Advice about Vasectomy
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My husband had a vasectomy last month (6 weeks ago) and
still is in a lot of pain. One testicle in particular hurt
more when he was given the injection before the procedure
and and that is side continues to hurt. Some days there's
a dull pain and on other days there's acute pain. When he
feels the right side of his testicle there is a small
painful bump that he feels (not there on the other side).
The doctor's office have been very unhelpful -- telling
him to take an advil for the swelling and being rude when
he's called more than once.
Is it normal for it to take this long to heal? Should he
go to another urologist to make sure nothing's wrong? Any
advice is most appreciated.
Feeling guilty for having asked him to do this
Now you have me worried as I am going in for a similar
procedure next week! Mine is being done by one of the best
urological surgeons in Northern CA (so I am told). I have
seen several including one at Northwestern and they all
agree I am in ''good hands''. My surgeon told me up front that
I should expect extreme swelling and considerable pain for
days. Mine will be done with IV general anesthesia I believe
not direct injection. Standard medication is Vicoden or
Percocet outpatient. He has advised me I should expect to
not be fully recovered for 3 months. He also told me it is
common for men to call him a week or two after the
procedures complaining of a lump and concerned he didn't do
a thorough job and so on. All par for the course he says as
the area is just ultra sensitive to invasion. If you aren't
happy with follow up care and wish for a second opinion Dr.
Nudell is at 408-358-2030. If San Jose is too far to go he
can refer you to a local guy perhaps. There is a Dr. Turzan
at Kaiser Oakland and another good one in San Francisco
named Turek who hails from UCSF. At the very least somebody
should help get the pain under control as there is no excuse
for that unless you have refused stronger medication.
All of my friends who have had vasectomies have had no pain
after about 48 hours. It sounds as if something went wrong
with the procedure. I wouldn't count on another urologist
saying that; I have found that doctors won't ''tell'' on one
another's poor work. However, your husband should
definitely go to a different doctor for what to do from
this point forward. It's also time for him to find a
different PCP; being dismissed for calling when you're in
pain is pretty much the opposite of being a good doctor!
don't feel guilty!
Sorry to hear about your husband's pain. I think most
vasectomies heal fairly quickly. However, my husband had
pain (both acute and dull) for a LONG time afterwards. I
remember at one point they said there was a possibility
they'd have to do another surgery. But they never did. My
husband just lived with the pain for a long time. And
eventually it slowly went away. I don't remember how long it
lasted - but it was at least 3-4 months and maybe less
'pain' and feeling 'not quite right' there for another very
long time. I haven't asked him about it in a while, but I
think it's pretty much gone now. And, he's sterile - at
least that part worked. There may be some other issue and
the doctors should keep an eye on it. But our experience was
not good and it just took a very long time to heal. All is
well now. Sorry and good luck!
We are considering vasectomy as we are sure we don't want any
more babies. We've read all the research and info material
from our doctor, and it all sounds great. Now we are wondering
if there is anyone who had it done and regrets it for whatever
reason. We would be really grateful if someone who
unfortunately had such experience would share that with us, as
these are the experiences that no-one ever mentions.
Just a heads up...the vasectomy will change the pH of your
husbands semen, it will become more acidic. This causes me
to have chronic BV. Not a deal breaker of the big V, but, i
wish i would have known because i spent years wondering why
i couldn't get rid of the BV. Now i know, and we try to have
him pull out most times to lessen my reaction.
Used to it
You don't mention your ages - that will inform your
thoughts. Of course, I guess you could always store sperm.
My first husband had had a vasectomy before we met - major
problem for me - I was 28. We tried vasectomy reversals that
were unsuccessful - though maybe they're having higher
success rates now - so then had to research alternatives.
I don't know too much about this but my son and his wife
made a similar decision for their family so asked him.
this is his reply:
Don't do it. they have a new out patient procedure for
women that works well with out the risk of complications.
He has been extremely upset about serious complications even
after quite a few months.
My husband and I are done fulfilling our biological imperative and he has
decided to get a vasectomy. The problem is, I'm a stay-at-home mom and he
has no insurance. He is on the job hunt right now and we are on a VERY
tight budget. We live in the East Bay in Contra Costa County. I have
done some research and it seems that the only place I found where we might
get a break in price is going to the Concord Planned Parenthood. My
questions are: Has anyone used this service with them? Are there other
places we could look that might give us a break in price without cutting
quality of service? As this is a delicate procedure, we want it done
Planned Parenthood would be an excellent place to have a vas, insurance
or none. Don't let the non-profit status fool you - for family planning
services, including vasectomy, Planned Parenthood is always on the
cutting edge of the art and science. The physicians who provide
surgical services there often have a full time private practice, and
moonlight because the work is professionally fulfilling. In a typical
pvt practice setting they may do a few vasectomies a year, but at PP
they could do hundreds.
Also, be assured, a vasectomy is extremely simple, with a very
superficial incision, the complication rate very low. Yes it's
important that it's done right, but if it were me, I'd put my scrotal
sac in the hands of someone who does them a lot, and I'd have no
hesitation about going to Planned Parenthood.
I don't work for them, I promise
Go for it, the clinicians and staff at Planned Parenthood are great for
their vasectomy services. I worked the vasectomy clinic as their
recovery nurse for about a year and would send my own men friends there!
They provide good service and accept medi-cal and State funding, as well
as cash and other insurances. It is a very short procedure and the whole
process takes much less time and healing than a tubal ligation. Good
I have a somewhat delicate problem I need advice about and I'm
turning to BPN for some feedback.
