By : Geraldus Sigap

Many men remain hesitant about undergoing a vasectomy due to concerns about pain, high risk, or negative effects on sexual performance. In fact, vasectomy is one of the safest and most effective long-term contraceptive methods, offering a quick procedure and minimal recovery.

What Is a Vasectomy?

Vasectomy is a medical procedure that prevents pregnancy by cutting or sealing the sperm ducts (vas deferens) so that sperm does not mix with semen during ejaculation. It is considered a permanent contraceptive method for men and is performed under local anesthesia without requiring hospitalization.

After a vasectomy, the testicles continue to produce testosterone and sperm. However, sperm is naturally reabsorbed by the body, as it no longer exits through ejaculation.

Figure 1. Vasectomy Procedure

How Is a Vasectomy Performed?

Vasectomy is a minor procedure that typically takes less than 30 minutes. There are two main methods:

Conventional Vasectomy

A small incision is made in the scrotum to access and cut the vas deferens, which are then tied or cauterized.

No-Scalpel Vasectomy

A special tool is used to make a tiny puncture instead of an incision. This technique causes less pain, bleeding, and infection risk, and offers faster recovery.

Both methods are performed under local anesthesia, and most patients can return to light activity within 1–2 days.

Benefits of Vasectomy as Male Contraception

Vasectomy has an effectiveness rate of over 99%. Additional benefits include:

No impact on hormones, libido, or sexual function
Safer than long-term hormonal birth control for women
Quick procedure, no hospital stay required
Minimal side effects and complications
Long-term solution for couples who do not want more children

Vasectomy Myths and Facts

Many myths surrounding vasectomy discourage men from considering the procedure. Here are some facts:

Myth: Vasectomy causes impotence

Fact: Vasectomy does not affect erection, libido, or orgasm.

Myth: Sperm “builds up” inside the body

Fact: Sperm continues to be produced but is naturally reabsorbed by the body.

Myth: Vasectomy is immediately effective

Fact: It takes a few weeks or ejaculations for sperm to completely clear from semen. A semen analysis is required to confirm.

Can a Vasectomy Be Reversed?

Technically, yes. Vasectomy can be reversed through a procedure called vasovasostomy, but the success rate decreases over time and is not guaranteed. Therefore, vasectomy should only be chosen if you and your partner are certain about not wanting more children.

Side Effects and Recovery

After the procedure, some men may experience mild swelling, pain, or bruising in the scrotum. These symptoms are usually temporary and resolve within a few days. Doctors typically recommend:

Applying ice packs during the first 24 hours
Wearing supportive underwear
Avoiding strenuous activity for a few days
Refraining from sexual activity until cleared by a doctor

Who Is a Good Candidate for Vasectomy?

Vasectomy is ideal for men who:

Have completed their family
Do not wish to have more children in the future
Want to help their partner stop using hormonal contraception
Seek a long-term, low-risk birth control option

Post vasectomy care

After undergoing a vasectomy, patients are advised to follow post-procedure care instructions to promote faster recovery and avoid complications. Here are the key points to keep in mind:

Rest and Recovery

Total rest is highly recommended for the first 24–48 hours. Avoid strenuous activities, heavy lifting, or intense exercise for at least 3–7 days. Applying ice packs to the scrotum can help reduce swelling.

Pain Management

Patients may take pain relievers such as ibuprofen as recommended by their doctor. Supportive underwear (such as briefs or athletic supporters) can help reduce discomfort.

Wound Care

The incision area should be kept clean and dry for at least 48 hours. Avoid soaking in baths, swimming, or taking hot showers until the wound has fully healed. Showering is allowed after 24 hours.

Sexual Activity and Protection

Sexual intercourse should be avoided for at least 7 days after the procedure. Even after the vasectomy, patients must continue using condoms or other contraceptive methods until a sperm analysis confirms that no sperm remain.

Post-Vasectomy Sperm Analysis

To confirm that the procedure was successful, patients must undergo a semen test 2–3 months after the procedure or after about 15–20 ejaculations. If two consecutive tests show no sperm, the patient is considered medically sterile.

When Should You Consult a Doctor?

If you are considering vasectomy as a contraceptive method, consult a urology specialist first. The doctor will explain the benefits, risks, and help ensure that you fully understand the implications of the procedure. The medical team at RS Abdi Waluyo is ready to provide professional, safe vasectomy services. Call 021-3144989 or book an appointment online for further discussion.

FAQ

What is a vasectomy?

Vasectomy is a permanent male contraceptive procedure that involves cutting or sealing the sperm ducts (vas deferens), so sperm does not exit during ejaculation.

Does vasectomy affect sexual performance?

No. Vasectomy does not affect erections, sexual desire, or orgasm. Men can continue sexual activity as usual.

Is vasectomy immediately effective?

No. It takes several weeks or ejaculations to clear all remaining sperm from semen. A semen analysis is needed to confirm sterility.

What’s the difference between conventional and no-scalpel vasectomy?

Conventional vasectomy involves a small incision, while no-scalpel uses a puncture without a blade. No-scalpel is less painful and has quicker recovery.

Can vasectomy be reversed?

Technically yes, through surgery (vasovasostomy), but it’s not always successful. Vasectomy should be chosen when you are certain about not having more children.

What are the side effects after vasectomy?

Mild swelling, pain, or bruising in the scrotum may occur temporarily and typically go away within a few days.

Resource :

Vasectomy: A Safe, Effective, and Low-Risk Contraceptive Option for Men