General Information: Vasectomy has a low risk of problems and can usually be performed in an outpatient setting under local anesthesia. Before getting a vasectomy, however, you need to be certain you don't want to father a child in the future. Vasectomy is considered a permanent form of male birth control. Vasectomy offers no protection from sexually transmitted infections. During a vasectomy, the vas deferens from each testicle is clamped, cut, or otherwise sealed. This prevents sperm from mixing with the semen that is ejaculated from the penis. An egg cannot be fertilized when there are no sperm in the semen. The testicles continue to produce sperm, but the body reabsorbs the sperm. (This also happens to sperm that are not ejaculated after a while, regardless of whether you have had a vasectomy.) Because the tubes are blocked before the seminal vesicles and prostate, you still ejaculate about the same amount of fluid.
Advantages of Vasectomy are-
Vasectomy is nearly 100 percent effective in preventing pregnancy.
Vasectomy is an outpatient surgery with a low risk of complications or side effects.
The cost of a vasectomy is far less than the cost of female sterilization (tubal ligation) or the long-term cost of birth control medications for women.
You won't need to take birth control steps before sex, such as putting on a condom.
Types of Vasectomy:
During a conventional vasectomy, the skin of your scrotum is numbed with local anesthetic. The doctor makes two small incisions (cuts), about 1cm long, on each side of your scrotum.
The incisions allow your surgeon to access the tubes that carry sperm out of your testicles. These tubes are known as vas deferens. Each tube is cut and a small section removed. The ends of the tubes are then closed, either by tying them or sealing them using diathermy (an instrument that heats to a very high temperature).The incisions are stitched, usually using dissolvable stitches, which will disappear naturally within about a week.
No-scalpel vasectomy is usually carried out under local anesthetic. During a no-scalpel vasectomy, the doctor will feel the vas deferens underneath the skin of your scrotum and then hold them in place using a small clamp.
A special instrument is then used to make a tiny puncture hole in the skin of the scrotum. A small pair of forceps is used to open up the hole, allowing the surgeon to access the vas deferens without the need to cut the skin with a scalpel. The tubes are then closed in the same way as in a conventional vasectomy, either by being tied or sealed.
During a no-scalpel vasectomy, there will be little bleeding and no stitches. The procedure is also thought to be less painful, and less likely to cause complications than a conventional vasectomy.
Call right away if you have signs of infection, such as blood oozing from the surgery site; a temperature of more than 100.4℉ (38℃), or worsening pain or swelling.
The only indication for a vasectomy is a desire for permanent sterility and it is with this purpose in mind that the operation should be undertaken. If it is in the mind of the patient that at some future point the vasectomy can be reversed, so that sterility can be changed into fertility, the vasectomy should probably be postponed. Vasectomy is a safe and effective birth control choice for men who are certain they don't want to father a child.
Are in a relationship, and both partners agree that they do not want any more children. They do not want to use, or cannot use, other forms of birth control.
Are in a relationship, and their partner has health problems that would make pregnancy unsafe for her
Are in a relationship, and one or both partners have genetic disorders that they do not want to risk passing on to their children
This surgery is purely voluntary and sufficiently simple so that there are virtually no contraindications though there are situations in which the man may regret the choice
-Single or recently married
-Wife is opposed to sterilization
-Having been pressured into having the procedure
-Being under the age of thirty
-Decision made immediately after childbirth
-When there are few alternative methods available
Vasectomy reversal has a low success rate of achieving pregnancy and is often not a covered benefit of insurance plans. Some men have had sperm frozen just in case a child is desired later. Because a man who considers this probably still has doubts, it is probably best he does not undergo a vasectomy
Following a vasectomy, you'll have some bruising, swelling and pain. It usually gets better within a few days. Your doctor will give you instructions for recovery. Your doctor may tell you to:
Support your scrotum with bandage and tight fitting underwear for at least 48 hours after your vasectomy.
Apply ice packs to the scrotum for the first two days.
Limit activity after surgery. You'll need to rest for 24 hours after surgery. You can probably do light activity after two or three days, but you'll need to avoid sports, lifting and heavy work for a week or so. Overdoing it could cause pain or bleeding inside the scrotum.
Refrain from bathing or swimming for at least 24 hours after surgery.
Avoid any sexual activity for a week or so. If you do ejaculate, you may feel pain or notice blood in your semen. If you have sexual intercourse, use another form of birth control until your doctor confirms that sperm are no longer present in your semen.