My husband has been contemplating going ahead and getting a
vasectomy since we don't want any more children and frankly we
both hate condoms. He doesn't want me to have to go back on any
type of contraception that would mess with my hormones and I
don't want to use the IUD or Cervical cap/Diaphram since I know
people who have had problems with both of them and ended up
either with serious health problems or pregnant unexpectedly.
My husband has talked to everyone he knows who has gone through
the proceedure and has gotten both good and bad feedback
ranging from ''no changes at all'' to ''my sex drive has totally
disappeared''. He is anxious to get additional information from
men who have had a vasectomy and hear of their results since he
has no interest in going through with the whole thing if
it's ''just not the same as before'' after everything is said and
Thanks in advance to all of the people who respond to my
inquiry since this is a very important issue to both me and my
husband as I am sure you can imagine.
Definitely glad I did it. Nothing changed at all, except that I don't have to worry about
birth control malfunctions. I highly recommend it.
Snipped and proud
I had a vasectomy about 2 years ago. our sex life as never been
better. (we've been together 14 years, have two kids 3 and 6,
and we are having better sex than ever). I see no decrease in
sex drive at all, quite the opposite. Not having to worry about
contraception and especially condoms/pill, plus being 100% sure
you will not get pregnant is a great turn on.
schedule it - you will not regret it - procedure is about 30
minutes total. Go see Dr. Peikney (sp?) at Berkeley urology.
happy to be snipped
My partner had a vasectomy over 6 years ago. I had a tubal
ligation about 8 years ago. We have a happily active sex life.
No worries of getting pregnant. We are both happy we did it.
My husband says, ''I have experienced no loss in sex drive. I am very happy with my
vasectomy. The recovery was not bad.''
Hope this helps. It was a very good decision for us.
Happy with Two
You said the responses you have gotten from others range from ''no
change'' to ''lower sex drive.'' Well, our sex life got way BETTER
post-vasectomy (a couple months after) cause we were no longer
worried about getting pregnant, could be more spontaneous, etc.
anon but satisfied!
OK, this is a little graphic -
Your husband is right, it's not the same as it was before. It's
better! Sex drive is the same, but no birth control, no
fussing, no worries.
The procedure is about 15 minutes, a little uncomfortable. I
was nervous and sweaty, I really don't like the idea of anyone
with a scalpel down there. All told, it was pretty benign.
However, there is one piece of advice I must share. Get several
pairs of bikini briefs. Wear one pair to keep the balls high
and tight, and wear another pair over those. Put a package of
frozen peas between the two pairs to keep the swelling down.
Keep an extra bag of peas in the freezer so he can rotate them
and keep ice on them as much as possible. Do this for a week -
7 days. He should do this when he's home, both morning and
evening. I didn't do this at work, but I don't think that
contributed to the following complication:
(more graphic below)
I stopped icing early and went back to boxer shorts about 3
days after the procedure because I was feeling pretty good.
Then they swelled up to about the size of my fist over about 2
days. Went back to the frozen peas and it took care of itself
over another 5-6 days. I've given this advice to a number of
friends, and none have experienced any swelling issues.
Even though this happened, I'm still really glad I did it. If I
were to do it again, and knew that the swelling problem would
happen again, I'd still do it.
Glad I've been there
My husband and myself have recently decided that he would get a
vasectomy after our second child is born this fall. While we both
feel this is the best decision for our family, there is a tinge
of hesitation at the finality of having our last child on both of
our parts. We may want to have a 3rd child down the line, but are
unsure. That said, I also have had horrible reactions/
sensitivities to all methods of birth control- both hormonal and
non hormonal, but neither one of us want to have an oops
pregnancy. One of our solutions is to go ahead with the vasectomy
and to possibly freeze his sperm through a facility that offers
this service. I would like to know how other families have dealt
with this decision. Also, has anyone had sperm frozen or
preserved and the logistics and reliability behind it.
It is much more difficult to get pregnant using frozen sperm.
You might want to look into vasectomies that have a good chance
of being reversed (not sure if there is such a thing). That
being said, the Sperm Bank of California in Berkeley has a lot of
info on their website regarding storing frozen sperm - they are a
The first thing I want to say is what any urologist (or anyone else for that matter)
will tell you.... A vasectomy is considered to be a permanent, surgical sterilization.
You should not expect to father any more children after that. The decision should
be taken VERY seriously. Going on that premise, I would heartily encourage you to
bank sperm. But understand that even that is not going to guarantee future
pregnancies. Lots and lots of people have fertility issues as they get older. So that
is the ''rational'' and ''conservative'' and ''conventional'' spiel.
Okay, now for the freak of society and nature story. My husband has had two
vasectomies and two vas reversals. All of these procedures worked. He had children
with his first wife before his 1st vasectomy. About 6+ yrs later, he married me and
had a reversal. About 5 yrs (and 2 babies) later, he had another vasectomy, followed
14 mos later by another vas reversal (and another baby). Vas reversals are quite
pricey (~10K), and are definitely not guaranteed. The longer you wait after the
vasectomy, the lower the chances of success. The more tube they take in the
vasectomy, the more difficult it is to reattach with success. The procedure is pretty
un-fun to go through and to recover from.
My husband likes kids... no, LOVES kids and LOVES being a dad. I got really lucky. I
am pretty old and still got pregnant this last time. All the medical professionals
involved (both western and alternative) are amazed by us. I need to stress... we are
NOT the norm. I would totally recommend banking sperm... I think it is way less
expensive (but I could be wrong) and way less ''invasive''. If you want to talk about
any of this with me, my email follows. Good luck with whatever you decide!
