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What Is Ejaculation after Vasectomy like?

Tricia Christensen
Updated Mar 03, 2024
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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.


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.


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.


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.


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.


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.


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.

The Health Board is dedicated to providing accurate and trustworthy information. We carefully select reputable sources and employ a rigorous fact-checking process to maintain the highest standards. To learn more about our commitment to accuracy, read our editorial process.
Tricia Christensen
By Tricia Christensen
With a Literature degree from Sonoma State University and years of experience as a The Health Board contributor, Tricia Christensen is based in Northern California and brings a wealth of knowledge and passion to her writing. Her wide-ranging interests include reading, writing, medicine, art, film, history, politics, ethics, and religion, all of which she incorporates into her informative articles. Tricia is currently working on her first novel.
Discussion Comments
By anon1006045 — On Jan 20, 2022

Immediately after I did the vasectomy, I noticed that the ejaculation was considerably less and the orgasms were considerably weaker.

In addition, I have been in constant pain.

By anon1005412 — On Aug 23, 2021

Great thread. I had my vasectomy 14 years ago. I ended up disabled due to pain and got a reversal 5 years after the operation, which helped tremendously with the pain. After reversal, the color and quantity of ejaculate changed dramatically from watery and clear to viscous and white. My wife and I no longer have sex however, as I have almost no drive to have sex and no longer am physically affectionate. It's tragic, really. I feel that getting a vasectomy was the worst decision I ever made.

By anon1005394 — On Aug 18, 2021

Got to love an article about the sensation of the male ejaculation written by a woman.

As if she would know anything about the subject. She quoted the usual information given pre-vasectomy by the PCP and the urologist. Don't worry: they will change their story completely two weeks after the procedure if you are having any pain or swelling, etc.

I had a vasectomy 33 years ago and have experienced pain on a regular basis every since the procedure. I have now had 4 additional follow up surgeries and the pain remains. (My surgery was non-reversible from the start as doctor removed 3 inches of vas on each side)

As for the sensation after the vasectomy, as many others have commented, the libido is much less and the ejaculation is greatly reduced. There is no elation at the feeling of your testicles emptying as before. After sex, you are left with a feeling of extreme fullness and soreness as your testicles are still actively producing sperm with no means to release it.

To say I regret the surgery is a huge understatement and I can't tell you how many times my wife has expressed how sorry she is that she recommended the procedure.

By anon1005278 — On Jul 26, 2021

First and foremost, it's terrible that some of you have lost sensation. I thought I had it hard (no pun intended), however I noticed most of the same problems loss of volume, pressure, watery, and color.

I used to be like a modern day Peter North! I know my wife has suffered too, if I didn't get the job done and orgasmed before her my ejaculate would finish the job for me, now that's all history.

Post VP we would have sex multiple times daily, hell I have 5 kids to prove it. It was hard to get back to normal, but persistence paid off. Nearly two years later I'm starting to feel normal and have less frequent pre and post pain and have found taking a prostate supplement and doing pelvic exercises "the muscles used to stop peeing" have helped. It's not with the same grandeur, but hopefully, persistence will pay off again. I hope someone finds this helpful and don't give up folks!

Had I read this post two years ago, I would have never had the procedure. this should be common knowledge. Doctors need to make this info available, since it hadTan effect on my sex life. Thankfully things are getting better. I thought I was crazy to have these problems until today.

By anon1004330 — On Jan 17, 2021

Prior to vasectomy I used to shoot a foot or more during ejaculation, but after I just dribble a few blobs out and no intense pulsing. This started from the very first post vasectomy ejaculate. I still feel the orgasm, but it's not nearly as intense.

I also have discomfort in the epididymis on both sides. The doctor told me that happens often for her patients due to the method she uses to ensure permanent sterility. She told me that she has done thousands of procedures without even one failure and intends to keep it that way. She told me that she removed a significant vas segment (5-6cm in my case) and cauterized at least 1.5cm up both loose ends and also clips both ends and because the cut vas is so close to the testicle, it causes excessive back pressure on the epididymis. She said this caused blowouts on both of my epididymis (verified by touch and ultrasound). She told me that these blowouts will cause significant scarring within my epididymis and will ensure the procedure success and ultimately my permanent sterility (her words). She also told me that she performs vasectomies in a way that is meant to be permanent, not with reversal expectations.

She offered to remove my epididymis as a remedy, but told me that reversal was out of the question because of the extensive tube damage (approximately 8 or 9 cm in my case per the pathology report + cauterize damage). Per second opinion, I confirmed reversal is impossible.

This is very sad because I don't want the sperm back, but want the orgasm and ejaculations back to the way they were! Reversal seems to be the only hope based on research, but not an option for me.

