. We also gain certainty that everything went according to plan.

    Second, 3 months is the time the average patient needs to clear the semen present in 30 consecutive ejaculations.

    For some patients this time may be somewhat longer, e.g. by a month. In that case we inform the patient of the need to repeat the test after the indicated time or after another 10-15 ejaculations. The patient knows he must continue using protection until a satisfactory semen analysis result is achieved. Some patients need 40-50 ejaculations to fully clear the remaining sperm.

    After a vasectomy, a simplified semen analysis is performed – the detailed sperm parameters (count, motility, progressive movement) are not assessed. To check the effectiveness of the procedure, we only check for the presence of sperm in the ejaculate. Detailed information about semen analysis after a vasectomy can be found here.

     

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  • Sex after vasectomy

    Vasectomy and sex afterwards…

    vasectomy and sex after the procedure
    Just a few days after a vasectomy you can have gentle sex

    WHEN CAN WE GET DOWN TO BUSINESS IN THE BEDROOM?

    There is a lot of information online about sexual activity after a vasectomy, often contradictory.

    It is always worth discussing this with your doctor.

    Much depends on the method used for the procedure. With older, more invasive methods, you may feel sore and consequently have no desire for sex for a long time! The healing process itself matters a great deal – with minimally invasive methods, wounds heal faster, but much depends on the patient’s own physiology. Certainly, if you are healthy, have no ailments and are not on any regular medication, you have a better chance of quick, trouble-free healing – and can therefore get back to action in the bedroom sooner.

    Certainly, for a few days after the procedure (we recommend 3 days of abstinence to our patients) it is worth refraining from intercourse, simply so that healing can proceed undisturbed; for the next several days (up to 2 weeks) gentle positions are recommended, as with a pregnant woman, avoiding vigorous movements.

    And once the wound has healed, you can give free rein to your emotions – remembering only to use additional contraception until the semen analysis.

    We must remember that after a vasectomy, additional protection must be used for 3 months, so that previously produced sperm become incapable of fertilisation, and at the same time 30 ejaculations are needed to clear the natural sperm reserves.

    Only after a semen analysis confirming the absence of sperm in the ejaculate can we give up contraception.

  • What happens to the sperm?

    SEX AFTER VASECTOMY: EJACULATION – what happens to the sperm

    After a vasectomy, ejaculation does not change – you still ejaculate, your semen has the same smell, colour and consistency – it just contains no sperm. To the naked eye there is no difference at all.

    In patients who have had a vasectomy, sperm are still produced, but since the route to the penis has been cut, they escape into the scrotum and are absorbed by the body, just like other unneeded or dead cells.

    Watch the film below about sperm and what a semen analysis involves.

  • Sex after vasectomy: libido

    Sex after a vasectomy – what is it like?

    Questions about libido after a vasectomy (i.e. what sex will be like after a vasectomy) surprise no one. After all, we decide on the procedure precisely to increase our sexual comfort.

    It’s high time to bust some myths. Libido does not drop after a vasectomy! The Journal of Sexual Medicine published the results of Australian research on vasectomy. It shows that sex drive does not decrease after a vasectomy, no erection problems appear, and the quality of orgasms does not deteriorate. What is more, men after a vasectomy are happier in their relationships – most likely because their fear of an unwanted pregnancy is reduced, but also because there are no more conflicts over contraception.

    So you will still have normal erections and the same or an even greater appetite for sex. Only one thing will change. There will no longer be sperm in the ejaculate. Quite a few men after a vasectomy boast that their libido has increased, because they no longer have to think about protection!

    Consider, however, whether you or your partner have a negative attitude towards vasectomy – if so, it may turn out that the satisfaction from intercourse on one side decreases after the procedure. That will, however, be a subjective psychological feeling and not a physiological effect of the vasectomy. Perhaps your woman wanted to have more children with you.

  • Older and less effective vasectomy methods

    Currently, apart from the classic vasectomy methods using a scalpel, the most common procedure worldwide is minimally invasive no-scalpel vasectomy (No Scalpel Vasectomy). It involves closing both ends of the cut vas deferens completely. This variant, as mentioned earlier, is currently the most commonly performed in the world. Unfortunately, it is associated with a failure rate of up to 13% and a high rate of pain complications.

    Below is an animation of the classic no-scalpel vasectomy variant, which in some centres carries a failure rate of up to 13% and a high complication rate.

    Watch the film. See if you can spot the differences! It is not easy at all!

    Now read the description of the so-called Canadian method (OEFI) and try to say how it differs from the no-scalpel vasectomy variant shown in the animation above.

    The effectiveness of the various methods can be found in the American Urological Association’s Vasectomy Guidelines (material in English).