Permanent birth control is a decision that doesn’t just involve cisgender women—it’s something that affects cisgender men, transgender individuals, gender-diverse people, and those who are intersex as well. For individuals with testicles, a vasectomy is the most reliable form of permanent birth control outside of abstinence. During the procedure, the vas deferens, which are the tubes that carry sperm, are either cut or sealed off. This prevents sperm from mixing with semen and being ejaculated.
Vasectomies are incredibly effective, boasting a failure rate of less than 0.5%. This means there’s a very small chance of live sperm being present in semen or a pregnancy occurring after the procedure. Despite their high success rate and safety, there are still some common myths and fears surrounding vasectomies. Let’s break down these misconceptions so you can feel confident when considering this option for family planning.
**Myth 1: Vasectomies affect sexual performance or cause erectile dysfunction.**
A vasectomy doesn’t interfere with the production of testosterone or other factors that influence sexual performance. Things like testosterone levels, nerve input, and blood flow to the penis—critical for erections—are not impacted by the procedure. It’s also worth noting that the testicles only contribute a small portion of the fluid in semen (about 5%), so the majority of seminal fluid is unaffected.
**Myth 2: Sex won’t feel the same after a vasectomy.**
On the contrary, many people find that sex becomes more enjoyable after a vasectomy. Once the concern about an unplanned pregnancy is removed, couples often report improvements in sexual satisfaction and frequency.
**Myth 3: Vasectomies increase your risk of cancer.**
Studies show there is no connection between vasectomies and higher rates of prostate or testicular cancer. While men who’ve had vasectomies may develop these conditions later in life, there’s no evidence to suggest the procedure itself is a direct cause.
It’s worth noting that a vasectomy won’t protect against sexually transmitted infections (STIs). To lower your risk, you should still practice safe sex and use protection.
**Myth 4: Vasectomies are irreversible.**
While a vasectomy is often considered a permanent form of birth control, it can be reversed. Success rates for reversals are typically 70–80% within 15 years of the procedure. Beyond that timeframe, the chances of success drop to less than 50%. However, reversals tend to be expensive and often aren’t covered by insurance. Because of this, it’s important to approach a vasectomy as a long-term decision unless you’re certain it’s the right choice for your family planning goals.
**Myth 5: Vasectomies are painful.**
A vasectomy is a relatively simple and low-pain procedure. It usually takes less than 30 minutes and is performed using a local anesthetic. You might experience a brief sting from the numbing medication and some pressure or tugging, but sharp pain is rare. Many providers now use the no-scalpel method, which involves making a small puncture rather than cutting into the skin, leading to fewer complications and faster recovery times.
After the procedure, most people manage mild swelling with ice packs and over-the-counter pain relievers. You can typically return to light work in two to three days, heavier activities in about a week, and regular sexual activity after seven days. Follow-up includes a semen analysis about three months after the procedure to ensure no sperm remain in the semen.
**Making the Decision for a Vasectomy**
Deciding to get a vasectomy is a personal choice. Talk to your partner if applicable, and consider what’s best for your life and family. Share any concerns with your healthcare provider so they can provide detailed information and guidance.
Here are a few things to keep in mind:
– Vasectomies are safer, more effective, and less expensive than tubal ligation, a permanent birth control option for women.
– While not permanent, vasectomy reversals can be costly and are often not covered by insurance.
– Men over 65 may need to pay out of pocket for the procedure if Medicare doesn’t cover it.
– A vasectomy won’t protect you from STIs. Condoms are still important if STI prevention is a concern.
For further information and to discuss the procedure, reach out to your healthcare provider and explore your options to determine if a vasectomy is the right step for you.