Don't get one unless you are prepared to give up something near and dear to you and your bride's life!

By anon1003289 — On Jun 11, 2020

I had a vasectomy about 20 years ago because the drugs that my wife took for epilepsy could have diminished the effectiveness of the pill. We already had two sons. Discussions around this topic, including this thread, often conflate two separate processes: ejaculation and orgasm. We often equate them with each other because they tend to happen at the same time but they are, in fact, separate from each other and it's possible to have one without the other.

In terms of ejaculation, I experienced no noticeable change in the ejaculatory fluid. The only physical change of which I'm aware is that, sometimes, my scrotum can have a fuller appearance with fluid from the testicles unable to exit the body and sitting in the epididymis.

What I most certainly did notice straightaway, as others on this forum have done, is a dramatic reduction in orgasm. All the 'pent up' feeling has gone and ejaculation is no longer accompanied by a feeling of release. It is, in fact, a damp squid. I recently discussed a reversal with my doctor, stating that I wanted the feeling of pressure back. He had no idea what I meant and towed the usual medical line that vasectomy makes no difference.

When the medical profession hammered Masters and Johnson for their ground-breaking research on sex it should, instead, have set a path for objective research. Just why would men lie that a procedure they have put themselves through has had some negative outcomes?

I'm heartened to read here of at least one example where a reversal improved orgasm; it's not the sperm that I want for babies; it's the feeling when loving my wife.

I would still have had the vasectomy because we both agreed on not having more children. But now that my wife is through the menopause and contraception is not a concern, I'd like my feelings back and am exploring surgery.

By anon1003237 — On May 26, 2020

OK, one simple truth is that yes, it's easier for a guy to have a vasectomy, but there's less risk to a tubal ligation. A tubal ligation is more invasive is the only real issue, but overall, risks are less and there is a better chance to reverse it if somebody changes their mind. And yes, in reference to the 28 year old who had a vasectomy, I believe that's too young and his wife has no consideration for his feelings. I would tell him to run fast and far. That is not a lady worthy of being a wife

By anon1001982 — On Aug 08, 2019

I notice some posts from clearly the same type you'd find in traditional, conservative forums. People just spreading fear and doubt about contraceptive methods of all kinds.

I believe negative post-vasectomy experiences are true. But. what is the realistic amount of those cases and why not just do the reversal operation when it is hard to get along with post-operation. Why give up on the joy of sex?

By anon1001232 — On Mar 30, 2019

I had mine done 8 months ago just two weeks before my 28th birthday. I have no kids of my own. My right side still hurts. There is small, hard, painful lamp where the vas was cut. I hope it gets better.

My 36 year old wife has three kids with her first husband, so it was vasectomy or no sex. She made the appointment for me and got the referral from our GP, and I was never given a choice. I feel so sad because I will never be father, but she doesn't care. Please ladies if you love your husband don’t force him to do it; let him decide.

Oh, I tested negative five months ago and we still use condoms because “it feels more hygienic and less messy” according to her.

By anon999477 — On Jan 14, 2018

I had a vasectomy 14 years ago. For some reason the anesthetic didn't work on the left side and the doctor said "uh oh". In his experience that's associated with recovery not going as smoothly as in the textbook, because there's something about the structure there that's a little different from normal. I sort of wish we'd stopped there, but pressed on with enough lidocaine to stop a horse.

My convalescence was normal, although it took three or four weeks to stop being tender. Then the left epididymis was sore and swollen for several months-- this still flares up from time to time, and I have granulomas (small tender lumps) on both sides.

At first, I was so happy about the freedom from worry about unplanned pregnancy that I didn't really notice the other changes: 1. None of my pants fit anymore. I had to buy baggy ones with more room in the crotch, and that's still the case. I'm a rock climber and I still can't hang around in a harness as I could, without wiggling frequently to make more space. 2. Powerful spurts changed to a dribble (which I know doesn't make sense, but there it is...), and things feel sore and swollen down there for hours, sort of like "blue balls" used to feel, if I ejaculate more than once in a session. 3. Orgasm immediately is not as pleasurable, and shorter, and missing the pleasurable pulsation from the testicles.

4. Sometimes the orgasm is missing entirely-- lots of buildup, then dribbling ejaculation with no sense of release.

5. With the reduction in pleasure, there was an ongoing drop in enthusiasm (libido)-- and my partner and I went quickly from frequent to very occasional activity, and so it remains.

