A good reason why you shouldn’t have a vasectomy.

“It can be reversed, right?”

Well, yes. However, just because you can reverse a vasectomy, doesn’t mean that you will achieve pregnancy.

I have done several thousand vasectomies and  several hundred microscopic vasectomy reversals, so…here are some things to consider “before” you decide to have a vasectomy.

  • We tell patients that they should consider a vasectomy permanent and it is…and it isn’t. It can be reversed but it doing so may or may not result in pregnancy.
  • A reversal is not covered by insurance and costs range between $3,000- $15,000.
  • It is a surgery, there will be an incision on the scrotal area that has to heal and there may or may not be time out of work or cessation of physical activities for a few weeks.
  • If it works, i.e. the opening is reconnected and sperm begins to flow again in the ejaculate, there may not be numbers or quality enough to achieve pregnancy.
  • It is a patient endeavor as it takes 3-6 months for the testicles to begin producing sperm again normally and if pregnancy occurs it usually does between 6-18 months.
  • The longer the period between the vasectomy and the reversal, the lower the chances of success.  Click here for success rates based on the vasectomy interval.
  • One must visualize how it would feel to have gone through the surgery, the recovery, and the expense only to be on the side of the percentages where pregnancy does not occur.

So…you don’t want to have a vasectomy unless you are pretty darn sure you don’t want to have any more children. An option is to bank sperm before the vasectomy. This costs about $200 a year.

Conclusion: If you think there is any possibility that you might want to have more children do not have vasectomy. Depending on a reversal, even in the best scenario of surgeon and time interval from the vasectomy, is a risky endeavor.

On the flip side: If you have had a vasectomy, the chances of achieving pregnancy is essentially zero.  In this setting having a reversal is very reasonable as any chance at pregnancy with a reversal is better than no chance. This is the reasoning most couples have when deciding to pursue a reversal.

Two interesting things about having a vasectomy.

 

First interesting thing: Getting an infection is uncommon. Most urologists do not place a suture in the small opening necessary for doing the procedure and this may be protective.

Second interesting thing: If there is a sperm granuloma or some swelling or tenderness under the scrotal skin, it usually resolves on its own and…is it almost always just on one side. In my experience it is rare to have an issue with both sides of the procedure. Each side is independent of the other. Go figure!

More questions? Go to the vasectomy page and read the eBook.

Common “myth” about having a vasectomy.

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Myth: There will be no ejaculation after a vasectomy.

Truth: 90% or more of the ejaculate comes from the prostate. Only a small percentage is sperm. So having a vasectomy will not result in any noticeable change in the volume of the ejaculate.

Next generation of urologists! Our surgery center was happy to provide the “uniforms.”

Vasectomy A-Z

Vasectomy Overview from Healthgrades

 

Healthgrades Reviews for Dr. McHugh 

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What is a sperm granuloma and why is it a good sign during a vasectomy reversal?

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The above picture shows the vas deferens isolated and one can see the clips and a small area of swelling of the vasectomy site. If there is swelling here, a sperm granuloma, then the potential for success is higher. A sperm granuloma is a “pop-off” valve of sorts and protects the sperm producing process of the testicle. 

The presence of a sperm granuloma explains why a patient 10 years out from a vasectomy might have a better chance than a patient 5 years out who doesn’t have one. This is a random occurrence and can’t be predicted who or who will not have a sperm granuloma. They are only beneficial for the vasectomy patient who is to have a reversal. 

The most informative website about vasectomies in Georgia!

Just google: McHugh

You guessed it!

Free eBook

Vasectomy 101-Dr. John McHugh

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Vasectomy 101-Dr. John McHugh (Informative…and humorous!) Click here.

Want more information?  Check out the resources on the Vasectomy Page of this site. Click here.

If you are considering a vasectomy, we can make it easy. Just contact Kathy Burton using the email form below or call 770-535-0001 ext. 113. We will do our best to make the process and the procedure…as “painless” as possible!

McHugh Vasectomy-All you’d want to know!

McHugh Method Vasectomy- A PDF slide show-Everything you’d want to know about a vasectomy but your wife forgot to ask. Click here!

A vasectomy through pictures performed by Dr. McHugh- The movie.

 

Got questions? We’ve got answers. Use the contact form below to learn more about all the options regarding anesthesia we offer, the no needle no scalpel vasectomy and fair self-pay pricing. We look forward to hearing from you!

Vasectomy Quick Facts

Vasectomy Quick Facts

Here is a helpful collection of interesting facts and points of information about vasectomy:

  • Each year, between 500,000 and 600,000 men select vasectomy as the permanent birth control method of choice in their family.
  • Vasectomy is considered nearly 100 percent effective, safe, and does not interfere with sexual pleasure.
  • The No-Scalpel Vasectomy (NSV) procedure was developed in the early 1970s in China by Dr. Li Shunqiang.
  • During the past few decades, over 15 million vasectomies have been performed around the world using the NSV technique.
  • No-scalpel vasectomy can be completed in about 15 – 20 minutes.
  • A vasectomy does not reduce a manís sexual drive, virility or his ability to have or enjoy sex.
  • About 85 percent of health care insurance programs include coverage for the vasectomy procedure, so there may be little or no cost to you.
  • Most vasectomy procedures are performed by urologists; medical doctors who are specialists in the male and female urinary tract and the male reproductive organs.
  • Sterilization for a man (vasectomy) is significantly less expensive than for a woman (tubal ligation), which may be as much as five times more costly. Learn more about vasectomy costs.
  • Many vasectomy procedures are performed on Thursdays or Fridays to allow for a weekend vasectomy recovery time – before returning to work the following week.

Dr. McHugh is one of Georgia’s most experienced urologists performing vasectomies and vasectomy reversals.

Helping couples achieve the new addition to their lives with microscopic vasectomy reversal.

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