Avoid strenuous activities, such as aerobics and jogging. This is to decrease the chance of a blood pressure elevation that could cause a bleed.
Common things to expect at home:
It's common to have some mild discomfort, swelling and bruising of your scrotum for a few days after the vasectomy. If you have pain or discomfort, you can take painkillers, such as paracetamol. Contact your doctor for advice if you are still experiencing considerable pain after taking painkillers.
It's common to have blood in your semen in the first few ejaculations after a vasectomy. This isn't harmful.
Wearing close-fitting underwear, such as Y-fronts, during the day and at night will help to support your scrotum and will also help ease any discomfort or swelling. Make sure you change your underwear every day.
It is safe for you to have a bath or shower after your operation, but make sure you dry your genital area gently and thoroughly.
Most men will be fit to return to work one or two days after the vasectomy, but you should avoid sport and heavy lifting for at least one week after the operation. This is to minimize the risk of developing complications. If any symptoms continue after a few days, consult your doctor.
You can have sex again as soon as it is comfortable to do so, although it is best to wait for a couple of days. However, you will still have sperm in your semen immediately after the operation, as it takes time to clear the remaining sperm in your tubes. It takes an average of 20-30 ejaculations to clear the tubes of sperm. You will need to use another method of contraception until you have had two clear semen tests.
Once the operation has been carried out successfully and semen tests have shown there is no sperm present, long-term partners may not need to use other forms of contraception.
However, a vasectomy does not protect against HIV infection or any other sexually transmitted infections, so you should still use condoms with any new partner.
After the vasectomy, there will be some sperm left in the upper part of the vas deferens tubes. It can take more than 20 ejaculations to clear these sperm from the tubes so, during this time; there is still a risk of pregnancy.
Until it has been confirmed that your semen is free of sperm, you should continue to use another form of contraception.
Your scrotum will be numb for 1 to 2 hours after a vasectomy. Apply cold packs to the area and lie on your back as much as possible for the rest of the day. Wearing snug underwear or a jockstrap will help ease discomfort and protect the area.
You may have some swelling and minor pain in your scrotum for several days after the surgery. Unless your work is strenuous, you will be able to return to work in 1 or 2 days. Avoid heavy lifting for a week.
Most men go back to the doctor's office to have their sperm count checked. But there is also a home test available.
A vasectomy will not interfere with your sex drive, ability to have erections, sensation of orgasm, or ability to ejaculate. You may have occasional mild aching in your testicles during sexual arousal for a few months after the surgery.
Some family medicine or general practice doctors do vasectomies, but most are done by doctors who specialize in the male reproductive system (urologists).
Talking to your doctor: Deciding to get a vasectomy can be a tough decision, since you won't be able to father a child in the future. Before doing a vasectomy, your doctor will want to meet with you to be sure it's the right form of birth control for you.
At the initial appointment (consultative visit) be prepared to discuss:
Your understanding that vasectomy is permanent, and that it isn't a good choice if there's any chance you might want to father a child in the future
Whether you have children and how your partner feels about the decision, if you're in a relationship
Other methods of birth control available to you
What vasectomy surgery and recovery involves, and possible complications
Before surgery: Doctor will give you instructions on how to prepare. You may
Stop taking aspirin or other blood-thinning medications several days before your surgery. These can include warfarin (Coumadin), heparin and aspirin and other over-the-counter pain medications such as ibuprofen (Advil, Motrin, others).
The day of the surgery, use scissors to cut the hair around the surgery area. Then shower or bathe, being sure to wash your genital area thoroughly.
Bring a pair of tightfitting underwear or an athletic supporter to wear after the procedure to support the scrotum and minimize swelling.
Arrange for a ride home to avoid movement and pressure on the surgery area caused by driving.
A vasectomy is usually done at a doctor's office or surgery center under local anesthesia, which means you'll be awake and have medicine to numb the surgery area.
During surgery: Vasectomy surgery usually takes about 15 to 20 minutes. To perform a vasectomy, your doctor will likely follow these steps:
Numb the surgery area by injecting a local anesthetic into the skin of your scrotum with small needle.
Make a small cut (incision) in the upper part of your scrotum once the surgery area is numb. Or with the "no-scalpel" technique, make a small puncture in the scrotum instead of an incision.
Locate the tube that carries semen from your testicle (vas deferens).
Withdraw part of the vas deferens through the incision or puncture.