6. I have frequent weeklong episodes of hives (urticaria), always in the pelvic area or between knees and navel. Apparently most men develop antibodies to their own sperm after a vasectomy. The standard line about where the sperm goes that's blocked from exiting the body is that it "bounces around and is harmlessly absorbed", but sperm cells are good at tunnelling, and I guess inevitably they get somewhere your immune system can detect them, and as they have different genetics from your normal body cells, they can provoke an immune reaction. I've stuck all this out assuming it was "in your head", or that it would improve with time, but now considering a reversal, assuming that actually could make a difference.

By anon999041 — On Oct 16, 2017

I had it done in 1995 and I and had no problems. All the negative people either had a bad surgeon or it's in their heads. It's better than a woman having to go through the procedure of having her tubes tied. It's much easier for men.

By anon998288 — On May 08, 2017

I had a vasectomy in 2012 and I noticed immediately that my orgasms were less intense, watery and lacked that empty feeling (blue balls). I also began having recurring bouts of pain in my testicles that started at about 6 months post-vas and which increasingly got worse after 2.5 years After four years of pain from ordinary orgasms, I decided to have a reversal. Well let me tell you, my orgasm sensation pre-vas is back! Also the pain is gone! Posts such as these helped me pull the courage to have a VR and I'm glad I went through with it.

By anon998016 — On Mar 31, 2017

For all you posters talking about pain, it is not in your head. That pressure you feel in the epidemis is due to the fact that you are creating sperm with nowhere for them to go. If your urologist says its in your head, or prescribes antibiotics, run to a new doctor.

This is a real condition called PVPS or post vasectomy pain syndrome. It is real, debilitating and can ruin lives. There is a great online support forum for this condition. There are treatment options, but most urologists are ignorant of this. I suffered with this for two years, just got a reversal three weeks ago and eliminated ninety percent of my pain so far. I had congestive pain and little nerve pain. If this can help just one person get help, I'll be happy. Vasectomies should be outlawed.

By anon997161 — On Nov 22, 2016

My husband had a vasectomy and he immediately goes limp after his orgasm and never gets as hard as before. I cannot even tell he has had an orgasm and it is bad enough that I wonder if he is pretending.

I never wanted the vasectomy, and I'm hoping it is in my head because of my opposition or that it will get better with time as more healing occurs.

Honestly, I'm not sure how to proceed past this point. We are in marital counseling. He is making an effort in the marriage, but honestly, sex just sucks now for me. He has admitted that the climax feels weak to him as well. It would be easier to deal with the consequences as a couple if we had made the decision together. Time will tell what happens from here.

By anon996477 — On Sep 05, 2016

This is a great list of testimonials. I had a vasectomy about 4 weeks ago (Aug. '15). I am not sure whether it was a good idea. The first week I had severe pain which eventually turned into inflammation in the epididymis. The urologist took a look (this is 9 days post-op) and said "that's normal, it will go away, stop taking the antibiotics". It eventually diminished a bit but 2.5 weeks later, I developed an acute epididymitis on my left testicle whilst traveling abroad. I'm on antibiotics and ibuprofen for a week. It's been four days since diagnosis and the epididymis is still swollen.

The vas deferens (I think) is now about the size and consistency of a small marble but that only happened after I started treatment and resumed sexual activity. The pain is manageable but I am worried. What is this marble sized lump? Is this sperm backed up in the vas defrens?

After diagnosis of the epididymitis, why didn't the doctors tell me hat I should avoid ejaculation? How long will this go on? Will it keep happening?

Anyhow, in addition to all that I've also had some shooting pain from the testicles upwards and then dull pain in the weeks between the operation and now. Ejaculate seems the same in terms of quantity etc but I think the sensation is somewhat diminished from pre-operation.

Unfortunately, I think I am going to have to abstain for some time until all this goes away. I have my fingers crossed that no further surgery will be needed. Having needles poked into your scrotum is something best avoided. By the way, I am a data scientist of sorts and none of these observations add up to a controlled experiment. Maybe only the small fraction of us with problems is posting whilst our brothers with no pain are out, enjoying themselves properly. Still, worth confronting your doctor with some of these stories.

By anon995581 — On May 11, 2016

I had a vasectomy 30 plus years ago. I immediately had problems with my getting into a car, or bending over to pickup some thing. My nuts felt like I was kicked in the sac. I talked to the Doctor and he said the swelling was caused by the tubes on the outside of my testicles and he could scrape them off to relieve the pressure. I wanted to bust him one, as no one mentioned this as a possible problem. Also my sperm is just a dribble.

By anon995539 — On May 08, 2016

I got a vasectomy 12 years ago because my wife insisted on it. Like every other man, I was told that it would have no effect on the sensations of sex or on the amount of ejaculate. Absolute bullcrap! I went from healthy, explosive climaxes to a delayed dribble. It can take up to a minute to even see any discharge from the penis. Even more distressing is the absence of the throbbing, pulsing that normally accompanies ejaculation. That is completely absent, and going soft immediately after--or even during--sex is routine. I wish I had known more about it before I took the leap, because I am never going to be the same. What a mistake!