Well- I was pretty sure that I was done after two, so we went
for the vasectomy. No regrets!! And it's been such wonderful
peace of mind to not have to take birth control. Our sex life
and probably marriage are better because of it. And he was
quite anxious but afterward said ''piece of cake''. I don't know
that I'd go for it if I was looking for a way to still have #3-
I'd just hold off. A friend of mine was also done after #2 and
her husband kept postponing his appt- and she's now a
completely insane mom of 3. Of course she loves #3 but it
wasn't in her plan and it's been a huge struggle.
We've got two great kids and are ready to stop hassling with
birth control, so my
husband is getting a vasectomy next month. We were both surprised
when his doctor
told him we'll need to keep using other forms of birth control
for four months after the
operation, before his sperm count will be tested and confirmed to
be zero. I have
always heard it's a two-month waiting period. We'd love to hear
from others who have
been through this: is his doctor just being extremely
conservative, or is a 16-week wait
hoping to go au naturel by Valentine's Day
About the vasectomy waiting period: I just had an
unplanned/unwanted pregnancy that began about 16 months after my
husband's vasectomy and at least a year after his ''zero sperm''
follow-up lab test. A test performed after I conceived (17
months post-vasectomy) revealed a sperm count of 2500 (20 - 50
million is normal) -- it only takes one, you know.
If you check the websites about vasectomy reversal, you will
discover that between 5 and 10% of men who have had vasectomies
still have some sperm present in their semen. Please do not
assume that vasectomy = no pregancy worries ever again. It has a
failure rate equal to the IUD, pill, and tubal ligation.
The least you can do is to observe the waiting period (3 months)
and wait for the all clear from the lab. It really does take
time for the sperm to clear the system. Even then, nothing is
for sure. The cut tissue can heal and grow back -- it's called
recanalization. I have no idea why urologists don't advise
annual vasectomy follow-up testing -- their liability potential
is huge (ever add up the cost of raising a child?)
I wish I had known this -- it would have saved me lots of tears
and guilt. I would advise googling ''Vasectomy failure'' so you
know what you're getting into.
Nothing is for certain but death and taxes, but if you don't like
unwanted pregnancies and the decisions that must be made when the
occur, take heed. I cried myself through an entire month or two.
It only takes one sperm. Remember that. One little wiggler.
Anyone can land on the wrong side of the law of large numbers.
Please take at least the basic precautions, and know that you are
still taking your chances.
My husband got a vasectomy last year. Four months later, he got a sperm analysis
there were still sperm in the sample. They told him that some men have three of
sperm tubes (I forget the name, sorry) rather than the normal two, and he might
to go through more surgery. He waited a few months and got tested again, and that
time--much to our relief--the test came back negative (no sperm). So, yes, you
should be prepared to wait four months or possibly even more.
Taking no chances
I don't know what the waiting period is, but I know of two couples who did not wait
the entire time they were told and ended up with an unexpected child!! I'd play it
safe and go the whole 4 months if I were you. Best wishes!
After my second was born and my OB asked our ''family planning''
plan and I said the Big V would happen she said, be safe, use
backup for one year. Her experience taught her that....
We were told 20 ejaculations.
yes, you do need to use another form of birth control for four
months. this is considered standard procedure. my husband just
passed the four month mark and after two lab tests, we are clear!
worth the wait!
My husband was told to wait for 20 ejaculations. The avg. on that is probably
mos for most couples (unfortunately!). He will need to go back and be checked to
ensure he is ''clean'' for you to be certain he is sterilized. The nurse at my
class did say they had one guy come back 3 days later to be checked. How he
managed that so soon following the procedure, one can only speculate!
My husband had a vasectomy with Kaiser 4 mos. ago, and they
request a waiting period of 20 ejaculations (no matter how long
that takes), before submitting the specimen to test for absence
of live sperm. We have a numbered check list to check off as
we go along! I'm curious what other non-Kaiser providers are
My husband is planning to get snipped soon. His primary care physician apparently
does vascectomies so we would like to know if any one has had him (Andreas Anaker,
MD) for this procedure and how was it?
Also if anyone can recommend a doctor or urologist who takes Blue Cross HMO. We are
looking for good experiences and quick recoveries, that would be greatly
no more babies
Joel Piser did my husband's vasectomy a few months ago. He is a urologist
and takes Blue Cross HMO. The procedure was quick and the recovery easy.
Highly recommend him.
I am looking for recommendations for doctors who perform
vasectomys in the Oakland/Berkeley area. I would also like
feedback from readers on whether this procedure changes the
sensitivity of the penis or any other effects that have
occurred or are expected because of the procedure.
Joel Piser of Berkeley Urologic Associates performed my vasectomy
last Thursday. He did a fine job and I am feeling well just 5
days post procedure. All I can say to you sir is there is a vas
deferens between the penis and the testicle. The procedure takes
about 10 minutes and consists of two small incisions just at
the top of the scrotum. It has nothing to do with the penis and
does not change sensation in the penis in any way. It feels
great to finally take on full responsibility for birth control
with my wife and to be free from unplanned pregnancy (at least I
will be in about 2 months). Go for it.
Not much in this category on the website -- does everyone just
go to whomever their primary doc refers them? My health plan is
a Blue Shield PPO and there are over a hundred (!) local
urologists listed in the network. Anyone been snipped by any of these guys lately?
Two Great Kids; We're Done
The Pinkney Pisner group has a wonderful reputation.
