What is a vasectomy?

A vasectomy is a method of contraception.  It's a minor procedure to prevent the sperm that is produced by the testicles from reaching the ejaculation fluid.

Does it work immediately as a contraceptive?

No.  Couples should continue to use their present form of birth control until specimens are checked to see whether or not sperm is present.

Will my sex life be affected?

Desire and performance are not affected.  You should not notice any change in the fluid or volume of fluid because sperm only makes up about 10 percent of the ejaculation fluid.

Can a vasectomy be reversed?

It can, but couples should approach it as a permanent procedure.  Reversals can be performed, but they are not always 100 percent successful.  Also, insurance usually does not pay for reversals, so it can be expensive.  Sperm banking is an effective option for those who are concerned about the possible need for a reversal.

What are the risks and complications?

The outpatient procedure takes about 20 minutes.  There may be some swelling and bruising, and the patient should not under go strenuous activity right away.  Usually, if the procedure is done on a Friday, the patient is back to work at the first of the next week with limited physical activity.

What is the failure rate?

When compared to a tubal ligation, the failure rate is much less, less than 1 percent.  But it does happen, which is why we stress the importance of using birth control until specimen tests confirm that the semen is free of sperm.