Vasectomy
How it works: A vasectomy is a procedure in which the vas deferens are cut, preventing sperm from travelling from the testicles to the penis.
There are 2 types of vasectomy performed under local anesthesia:
- Classic: consists of one or two small incisions on the side of the testicles to remove a segment of the vas deferens and then seal the ends, either with stitches, clips, ligature or cautery (burning);
- No scalpel: performed through a tiny opening in the skin of the scrotum, from which the procedure is then performed in the same way as for conventional vasectomy.
Mode of action: As the vas deferens are blocked, spermatozoa are no longer present in the semen. After vasectomy, the testicles will continue to produce sperm, which will be absorbed normally by the body, just as in non-vasectomized men. The quantity of sperm ejaculated will remain the same, but will no longer contain spermatozoa.
Efficiency: 99.9% in perfect use and 99.85% in typical use
Cost: The procedure is reimbursed by RAMQ.
Where can I buy it? This method is available in some hospitals and public and private medical clinics.
Benefits
- Vasectomy is considered permanent;
- Contraception is no longer necessary;
- The procedure has no effect on the ability to experience sexual pleasure.
Disadvantages
- Vasectomy is considered permanent. Surgery to reverse it is costly and not always successful;
- Vasectomy does not prevent sexually transmitted and blood-borne infections (STBBI).
- Vasectomy is not immediately effective: it takes an average of 3 months, or between 20 and 36 ejaculations, before there are no spermatozoa left in the semen.
FAQ
Is vasectomy reversible?
Vasectomy is considered an irreversible method. There is a technique for reconstructing the vas deferens, which allows a return to fertility. This procedure is called vasovasostomy. It requires a general anaesthetic. Its efficacy is limited and diminishes with the time elapsed since vasectomy.
What happens to the sperm after a vasectomy?
After vasectomy, sperm remain in the testicles and are reabsorbed into the bloodstream a few days after production. This mechanism for destroying old spermatozoa already exists in the body and serves to destroy those of poor quality. The person will continue to produce sperm for the rest of his or her life.
Is vasectomy effective immediately?
Vasectomy is not immediately effective: it takes an average of 3 months, or between 20 and 36 ejaculations, before there are no spermatozoa left in the semen. It is also possible, though not compulsory, to have a spermogram after this period to ensure the success of the procedure.