My husband was snipped by Dr. Piser almost two years ago. He
thought he was great (or as great as one can be in the
circumstances...). He had a sense of humor, knew what he was
doing, and we didn't wait long.
Does anyone have a recommendation for a good urologist to
perform a vasectomy?
My husband used Joel Piser and we are thrilled with the freedom. I left town with our kids for the actual procedure (just happened to work out that way). We resumed having sex with a condom about a week after the proceedure and then he had to be tested a few times to make sure the pipes were clear.
when ever and where ever since this procedure
Hi, my husband is looking for a good urologist for a vasectomy
in the Berkeley area (he is a bit nervous about the procedure
and wants to make sure that only a very qualified doctor is
involved). We have a PPO plan and can visit any doctor, I was
hoping that maybe some of you may have more recent
recommendations than I saw on the Board. Thanks!
My Husband's urologist was wonderful. His name is Dr. Andrew
Pienkny of Berkeley Urological Associates. He came highly
reccommended to us as well. The procedure and post procedure
expectations were explained to us in a non fear-inducing manner
which given the nature of the procedure, was of paramount
importance. He was attentive and direct and my husband
experienced little to no pain. (only slight discomfort).
Does anyone have any recommendations for a urologist in the ABMG
who would do a vasectomy? Any experience with the procedure would be
helpful as well. Thanks.
To the person who wanted a urologist, John Floyd is excellent and he does
vasectomies. He is part of ABMG.
My husband had a vasectomy done last March with
Dr. Joel Piser (2999 Regent st. #612 - Berkeley -
848-1727), there are also other urologists in the
same clinic. It was very simple, he even drove
back home. The whole procedure didn't take two
hours. He was a little sore for about 2 days and
had to avoid physical effort for 10 days. We also
had to use other contraceptive method for 4
months. Now we have total piece of mind -)
Hope it helps
Dr. Brenner of AMBG whacked my vas deferens. Nice guy, a memorable procedure
that I'm happy not to repeat. Enjoy!
has anyone had any expiriences with pacific urology,
and or Dr Stephrn P Taylor from there? My husband is
getting his vasectomy reversed and we are thinking with
going with Dr Taylor. Any comments?
I don't know anything about Pacific Urology, but wanted
to mention Dr. Paul Turek, who is in the urology department
at UCSF and also has a private practice in S.F. He
specializes in male-related fertility problems and has
done some cutting-edge work.
My husband is planning to have a vasectomy in November. I have heard from those
have had them that he needs to stay in bed on ice afterwards. We have a very
precosious and curious 6 year old who knows that sex makes babies, but does not yet
know about the other reasons for sex, and we do not want to go there yet. What do we
When my husband had a vasectomy a few years ago, we told our boys (ages 9 and 11)
that daddy pulled a groin muscle and needed to ice it on the couch for a day. They
never questioned it. The next day, he was up and about. Vasectomies are great!!
At 6 he probably doesn't need a lot of detailed information,
and you don't even have to explain the surgery in terms of sex
or babies at all. You can just say that daddy had an operation
to change the way the tubes were connected in his scrotum (and
if he asks why, just say they weren't connected the way daddy
wanted them to be, and if he seems concerned, let him know that
only grownup men do it--kids never have surgery like that).
And, depending on comfort levels of all concerned, let him see
it if he wants, help bring daddy ice, etc
I don't think you need to tell your 6 year old anything. I would be very surprised if
your husband even needs to lie down. Most men (including my husband) who have
had vasectomies have very little discomfort. My husband came home w/ a bag of
frozen peas, walked around the house for awhile and then decided he was bored and
went into work. My friends tell me similar stories about their spouses. I'm not sure
where these stories about recovery time come from but I have yet to meet a man who
needed any. Perhaps dr's just prepare them for the worst case scenario?
My husband and I would like to have a baby but he's had a
vasectomy +/- 20 years ago. After many discussions about the
various avenues we could take (IVF, Adoption, donor sperm), we
have decided that we'd like to first try vasectomy reversal. We
had a consultation with a Urologist, male fertility specialist,
who for obvious reasons cannot give us a 100% guarantee, but
thought it could be sucessful considering he'd already had 3
kids before and my age at 37 still being young enough to not
present any complications. (The MD mentioned that if i were over
40, he may not be so apt to recommend the reversal). I feel
like we're running a tight time line on a risky operation. So
before we fork out the big bucks thought i'd ask if anyone has
any experience/advice to offer.
We were in your same shoes, and my advice is don't do the
reversal. When we got married in 1998 I was 33, and had been
pregnant before at 18 but not since then. My husband was 50
and had had a vasectomy 15+ years before. He had a reversal
done at UCSF six weeks after we got married, and had what the
urologist termed a ''successful'' result, but his sperm
production was very very marginal (6-9 million vs. an expected
average in a healthy man of 60 or so million I believe).
After a year of trying to conceive, we began infertility
treatment. We went through 3 Clomid IUI cycles, 1 injectable
IUI cycle, and two IVF attempts (which did not result in a
harvest because I didn't stimulate well enough on the drugs).
If I had to do it over again, especially considering your age
and the healing time required, I would have gone straight to
IVF. There is a way to retrieve the sperm from him via a
needle, and then doing ICSI (where they inject one sperm into
your egg). Your urologist is telling you that you should do
the surgery becuase he may view it as a ''challenge'' to operate
in someone who is so many years post-vasectomy. I always
wondered whether we might have been able to conceive naturally
if we hadn't ''wasted'' a year on his surgery and trying to
recover from it.
