What is a Vasectomy?
Vasectomy is a simple outpatient operation in which a doctor seals the tubes in the scrotum that carry sperm to the penis. The entire procedure takes about 15 to 30 minutes, and is more than 99 percent effective as permanent birth control.

The procedure blocks the vas deferens and prevents sperm from mixing with semen. Thus, when a man ejaculates, his semen no longer contains sperm and cannot fertilize a woman's egg. There is little noticeable difference in the amount of the ejaculate.

Why Choose to Have a Vasectomy?

• A man has all the children he wants
• A man wants to enjoy sex without fear of his partner becoming pregnant.
• Vasectomy is simpler and cheaper than permanent birth control for women.

Steps in the Procedure

1. The doctor injects a local anesthetic to the scrotum.
2. The doctor locates the tube in the scrotum (sac).
3. When the area is numb, the doctor makes a tiny opening to access the tubes. (Some doctors make two openings, one on each side of the sac.)
4. The doctor cuts, seals and clips each tube.
5. The small opening may be closed with a stitch or two.

What is No-Scalpel Vasectomy?
No-scalpel vasectomy is a safe and simple method performed under local anesthetic. Instead of using a scalpel to make two cuts in the testicles, the doctor uses forceps to make one small opening in the skin between the testicles. Stitches may not be necessary and there is little, if any, bleeding.

How Soon Will the Vasectomy Take Effect?
Vasectomy is not effective immediately. Sperm still in the system have to be released through ejaculation. Typically it takes 15 to 20 ejaculations, or six weeks to clear the system.

After the Vasectomy

• Use ice to prevent swelling and keep the area clean.
• Avoid heavy work and exercise for two to seven days.
• Use an athletic supporter to protect the testicles for four days.
• You may resume having sex after two to three days, but stop if it is uncomfortable. Use birth control until you have been told you are sterile.
• You must bring in a semen sample for a lab analysis to determine that there are no more sperm in the semen.

Possible Complications

A vasectomy is considered a low-risk surgery, but there are risks associated with any surgery. Possible complications include:

• The area may become inflamed or infected. Antibiotics or, very rarely, minor surgery may be required to treat an infection.
• A blood clot or bruise may appear, but normally clears up by itself.
• The skin may bind to the vas, which may require surgical correction.
• Fluid or sperm may build up in the scrotum, but usually clears up on its own.
• In 4 out of 1,000 cases, a decreased sexual desire or inability occurs. Such problems are believed to be emotional, because the operation can’t cause them.
• The cut ends of the vas could grow back together.

It's Your Choice…

You may change your mind about having the vasectomy any time before the operation. It is entirely your choice.

Cost

Vasectomy cost ranges from $450 to $700* at Planned Parenthood of South Central Michigan. Free or low cost surgeries may be available for those who qualify. Call 269-372-1200 for more information.

Private insurance may pay for the procedure. Consult your insurance carrier for more information on coverage of this procedure.

*Prices may be subject to change. Visit our Services and Fees page for up-to-date pricing information.

Vasectomy Myths

Myth: A man will lose his sexual desire.
Fact: A man's sperm count has nothing to do with his sexual desire.

Myth: A man won't be able to achieve an erection.
Fact: A man's erection does not depend on sperm count.

Myth: A man can no longer enjoy sex.
Fact: A man's pleasure is not dependent on his sperm count. For many men, knowing that pregnancy is no longer a risk can make sex more enjoyable.