Cut the vas deferens where it has been pulled out of the scrotum.
Seal the vas deferens by tying it, using heat (cauterizing) or surgical clips. Then your doctor will return the ends of the vas deferens to the scrotum.
Stitch up the incision at the surgery area. Stiches aren't necessary if your doctor has used the no-scalpel technique.
Schedule for Consultations/Diagnostic tests: Your healing will probably proceed uneventfully, and no routine follow up visit will be scheduled for you. But if you are uncertain about how you are healing, if you are having pain or other concerns, please call the doctor's office.
At least eight weeks after the procedure you will need to produce a sample of semen which will be tested for sperm. This will also help to identify the rare cases in which the tubes naturally rejoin themselves. Once tests have confirmed that your semen is free of sperm, the vasectomy is considered successful and you can stop using additional contraception.
-2-7 days of rest is required after the surgery. Most people are able to return to work one week after the operation. So plan accordingly and arrange for leave. Follow your surgeon's advice about returning to work and leisure activities.
-Avoid driving until you are on pain medications.
-A vasectomy doesn't provide immediate protection against pregnancy. Use an alternative form of birth control until your doctor confirms there are no sperm in your semen. Before having unprotected sex, you'll need to wait up to three months or longer and ejaculate 20 times or more to clear any sperm from your semen.
-Most doctors do a post-surgery check three months after surgery to be certain that no sperm are present. You'll need to give your doctor sperm samples to examine. To produce a sperm sample, your doctor will have you masturbate and ejaculate into a container. Your semen is then examined under a microscope to see whether sperm are present.
-Vasectomy is an effective form of birth control, but it won't protect you or your partner from sexually transmitted infections, such as chlamydia or HIV/AIDS. For that reason, you should use condoms if you're not in a committed relationship even after you have a vasectomy.
The healing of the surgical area depends on your nutrition status and overall health. Hence an adequate balanced diet is important for speedy recovery.
It is best for patients to eat a light, soft, and cool diet as tolerated once recovered fully from the anesthetic. Even though the individual may be hungry immediately after surgery, it is best to proceed slowly with food intake to prevent postoperative nausea and vomiting. It is important to remember that a good overall diet with ample rest promotes healing.
Here are some simple ways to eat more nutritiously:
Keep your food portions small.
Learn to read labels for fat and calorie content. Choose nutritious foods with lower calories and fat choices.
Have vegetables and fruit more often than juice.
Snack on veggies with low fat dip or on air popped popcorn.
Do not skip breakfast skipping meals causes impulse eating.
Drink water when you are thirsty. This will help you drink 6 - 8 glasses of water each day.
Choose foods from the four main food groups: bread and grains, fruit and vegetables, meat and alternatives and dairy products and alternatives.
Slow down. Take time to enjoy your meal. Notice when you feel full.
THE EATWELL PLATE
Use eat well plate to help you get the balance right. It shows how much of what you should eat should come from each food group.
Sample Diet Plan
-1 Cup (250ml) lukewarm water with 1 Tbsp. lemon
juice and 1/2 tsp. honey
-2 soaked figs/ 4 soaked almonds
-1 Rava Dosa/ 2 Idlis OR Toast with cream cheese OR
Oats with vegetables
-1 glass milk/ 1 cup coffee/ Tea
-1 medium Apple OR 1 medium Banana
-1 cup of Sprouts lightly seasoned
-1 large bowl of
Salad (carrots, cucumbers, beets, tomatoes and onions)
(Dressing - mix
Olive oil or cream, lemon juice and pepper)
-2 Multigrain phulka OR Jowar Roti
-1 Cup Palak/Plain Dal OR 1 Cup Paneer
-1 Cup yogurt/ curds
-1 Multigrain Muffin/ 2 biscuits
-1 glass of Milk Shake/ Fruit smoothie / Tea/ Coffee
Mixed sprouts OR Chole salad or 1 Cup Soup, preferably with cream
Brown rice with 1 Cup Mixed vegetable sambar OR 1 Cup Brown rice Pulav with 1 small bowl
of Raita made with yoghurt
Cauliflower curry OR Bottle gourd (Lauki) curry
-1 Whole grain bread
-1 Portion of Sweet dish
-1/2Cup milk with cardamom
Life Long Instructions: Quit smoking and cut down on alcohol. Limiting sugar, caffeine, and alcohol can promote health and reduce stress. Take your diet and exercise plan seriously