By the way, the surgery is very long (my husband's was five
hours at least I believe) and expensive (not covered by
insurance). Additionally, the recovery was very very painful.
If you have not already done so, I would urge you to consult a
reproductive endocrinologist and discuss what procedures are
available to you via IVF/ICSI before agreeing to the reversal.
Your urologist may think that 37 is young, but in reproductive
years you are really behind the 8 ball (I thought 33 was young)
and if you really want to conceive time is of the essence.
In the end, we now have three children through adoption. As
you can tell I feel strongly about this. Your money and time
would be better spent going straight to IVF. Best of luck!
Mom to 3
My husband had his vasectomy reversed last August and I'm due
July 9th. When I researched this I decided to go with the best
in the field although he was the most expensive. His name is
Dr. Turek and he's out of UCSF. I figured if we're going to
spend thousands on this procedure I'm prepared to spend a little
more to up our chances of success. With reversals the longer
it's been since the vasectomy the less the chances of success.
My husband had only had his vasectomy done a few years ago so
Dr. Turek gave him over 90% chance of success. But this is
success of getting his sperm back but not of me getting
pregnant! I'm 39 so he advised me to take a test to determine
how fertile I was. I can't remember what the test is called but
it's a blood test you take on the 3rd day of your cycle. The
test showed that I still had lots of good eggs available so we
decided to go ahead with it. One option he gave was to harvest
any live sperm during the operation. So while he's in the
process of sewing the tubes back he checks to see if there are
any live sperm hanging around. If there are he can harvest them
for future use. This will come in handy if after the operation
he is not able to get his sperm back you have some available to
do IVF with. My husbands operation was successful and he had
minimal soarness afterwards. But the Dr. advised him to stay as
immobile as possible for 4 days. About 5 weeks after the
operation I was pregnant. I used the Clearblue Easy fertility
monitor as well.
My husband had his v. reversed at the age of 42. I was 34. It
took about a year for his sperm to really start swimming (we took
a microscope home and had fun watching for them under slides).
He did have some blockage so the surgeon had to do ''alternative''
plumbing which resulted in a reduced sperm count. (BTW, if you
do get a microscope, wait about 20 minutes before you look at
your samples - they don't separate from the semen for a few minutes.)
We had 3 miscarriages before we had a successful pregnancy. I
gave birth at age 37. There was definitely some stress
associated with our efforts - worried about my age, his sperm
count, all the miscarriages, etc. However, we talked frequently
and perservered in a supporting and loving way with the
understanding that it might just not happen. Although, if we
hadn't successfully conceived, I do think that there would have
been strain on our marriage that we would have really had to work
Also - my husband said that the recovery was pretty painful (he's
a cyclist) and that things didn't feel right or particularly good
during sex for about 18 months following the reversal. V.
different than the feeling following the original v.
Best of luck to you regardless of what you decide.
My husband and i went through much of what you are going
through in trying to decide about a reversal. In our case, it
clearly made the most sense given that i was/am 27, he is 34 and
had only had his vasectomy for 6 years (he also has 2 children
from before the vasectomy). We felt from our research, and from
what our Dr.'s (we went to a few for consultations)said that we
had a very good chance of achieving pregnancy. We had waited
years before we could afford the surgery, and refinanced our
home....finally last November he went in for the surgery.
We had been having well timed intercourse since then with no
success, so, a few weeks ago my husband had a semen analysis and
it came back negative...meaning no sperm. Not any.... not low
sperm count....just plain zero. I cant really explain to you how
bummed we are, we had our hopes up so high i guess, and put all
our eggs (money) in that basket.
We have talked to our surgeon, which by the way, we don't
feel like we would choose someone else if given the choice over,
he was/is great, very responsive and competent. My husband has
as appointment with him to confirm the results and talk
about ''options''. From my many phone conversations with him
since, i have gathered that he thinks that the two possibilities
for why this happened is 1. Scar tissue may have formed as a
result of the surgery and completely occluded his tubes, or 2.
He may have needed a more complicated procedure called a
vasoepididymostomy (the vas deferens is hooked up directly to
the epididymis above any blockage). At the time of surgery ,
which is when the Dr. distinguishes if a patient needs that
extra step done, my husband showed no signs of having a
blockage. Some tests are run mid surgery to determine someones
need, and, it is possible my husband did have a need , but
didn't display any of the classic physiological signs of it.
So, now we are in a spot where we have to decide what to do
next. Forgetting about money for the moment, our options are 1.
Going through the surgery again, (though, if he did in fact scar
up i don't understand why he wouldn't again)2. Doing the
vasoepididymostomy, or 3. IVF.
Â Certainly, both of the surgeries are cheaper than IVF, but,
we put ourselves right back in this position of spending money
we dont have on something that may not work. The
vasoepididymostomy does have a higher rate of success, but....we
dont have the resources to keep trying until something works. As
far as IVF goes, i am not completely on board with it
yet.....the process is not attractive, but, i think i am still
not quite ready to accept the position i am in; being a young ,
healthy woman who has to undergo such highly medicalized
treatments to have a baby. If it were up to me, i would be happy
using donor sperm, but, my husband does not share that feeling.
