There exists concern among many men that ejaculation after vasectomy will somehow be different and that these differences might influence sexual performance or desire. The good news for most men is that they really won’t see much change between the way they ejaculated before and after the procedure. Volume of ejaculate remains almost identical; it looks the same and should feel the same too.
For those still concerned about the issue, it can help to review the ejaculation process and the changes that it undergoes when a vasectomy is performed. Ejaculate is made up of a combination of fluids. Part of this is sperm that is made in the testicles and gets pushed into the vas deferens, but part of it is sometimes called semen, though semen can be a name used for the fluid that contains sperm too. This fluid arises from other parts of the male reproductive system, and these parts undergo no change. They will work as well as they did before.
The only difference, is that vasectomy blocks the path of sperm joining with the semen. Therefore, ejaculation after vasectomy is simply semen minus the sperm. It helps even more to know that the amount of that percentage of sperm in an ejaculatory emission is about 5% or lower. Basically, the vasectomy has reduced the total fluid volume by about 5%. The other 95% of the fluid is still there.
It is important to make a few more distinctions clear. In the early days after this procedure, the ejaculate a man produces after a vasectomy could still contain sperm. Usually, doctors suggest a three to six month waiting period before people engage in unprotected sex if they are avoiding pregnancy. Most men will be asked to provide two sperm samples in the months following a vasectomy to verify that the procedure was successful. Quite often, the procedure is successful, but most people don’t want to leave this up to chance.
With these safeguards in place, it bears repeating then, that ejaculation after a vasectomy is very unlikely to cause only a minute difference in ejaculate. It shouldn't change the pleasure derived from the experience, and the quality and quantity of semen remains roughly the same. The only difference is semen is absent a small amount of sperm. Most men and their partners do not find this absence problematic or less pleasurable.
After Vasectomy Information
Men often have concerns about their ejaculation or pain following a vasectomy procedure. Luckily, most men just experience minor problems, if any at all.
Below is information about after-vasectomy care and practices to ensure that nothing in the procedure has gone awry.
Initial Ejaculations
Doctors recommend waiting a few days or a week to ejaculate after a vasectomy procedure. Here are some restrictions for post-vasectomy recovery:
- Intercourse
- Oral sex
- Masturbation
- Other activities that cause ejaculation
Many men do not have any adverse side effects or feeling the first time they ejaculate after a vasectomy, but some do feel slight pain or discomfort. Therefore, it’s best to wait at least a week before engaging in any sexual activities.
It’s also worth noting, that the first 15-20 ejaculations after a vasectomy will likely still contain sperm. To avoid pregnancy, one should not have unprotected sex for quite some time after a vasectomy.
Blood in Semen
Small amounts of blood in semen following a vasectomy means that hematospermia or hemospermia has developed. This condition means one or part of the two tubes that were severed has ruptured slightly, but this is normal and just part of the healing process after the operation.
When noticing excessive blood, patients should call their doctor and schedule a visit. However, small amounts are normal during the first month after the procedure.
Some may even notice that their semen is no longer white or clear and is a light brown color. But brown semen is often just a sign of traces of blood in the ejaculate and not a cause for serious concern.
Unprotected Sex
As mentioned above, patients should wait at least six months to have unprotected sex after a vasectomy or until the doctor has cleared them, meaning there is no sperm in the ejaculate.
Since the first 15-20 ejaculations can still have semen, patients need to wait until the system flushes out and the sperm begins to dissipate from the semen.
Pain
A major concern for most men after a vasectomy procedure is that they’ll be in severe pain afterward. However, most do not feel any real pain, only mild discomfort or dull aching.
But others report they feel as if they’ve been kicked in the testicles, which seems to be the worst end of the spectrum.
Aftercare
There are a few steps to take following a vasectomy to avoid infections and pain. These are simple practices to help one feel better faster following this procedure.
Rest
Do not do any strenuous physical activity for the first one or two weeks after the operation. As discussed, this includes any rigorous sexual activity.
The testicles will likely be in mild discomfort following the procedure, so one should not subject them to any situation where they could be hit or moved around excessively.
Ice
Most men figure this out on their own, but icing the area can help soothe the ache and reduce discomfort. Just a Ziploc bag full of ice and gently hold it over the genitals for up to ten minutes. Patients can also use a cold pack on the groin area if they have one.
Hygiene
Make sure to practice good hygiene after the operation. Patients should not increase the possibility of infection or cause a rash, like a staph infection, because they were hesitant to hop in the shower while still sore.
Medicate
If the testicles and groin area are in considerable pain, one can take some mild pain relievers such as ibuprofen or acetaminophen.
Keep It Loose
Do not wear any tight-fitting underwear or pants following the vasectomy. Some men may feel this will help with the aching feeling, but it can make it worse and cause complications. Wear boxers instead of briefs and loose-fitting pants like sweatpants or basketball shorts.
Are Vasectomies Really Reversible?
If planning to get a vasectomy patients should consider it a permanent procedure. However, another procedure called vasovasostomy can reverse the vasectomy, allowing sperm to flow into semen before ejaculation.
But a vasovasostomy is much more complex than a vasectomy, and there is no guarantee that the vas deferens can be successfully reconnected.