Can a Man Still Orgasm After a Vasectomy?

Vasectomy is a surgical procedure where the two tubes of vas deferens are cut and sealed. The vas deferens carry sperm from the testicles to the urethra. When the vas deferens are cut, the sperm do not move out of the man's body and prevents pregnancy in their partner.

Vasectomy is 100 percent effective. Rarely, the openings may rejoin and allow the sperm to move out, leading to pregnancy.

There are two types of vasectomy:

1. Conventional vasectomy: The doctor makes cuts on the scrotum to approach the vas deferens.
2. Nonscalpel vasectomy: A nonsurgical procedure. The doctor feels the tubes under the scrotum, holds them together with a clamp and makes a tiny opening in the skin. Then, stretches the opening, and the vas deferens are cut and sealed.

Before the vasectomy, the doctor explains the following:

• The vasectomy is permanent
• Other safest and most effective birth control methods
• The complications involved with vasectomy
• The vasectomy will not prevent sexually transmitted diseases

Inform your partner about getting a vasectomy and know how they feel about the decision.

Vasectomy is a simple procedure and takes about 10 to 30 minutes.

During conventional vasectomy

• The area is numbed by injecting local anesthesia.
• Once the surgical site is numb, the doctor will make a small incision at the upper region of the scrotum.
• Locate the two vasa deferentia.
• Through the incision, the doctor withdraws the vas deferens and then cuts and seals the tubes.

Precautions to take after the vasectomy

• Do not ignore any signs of infection. Call your doctor for help. Pain, swelling, and bruising go away in four to five days.
• Support the scrotum with a tight-fitting bandage or tight underwear for at least 48 hours.
• Apply ice packs for at least two days.
• Avoid physical activities for at least four to five days, and you can get light physical activity after the third day.
• Avoid sexual activity for at least one week because the sexual activity may result in pain and bleeding in the lower abdomen.

The following are the myths that have no proven evidence:

• Affects sexual performance
• Damages sexual organs
• Increases risk of cancers
• Increases risk of heart diseases
• Severe pain during surgery

Vasectomy is done:

• In men
• If there is a high pregnancy risk in a partner
• If a person has genetic abnormalities and does not want to pass them on to their children

Vasectomy is not a good option if a person:

• Wants to have children in the future
• Expects reversal of vasectomy
• Has a different partner

Vasectomy is one of the safest surgical procedures, but there are a few risks, such as:

• The sperm spills during surgery, resulting in an inflammatory reaction of sperm that leads to a small lump under the skin called sperm granuloma
• Painful tender epididymitis may occur one year after the surgery
• Infection
• Reversal or rejoining of vas deferens may result in unwanted pregnancy, but this occurs rarely
• Severe, long-lasting pain after surgery
• Bleeding, swelling, and bruising for a few days after surgery