So, I'm sorry i don't advice for you.....I just wanted to
share with you my process. Feel free to e-mail me with further
I am feeling increasingly distressed and resentful about a
discussion that has been going on for 2+ years with my husband,
and is going nowhere (not my way anyway.) I am clearly done,
maxxed out with having kids, he agrees but is scared to make
such a final decision (says things like, we might change our
minds in 5 years. And would not plan another child but would
consider another one a happy accident whereas I feel
an ''accident'' would be my total mental demise and would take
away from all of our well-being.) But the main reason he refuses
to consider having a vasectomy is because he is very squeemish
about pain. Yes, he saw both our children being born and the
labor and pregnancies, he knows tubal ligation is much harsher
surgery. also I had an IUD which got ejected by my uterus and I
didn't know it, and have been advised that there's no way to
know whether it would happen again and can't rely on it. Plus I
react badly to birth control hormones and lost half my hair with
norplant hormonal b.c. So I really want him to take
responsibility in birth control now and am feeling resentful
about his refusal to participate. The resentment is seeping into
our sex life as well. A good, old friend of his give him a pep
talk about how it was for him getting the operation and how
great it is now, etc. and it didn't seem to affect my husband at
all. Any advice welcomed.... Thanks in advance.
mad and vulnerable
This is a bit of a pep talk, which didn't work last time with him, but maybe
repitition will get it to sink in.
It doesn't hurt
Having your partner shave you to prep for it is fun!
Your sex life will improve, guaranteed.
Given that your partner has difficulty with other methods, it's either that or
Get over yourself, act like a grownup, and take some responsibility!
Been there, Done That
My husband and I planned for years that he would get a
vasectomy after we had our 2 kids. That time came and went,
and he was still dragging his feet -- even after I had to have
two abortions! Yes, it creates a lot of resentment, but
ultimately, it's your body and your sanity. I didn't like the
options of tubal ligation, IUD, pills, etc. and the diaphragm
had already failed me. So I finally decided to try an IUD which
I'd heard had improved over the years. What a blessing! I've
had the same one in place for 8 years. My periods are lighter
and no cramps. I couldn'tbe happier, and sex without worrying
about getting pregnant is GREAT! It still bothers me that my
husband refused to do his fair share, but as the saying
goes, ''you can lead a horse to water...''
First off, according to a good friend of mine who had a
vasectomy, it was not as pain free as advertised. In fact, he
suffered quite a bit of pain and discomfort. When he told me the
story, I felt squeemish. Secondly, it's your husband's body. He
has the right to make any and all decisions regarding his body,
period. I think he needs to be respected for his decision,
whether you like it or not. When you say he refuses to
participate, keep in mind that he is the only participant in a
That is a topic that men hate to discuss. I have a man who is
defintely against me having more kids, but yet he will not get a
vasectomy. I even told him that I will cut out sex & he still
refuses. So my advice is to just go ahead & get a tubal. I just
had one & I won't lie, it was painful. But I made him pay for
each ounce of pain. But to insure that there are no more
mistakes, i advice for you to take care of your own business.
Hello, I can relate! My husband and I had the same talks: No we
don't want more kids, but, he was all nervous and would say,
let's wait till our child is in kindergarten to decide for good.
I couldn't worry about having an accident for 3 more years — I'm
stressed out enough as it is just wanted that one worry off the
table. I talked to my OB. Did you know there's a new procedure
called a tubal stent? Basically they implant a coil in each of
your fallopian tubes — no incision, your dr. gets them up there
just like he/she does for pap smears, etc. Your body tissue grows
around the coils, and in a few months your tubes are completely
blocked. Yay! Most can be done (like mine was) under local rather
than general anesthesia, further reducing the health risk. I'm so
happy. Yes, I could continue to resent my husband's cowardice,
but I decided to look at it the way I look at a lot of things: If
I really want it done, I can spend a lot of emotional energy
trying to get him to do it — and trying not to look like a ''nag''
in the process -- or I can spare myself the long battle and just
do it myself. (And of course once I suggested me having this
done, rather than he go under the knife, I never heard the ''let's
wait till she's in kindergarten'' thing again.) I told my sister,
who's a bigger feminist than I and who was a little annoyed that
I let him off that easy, ''Look, I don't have a deep, emotional
attachment to my fallopian tubes.'' As opposed to, you know. :)
For me, the relief of eliminating that one big worry, with
relatively simple surgery, has made the resentment not worth
hanging onto. Good luck!
-- Sure like my tubal stents
Sounds like your husband is being pretty selfish. You didn't
mention condoms as a possibility for birth control. They might
be a good idea for a couple of reasons... one, they put the
responsibility for birth control on him; two, some men don't
like them as much so that might put subtle pressure on him that
maybe a vasectomy isn't so bad...
I'd suggest you stand firm on this, or you may find yourself
pregnant and that would be even worse for your relationship.
any reason why condoms aren't an option? at leas until he's
willing to deal with his fears?
in the meantime find your postion and firmly stick with it.
expressing your anger or trying to push him into this will only
make him more reluctant. try to let go of your anger and be
supportive of him no matter what he does (or not) ultimatley it
IS his decision and can't be forced. if your are firm and secure
in what you are willing and not willing to do, you can deal with
the rest with equanimity
Although I was trying not to weigh in on this one, I found that
the vasectomy discussion was getting under my skin (so to
speak). I am a dad with two kids, and, after dragging my feet
for a couple of years, I finally got a vasectomy earlier this
year. I did it because we are quite settled that we don't want
more kids, because I felt like my wife had done most all of the
heavy lifting -- and I mean that literally -- in the
reproduction area (the pregnancies were hard ones), and because
we were both sick of condoms. I'm glad I did it; it is great
not to worry about an unwanted pregnancy, and our sex life has
Still, I just don't think it is right to insist or expect that
one's husband or anyone else undergo surgery that forever
alters a basic function of his body. Partly this is because my
own experience was far from painless -- in fact, it was about
the most painful thing I've ever experienced. (I think the
doctor, in a hurry to get out at the end of the day, didn't
wait until the anesthesia had really kicked in; the second half
of the operation wasn't nearly so bad). It was also just plain
upsetting -- unexpectedly so -- to have someone cutting away
and burning shut a healthy, functioning part of my body. And
there was nothing fun about shaving -- I nicked myself, and you
really have no idea how much the scrotum can bleed. Even with
all this, it was worth it -- but it was no small matter.
