No-Scalpel Vasectomy FAQs

Frequently Asked Questions

What are the limitations of a vasectomy?

Sperm can still be released immediately after the procedure. You must use other contraceptive methods until sperm is confirmed to be absent from semen. This process usually takes two months. Vasectomy does not prevent sexually transmitted infections (STI’s).

Does a vasectomy affect a man's masculinity, erectile function, or testosterone?

Absolutely not. The procedure has no effect on sex drive, the ability to have an erection, testosterone production, or other male sex characteristics.

Will a vasectomy patient still be able to ejaculate?

Yes, and with just about the same volume. This is because most of the ejaculate is made in the seminal vesicles and the prostate gland, which are not affected by a vasectomy.

Will I experience much pain?

Dr. Zargaroff provides the most comfortable vasectomy procedure by combining the least invasive techniques with the most comprehensive range of anesthesia options, including in-office nitrous oxide inhalation sedation and general anesthesia in our surgery center.

Does a vasectomy have long-term health risks?

There are no proven long-term health risks from a vasectomy. Men who have vasectomies are no more likely than other men to develop heart disease, cancer, low testosterone, or other illnesses.

How effective is a vasectomy?

Vasectomy is nearly 100 percent effective in preventing pregnancy. In rare cases (about one in 2,000), the vas deferens may reconnect. Should this occur early, it will be detected by the sperm analysis done after the procedure.

How do you prepare for the vasectomy?

  • Disclose your medications to Dr. Zargaroff, including herbal medications and vitamins
  • Don’t take aspirin or other anti-inflammatory medications for one week before the procedure
  • Shave the underside of the penis and the scrotum several days before the procedure
  • Wash the area thoroughly the morning of the procedure with antibacterial soap
  • Don’t use powders or deodorants in the region on the day of the procedure
  • Wear loose-fitting pants to your appointment
  • Bring a pair of tight-fitting underwear or scrotal support to your appointment
  • Have a light meal before your procedure
  • Arrange to have someone drive you home after the procedure
  • Relax and recline at home for the rest of the day

What is recovery and aftercare like?

  • You may experience mild discomfort or pain in the groin or abdominal region. Dr. Zargaroff uses a long-acting anesthetic during the procedure to minimize this pain. A pain medication prescription will also be provided and may be taken as the anesthesia wears off
  • Resume sedentary work and normal activities the day after the procedure
  • Slowly resume strenuous work and activities after one week
  • Abstain from sex for one week
  • To prevent bleeding, avoid aspirin or other blood thinners for at least 2 days after the procedure
  • Apply ice packs periodically to the scrotum for the first two days
  • Resume showering the day after the procedure, but avoid immersion in water (pool/spa) for one week
  • Wear scrotal support for one week after the vasectomy
  • Get your semen tested about eight to twelve weeks after the procedure to ensure you no longer have sperm
  • Continue using contraceptive methods until a semen test confirms no sperm

When can I go back to work and other activities like sports?

You must not overdo it in the first week after your procedure. While one week is generally enough time before resuming normal activity, it takes two to three weeks for the body to fully recover.

When can I resume normal sex?

We recommend men abstain from sex for at least one week after the procedure.

Should birth control methods be immediately stopped after a vasectomy?

No. The vas deferens is a long hollow tube that needs to be “flushed out” after a vasectomy. Sperm can thus remain and may be ejaculated for a period. Thus, you should continue using birth control methods until a semen test after the procedure conclusively shows a zero sperm count. This is confirmed by testing semen samples about eight to twelve weeks after the procedure.

What happens to the sperm after a vasectomy?

Your testes continue to produce sperm normally, but the sperm is rerouted, so it doesn’t show up in the semen. The rerouted sperm gets reabsorbed naturally and safely by the body.

Can a vasectomy be reversed?

Yes, vasectomies can be reversed. However, reversal operations are complex and may not succeed. Therefore, only men who are confident that they will be happy with this life-long decision should choose vasectomy.

Does Dr. Zargaroff perform vasectomy reversals?

Yes. Dr. Zargaroff is one of a few microsurgeons in Miami trained at vasectomy reversal. A reversal can be attempted by way of re-attaching the vas deferens in a microsurgical fashion. The likelihood of the reversal leading to pregnancy depends on several factors, including the number of years since vasectomy, how it was done, and the partner’s age and fertility potential.