1. What do I need to do prior to my vasectomy?
2. What do I need to do after my vasectomy?
3. When can I return to work?
4. When can I resume sexual activity?
5. Do I need to have a semen sample checked after my vasectomy?
6. How many ejaculations do I need to have in order to eliminate all sperm from my reproductive system?
7. What happens to the sperm that my body continues to produce after my vasectomy?
8. Will a vasectomy have any impact on my sexuality/performance?
9. Do you perform a conventional or a no-scalpel vasectomy?

• Complete your consultation and physical exam.
• Complete and sign all forms and surgical consent.
• Check with your insurance carrier regarding coverage for the consultation and the vasectomy.
• Wash your genitals thoroughly with soap and water the night before and the day of your vasectomy.
• Shave or trim the hair of the upper scrotum
• Eat a light meal prior to your procedure.
• Wear or bring a supportive undergarment with you the day of your vasectomy.

• Go straight home; put your feet up or lie down; place an icepack/cold pack on the upper scrotum. Do not apply ice or the cold pack directly against the skin.
• Engage in minimal activity for the remainder of the day; engage in light activity for the first two days following your procedure.
• Wear a supportive undergarment (athletic supporter, snug jockey briefs, bike shorts or training shorts) for the first week after your vasectomy, especially when you are up and around.
• You may shower the day after your vasectomy. You do not need to remove the band aids and you do not need to scrub the incision sites.
• Keep the vasectomy incisions covered with a band aid for the first three days following your procedure.
• Apply an antiseptic such as betadine, Bactine or Neosporin to the incision sites prior to replacing a band aid and after you have discontinued using a band aid.
• Use Tylenol or the prescription medication provided by your doctor. Do not take aspirin or non-steroidal anti-inflammatory drugs (NSAID) such as ibuprofen, Advil, Alleve, etc. for five days after your vasectomy.

Most men return to work two days after their vasectomy (vasectomy on Friday, return to work Monday)

It is not unusual to have some mild to moderate discomfort/pain associated with mild bruising and swelling of the scrotum for the entire first week after your vasectomy. Significant pain, bruising and swelling is unusual. The more physically active you are at work or at home after your vasectomy, the more discomfort you will experience.

You may resume sexual activity one week after your vasectomy. You will need to continue to use some form of contraception until sterility is confirmed. It is our policy to perform follow-up semen analyses starting at ten weeks after your procedure.

Yes, you must have two consecutive, negative semen samples before you are considered sterile.

You can begin to drop off semen samples at our office ten weeks after your vasectomy.

Bring the semen sample in a container that has a secure lid (e.g. film container, baby food jar, medicine container, etc.). Do not bring the sample in a condom or plastic bag. Do not refrigerate the specimen.

Bring the specimen the office within 24 hours of collection.

You do not need to schedule an appointment to drop off your specimen; but please call to ensure that someone is in the office to receive and process your specimen. Do not leave your specimen in the hall outside the office.

No. A vasectomy will have no impact on your ability to obtain or maintain an erection, nor will it have any detrimental impact on your sex drive. In fact, many men feel more confident about their sexuality because they no longer fear an unplanned pregnancy.

The quality, quantity and appearance of the semen will not change.

We perform a conventional vasectomy. We believe the most important factor relating to a good surgical outcome is surgeon experience and not the surgical technique utilized. All the physicians in our practice are highly trained and experienced in performing a conventional vasectomy.

We do not use a laser in performing a conventional vasectomy.

Following a vasectomy, no new sperm traverse the reproductive passages; however, all old sperm within the passages must be eliminated through a series of ejaculations. We ask that you abstain from intercourse and ejaculation during the first week following your vasectomy.  Over the subsequent nine weeks, you will need to have 15-20 ejaculations.  After 15-20 ejaculations, you have a seventy –five percent chance of having cleared all the old sperm from your reproductive passages.  If your first checked sample is negative for the presence of sperm, drop off a second sample one week later.  If your first sample is positive, you need to have 10 more ejaculations prior to dropping off your next sample.  After the first 10 weeks, the time interval for the additional 10 ejaculations is not important.  A small percentage of men will require a significant number of ejaculations to clear the system.  If sperm persist in the system for greater than or equal to 12 months following your vasectomy, consideration will be given to repeating the procedure.

Following a vasectomy, the testicles will decrease the number of sperm that they produce.  Second, the body will increase the process of sperm breakdown and reabsorption.  Over a period of time, the equilibrium between sperm production and sperm reabsorption is fine tuned.