But the part that really bothers me about some of the things
said in this string of posts is the notion that it is up to
anyone except the person getting the surgery. If someone
suggested that a woman HAD to get an abortion, or a tubal
ligation, etc., because her husband said so, I would be
outraged -- even if the couple had previously jointly decided
that they didn't want kids. I don't see how this is
So I sympathize with the dilema of the woman who posted the
question, but I don't think an appropriate response is to
pressure her partner or punish him for not going under the
knife. It seems, well, disrespectful.
-- been snipped
I'm not sure anything a stranger says will sway your husband,
but for what it is worth, my husband had a vasectomy today. He
drove there himself, read Newsweek and talked politics with the
doctor (until he thought better of it, lest the guy with the
scalpel at his groin liked Bush), and drove home via the coffee
shop where we met and had coffee. He said he feels a bit of
discomfort, but not much. We're off to a restaurant for dinner
in a little while. Not so bad....
Free to Be, No IUD
So far only one vasectomized husband weighed in on the topic with a simple pep
talk. I will try to offer a better pep talk. I had a vasectomy six months ago, so I
know. Your husband is being a weenie for several reasons. Let's pick apart
his justifications for not getting it done:
1) it might hurt
Here I won't pull any punches. It hurts. It's pretty uncomfortable having it done.
In retrospect, I should maybe have asked my doctor for a valium during the
procedure, which is a good option that any doctor would offer. That would take the
pain/anxiety edge off, but then I wouldn't've been able to drive myself home. But all
in all, it didn't hurt that dang much. Like getting stitched up after a mishap in the
garage or yard or something. But don't believe it when guys tell you it totally
doesn't hurt at all. And of course, it probably varies from case to case.
And the recovery was perhaps a bit longer than I had expected. I was pretty tender
for a week or so, and I was less than completely comfortable on my bike rides
for several weeks. But all in all, not bad. And way better than the recovery for
And it's way, way easier than 9 months of pregnancy, childbirth, and
postpartum recovery. DUH! This objection, to me, is just selfish. Marriage is a
partnership, and the wife already did the way hard part of bearing the children.
Honestly, it's the least he could do. And if he doesn't see it that way, how hard is
the nighttime feeding/diapering/crying infant routine on him if you have
Sure it hurts. Big freaking deal.
2) he doesn't want to do something so permanent to his body
Oh, please. Get over yourself. You aren't sixteen anymore. Guys screw up their
knees permanently when snowboarding, for example, and they don't forego
snowboarding because they might permanently mess up their body.
I enjoy a sense of permanent freedom now. And what, he doesn't think your
marriage is gonna be permanent? What's he holding out for, the trophy wife
who wants babies of her own when he's 45 or 50 years old and he wants to give
that to her? A disingenuous rationalization.
3) he isn't as fully comitted as you are to not having any more kids (''if we have
an accident, that would be okay, and we'll keep it'')
When push comes to shove, it's not actually the guy's decision to bear more kids,
now is it? That's just unfair. The reality is that you, the wife, have to do all the
hard, dangerous work with your body, and most of the childcare for an infant for a
good solid year. You, the wife, are allowed veto power over all decisions to bear
children, and deep, deep down, he knows that. It really isn't too much to ask for
him to take some responsibility for birth control in the most effective,
permanent, practical, cost-effective, least disruptive way available which keeps you,
the wife, happy and
secure with the family planning situation.
And as the other guy said, the sex life afterwards just rocks. Uninhibited.
I love my wife and I consider it a really good gift from me to her in appreciation for
bearing our two great kids. Any mature guy should be able to see that.
I went through a similar discussion with my husband. I think his
hesitance had to do with a feeling that a vasectomy would somehow
diminish his masculinity. He also felt that any ''surprise'' babies would
be fine, though I felt differently. What finally spurred him to get a
vasectomy was my active initiation toward getting my tubes tied. It
would have cost more and would have required output of funds for
childcare and assistance while I recovered. I think he realized that this
was impractical in many ways. However, I didn't threaten idly; I was
prepared to follow through. When he did finally get a vasectomy, it
caused very little discomfort. In fact, we had a miscommunication, and
he ended up walking home from the doctor's office after the procedure!
A simpathetic mother
My wife is expecting our second child and we have decided that
we don’t want to have more than two children. Since it’s easier
for me to do the deed I have decided to have a vasectomy several
months after the birth. I want to know the truth about the
operation from those who have had one – both the positive and
the negative. Interestingly, I’m not so concerned about the
operation itself or the “forever” nature of it, but instead
wonder about any short or long term sexual impacts – erection,
pleasure, orgasm, etc…I would love to hear stories about all
factors of the choice, procedure, and post-operation changes but
am most interested in hearing from men about the above. Also if
you have any practical advice, I'll take that too.
