A vasectomy involves cutting the vas deferens, making a man unable to father children. The procedure is minimally invasive, but reversal is more complex and not always successful. Sperm count is measured to ensure success, and the procedure is not recommended for men who may want children in the future.
Sperm count after a vasectomy normally decreases gradually until, several weeks to three months later, no sperm is present in the semen. A man’s sperm count after a vasectomy may need to be measured more than once to ensure the procedure is successful. While a vasectomy is generally considered a minor outpatient procedure, the procedure to reverse it is often much more complex. If performed successfully, a vasectomy renders a man unable to father children.
The vasectomy procedure is typically done on an outpatient basis, using a local anesthetic. The procedure normally involves cutting the tube through which sperm exits the testicles, known as the vas deferens. Most men are able to remain conscious during the procedure and return to their normal routine within three days to a week. Any swelling or bruising that accompanies the procedure usually heals within two weeks.
While this procedure is minimally invasive and generally without the risk of serious complications, men who undergo it will ideally be unable to father children. While the vasectomy procedure is known to reverse and restore the patient’s fertility, instances where the vas deferens heals back together are rare. Men normally retain all sexual function after the procedure, including the ability to orgasm and ejaculate. Doctors typically measure the sperm count after a vasectomy at least once, to ensure that no sperm can be found in the semen.
The first sperm count after a vasectomy is usually done six to eight weeks after the procedure. Some men can continue to ejaculate semen for up to three months after the procedure. The procedure is generally considered successful once no sperm are found in the semen.
This procedure is generally not recommended for men who may want to father children in the future. Surgical reversal of a vasectomy is possible, but it’s usually a much more complicated procedure, with much more serious risks. Vasectomy reversal doesn’t always work, especially if it has been several years since the vasectomy. Many doctors prefer not to perform vasectomy on younger men, men who have not yet had children, or single men, out of concern that these patients might later change their minds.
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