Vasectomy is the recommended surgery for men who no longer want to have children. It is a simple surgical procedure done by a urologist at the doctor's office that lasts about 20 minutes.
In the vasectomy, the doctor cuts the vas deferens that carry the sperm from the testicles to the penis in the scrotum. In this way, the sperm are not released during ejaculation and, therefore, the ovum can not be fertilized, avoiding pregnancy.
7 most common questions about vasectomy
1. Can it be made by SUS?
Vasectomy, as well as tubal ligation, is one of the surgical procedures that can be done free of charge through SUS, however, you need to have two minimum requirements that include age over 35 years and at least two children.
However, this surgery can also be done privately by any man who does not wish to have more children, and their price ranges from $ 500 to $ 3000, depending on the clinic and physician selected.
2. Is recovery painful?
The vasectomy surgery is quite simple, however, the cut made in the vas deferens can cause inflammation, making the scrotum more sensitive, which can cause a painful sensation when walking or sitting in the early days.
However, the pain diminishes over time, being possible to re-direct and do almost all daily activities after 2 to 3 days of surgery. Intimate contact should only be started after 1 week to allow proper healing.
3. How long does it take to take effect?
It is advisable to use other contraceptive methods, such as a condom, until 3 months after surgery, because although the effects of vasectomy are immediate, preventing the sperm from reaching the penis, there may still be some spermatozoa remaining within the channels, making possible a pregnancy.
On average it takes up to 20 ejaculations to eliminate all the sperm left in the canals. When in doubt, a good tip is to take a sperm count test to ensure that it has already been completely eliminated.
4. Does man stop producing sperm?
The sperm is a liquid consisting of sperm and other fluids, produced in the prostate and seminal vesicle, which help the sperm to move.
Thus, once the prostate and seminal vesicle continue to function and release their fluid normally, man continues to produce sperm. However, this sperm does not contain sperm, which prevents pregnancy.
5. Is it possible to reverse the vasectomy and re-have children?
In some cases the vasectomy can be reversed through the connection of the vas deferens, but the chances of success vary according to the time that has passed since the surgery. This is because, over time, the body stops producing spermatozoa and begins to produce antibodies that kill the sperm produced.
So, after several years, even if the body produces sperm again, they may not be fertile, making pregnancy difficult.
For this reason, vasectomy should be a procedure used only when the couple is sure that they do not intend to have more children, as it may not be reversible.
6. Is there a risk of getting impotent?
The risk of being impotent is very low because surgery is only done on the vas deferens that are inside the scrotum, not affecting the penis. However, some men may suffer with anxiety, which makes erection difficult, especially during the first few weeks, while the gental region is still painful, for example.
7. Can it decrease pleasure?
Vasectomy does not cause any change in the sexual pleasure of man, because it does not cause sensory changes in the penis. In addition, man also continues to produce testosterone normally, the hormone responsible for increasing libido.
Advantages and disadvantages of vasectomy
The main advantage of a man performing vasectomy is greater control over a woman's pregnancy, because after about 3 to 6 months of this procedure, the woman will not need to use contraceptive methods such as the pill or injections, for example. This time can vary from person to person, because about 20 ejaculations are required for complete reduction of spermatozoa in the canals. Thus, it is advised to ask the doctor for the appropriate waiting time for your case.
However, one of the disadvantages is that vasectomy does not protect against sexually transmitted diseases and therefore to prevent diseases such as HIV, syphilis, HPV and gonorrhea, you will still need to use a condom in every sexual relationship, especially if you have more than one sexual partner