Goin' under the knife
This will probably draw lots of mail, but here is my two cents. I
had it done and it really was no big deal. The two issues are
you will still need supplemantary protection for about 6 months,
or until you pass the sperm sample tests. Otherwise I would say
there have been no negative side affects. There is the
comforting thought that you can no longer father another child,
but they will tell you there are failures. There will be some
discomfort at the beginning, but I don't remember much. The
biggest drag for me was I couldn't ride my bike. Also, be
prepared to be ''infirmed'' for the first couple of days. So
unless you are at a cush desk job you might want to schedule the
procedure for a friday afternoon. Finaly there are 2 different
types of procedures, sorry I don't remember which one I had, but
I belive it has to do with how they work on the Van Defrens.
good luck and no fear.
ps have wondered if it might mot be a bad idea to go back and be
As a woman whose partner was ''snipped'' about 8 yrs ago I can
say it's been great for both of us. More sexual freedom and
less anxiety. He says no diminishment of pleasure.
I had a vasectomy 7 years ago and have no problems now or
immediately after the procedure. My wife and I enjoy the freedom
of not having to use or worry about any other type of birth
I have heard of others not waiting the prescribed amount of time
for all sperm to be cleared out, and they became pregnant! So
please continue your current birth control method until you get a
zero sperm count.
I got snipped at Kaiser, not long after my second child celebrated his first
birthday. I wanted to be sure he was strong and healthy before I burned my
evolutionary bridges. I haven't regretted it a bit.
Like you, I wanted to be sure we didn't end up with any surprise extra kids
(though I'm one myself). I think I had my procedure in the morning, which
worked well. It gave me a full day in bed before worrying about
accidentally straining myself while sleeping. My day in bed was great...my
wife treated me like a king, and I reclined (with ice packs) while watching ''guy''
movies, reading, eating popcorn and slurping the occasional brewski.
I was back at work the next day. Aside from spending a few days feeling rather
tenderized and walking stiffly, I haven't experienced any post-operative
complications or changes, and really enjoy the freedom of not having to worry
about birth control in the heat of passion (my wife had been using a
diaphragm). I highly recommend it. Good luck!
Once a Tenor, Always a Tenor
Having a vasectomy has had zero impact on my sexual performance
(erection, orgasm, etc). Some men have the misconception that
having a vasectomy will diminish or stop ejaculations.
Essentially nothing changes as all the procedure does is sever
(and cauterize) the tubes (Vas Deferens) carrying the sperm from
the testicles. Sperm is a minuscule content of your ejaculate
(1%) as most of it comes from your prostate gland and seminal
vesicles (glands next to the prostate, located behind the
bladder) which is not affected by the procedure at all.
I was worried that there would be some kind of back-up in my
testicles (remember blue balls?)but, as my doctor explained it,
sperm is constantly being manufactured and transferred to a
holding area (the Epididymis) before being released via the vas
into the semen. This holding area is huge (compared to the
volume of sperm) and whatever sperm is not passed is reabsorbed
into the body.
Here is a great illustrated site that explains it all
The actual procedure itself was like getting a filling: initial
poking sensation followed by numbness and boredom (I almost fell
asleep). I drove myself to and from the event but made sure I
didn't have to go back to work afterward and scheduled it for a
Friday. Of course, I really played it up for sympathy when I
got home but my wife quickly caught on (after all, she's been
through childbirth twice).
The worst part was having to shave all the pubic hair off from
the top of the penis shaft on down (including all of the
scrotum). Although this was kind of kinky at first, it became
annoying and uncomfortable later as the hair grew back out.
Also, there is a reason for that hair like keeping the skin of
your scrotum from sticking to your legs, getting sweaty, etc. I
ended up using the top of a sock as a wrapper to keep everything
The other worst part was the follow up which seemed, in my case,
to be exclusively handled by women. Having phone conversations
with strange women about my semen sample in an open cubicle
office environment was awkward to say the least.
Now that it is all over, I have noticed no change in my sex
life. If anything, it is more spontaneous and intimate as our
choice for contraception was condoms. It took me a while to
acclimate to that intense skin to skin sensation but I don't
miss contraceptives at all.
Quell your worries as any impact on performance will be
psychological and not physiological. Good luck and welcome to
the world of real men.
Been There, Done That
After eight years, my husband and I decided to have a second
child. Having gotten a vasectomy seven years prior, we consulted
urologist about reversing his procedure and went several weeks
later for an out-patient vavovasectomy and had his ''tubes''
reconnected. The doctor said it was a success and that within 3-
6 months sperm would begin developing hopefully we'll see
results. I'm wondering if anyone has some suggestions on
increasing our chances of conceiving. We're both very anxious to
become pregnant and it seems that we continue to get
disappointed month after month.
Has your husband had a sperm count done? Don't go through the
emotional roller coaster each month without finding out what the
test shows. We tried to conceive for over a year -- only to
finally find out that my husband's sperm count was zero. He had
congenital absence of vas deferens -- basically, like a naturally
occurring vasectomy. We ended up conceiving through IVF using
surgically extracted sperm from his testes.
I posted earlier about my own experience conceiving with IVF. I
wanted to add that a close friend's husband had a vavovasectomy
about 15 years after the original vasectomy. Although the second
surgery was a success, his sperm tests showed that the sperm
weren't good swimmers (I can't remember the technical term for
that). Apparently, this is common. It's not clear whether it is a
result of getting older or whether it has something to do with
the length of time between the vasectomy and the reversal.
My friend ended up conceiving twins through IVF. In her case and
mine, ICSI (intracycloplasmic sperm injection?) was used since the
sperm couldn't swim and penetrate the ovum on their own. Unlike
us, they didn't need to surgically extract sperm since they had
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