Vasectomies are the most effective from of birth control, considered to be more than 99% effective in preventing pregnancy. The vasectomy itself is a permanent minor surgery that prevents the introduction of sperm to semen, rendering ejaculated semen unable to fertilise the egg and impregnate one’s partner. Not only does this function as a very effective contraceptive, it renders inconvenient methods that may also have negative effects (like Emergency Contraceptive Pills) unnecessary. There’s very little need to worry about planning intercourse ahead of time, ensuring that you have condoms ready, or consulting a doctor with your partner about their hormonal levels in regards to contraceptive pills. Vasectomies curb all of that, without hampering personal pleasure.
If you’re considering getting a vasectomy, a urologist is the specialist you need to consult. We recommend looking at a Urologist in Lahore if in the area.
The treatment itself is quite simple, and is perfectly represented by the common slang phrase ‘getting snipped’. This is because the main part of the procedure entails cutting a tube known as the vas deferens, and tying the ends shut.
The vas deferens runs from the epididymis, coiled tubes leaving the testes (through which the sperm leaves), towards the prostate, taking the sperm behind the bladder and joining with the seminal vesicle to form the ejaculatory duct. This is where the seminal fluid mixes with the sperm, and this mixture is usually what makes up ejaculate. However, when the vas deferens is cut and tied, the sperm cells can’t make their way to the prostate, and won’t merge with the seminal fluid. This renders your semen unable to fertilise an egg. Instead of mixing with seminal fluid, the sperm will be reabsorbed into the body.
Now that you know what the basis of the procedure is, you should also be aware that there are slight variations in the treatment you can have:
Conventional vasectomies entail cutting the skin of the scrotum to reach the vas deferens, followed by cutting the tube and tying the ends shut. Additionally, the surgeon may also sear the ends before tying. The cuts on the scrotum may be left to heal naturally, or can be aided with dissolvable stitches.
No-scalpel vasectomies require the urologist to feel the outside of your scrotum for the vas deferens. Once located, it is held in place with a small clamp, and a tiny hole is made and stretched such that the tube can be lifted out and cut and tied as in conventional vasectomies. After this, the ends are placed back in the scrotum, and the hole is left to heal on its own.
Firstly, immediately after the procedure, there is no guarantee you will not be able to impregnate your partner, since latent sperm may still travel to the seminal fluid. Hence, it’s recommended that you test your semen for sperm before having unprotected sex.
There is also the potential risk of bleeding into the scrotum immediately after surgery. Swelling is an indication of this, and should be looked at by your urologist as soon as possible.
Post-vasectomy pain syndrome may also follow, which is steady pain in the scrotum. This may be reduced using anti-swelling medication, though the exact cause is not clear.
If you’re convinced that a vasectomy is the best option for you, we suggest consulting a Top Urologist in Karachi, or one that’s more convenient for you, about the particulars of the procedure.
Although a vasectomy is highly effective, it is permanent and therefore a huge commitment, and should be well-considered.