By anon995495 — On May 04, 2016

I had a vasectomy and years later a reversal. Qualitatively, immediately after the vasectomy my orgasms lacked completeness. It seemed more like I was relieving myself versus having an orgasm. After seven years, I had the reversal and my first post reversal orgasm was like the good old days, filled with intensity and most especially, satisfaction. I would never want to have another vasectomy and I wish I had not had the first one.

By anon995459 — On Apr 30, 2016

I had mine done about a month ago. I was sore for about two weeks. Now I feel no issues. My ejaculations are identical as before. The sensations are the same. Actually it feels better but that may be in my head. I'm thinking that all the issues posted may be possibly caused by inexperienced or poorly skilled doctors.

By anon993747 — On Dec 10, 2015

I am now 65 and had a vasectomy 15 years ago. I lost the real feeling of sex and now is much less sensitive since the operation. The fluid is much less and different. At times there is not much fluid at all now. Sorry that I had the procedure now after reading of possible complications long term.

One thing I have learned at this age is don't believe what all doctors tell you. Most have a direct financial interest or have been taught the wrong information. Doctors are proven wrong all the time. The good thing is that I have not fathered any more children and there is some feeling left. I'm looking to have a reverse vasectomy. Those who post that people like me don't know what we are talking about are morons.

By anon992707 — On Sep 25, 2015

I'm just a few days out of a vasectomy and I am in medical school and treated the whole procedure as a learning experience. Here are a few reasons why and maybe a few things that may explain problems: The vas deferens is in a bundle of fascia with your differential arteries, veins, and nerves. In other words, it's like a mess of wires and the urologist can easily see the vas deferens in the jumble.

However, what happens if an artery gets damaged? You have less blood flowing or "hardness" or pulsation during an orgasm. If it's a nerve, it may take longer or may prevent stimulation of the penis altogether. I'm not saying that this why someone has those symptoms, but there are risks and you can't fully predict what a vasectomy will do to you- just the majority of the public. Many fall between the cracks and have a bad outcome- so far I have way less libido. Dunno why, but I can ejaculate. I just don't get as much pleasure as I did before.

By pds166 — On Apr 22, 2015

I live in Canberra, Australia. I had my vasectomy done 26 years ago. It was my choice as I certainly did not want any more children. I never considered fertility and manhood to be associated so I do support the rationale that post vasectomy problems are due to this kind of thinking.

My post vasectomy experience is very negative. Pre-vasectomy I experienced intense orgasms, post I experienced none. Pre I would ejaculate nearly a meter, now, nothing more than a dribble. Pre I would pulsate when nearing and during orgasm, now post, no pulsating during ejaculation.

At the time I pursued the issues there was no internet and I was unable to locate any studies or anecdotal experiences that I could use to try to convince medical practitioners that my issues were psychical. Their mantra was that a vasectomy did not cause the effects I was experiencing. In desperation and without the availability of other options I attended a sexual psychologist who was unable to help (had to drive 300kms to see him). I even underwent months of general psychological treatment in the hope that it was some subconscious issue causing the problem.

Nothing I have tried has addressed the issue. No psychological work has helped, no techniques like withholding ejaculation have helped.

I am convinced that the issue is physical one. Just as many others have posted about their own experiences. The question that I am still yet not answered is what can be done to reverse the damage and return to our pre-vasectomy pleasure.

By anon989396 — On Mar 04, 2015

My husband had a vasectomy about two months ago. He used to pulse when he would orgasm. Now after he doesn't. And he would stay rock hard for minutes after he came, but now, even before he finishes, he becomes soft. He also has found that it is more difficult for him to reach orgasm. The doctor said it was all in his head but believe me, I'm the one who notices that he no longer pulses and immediately becomes soft when he ejaculates while inside me so it's not in his head. Don't let doctors tell you nothing changes. It's a lie. It has had a big impact on our relationship.

By anon975636 — On Oct 28, 2014

I had a vasectomy two years ago and wish I never had. Orgasms were gone, I lacked libido and the semen just dribbled out while I was ejaculating. I had pain in my testes and swelling. I had the vasectomy reversed a year ago and it cost £2000. Do not have a vasectomy. It ruins a man's life and relationships. After nine great pre-vasectomy years, and one disastrous post-vasectomy year, we split up.

By anon973542 — On Oct 12, 2014

Mine feels just the same as before the vasectomy -- actually, better.

By anon973172 — On Oct 08, 2014

I had a vasectomy back in 1972. Ever since then I had wondered and questioned my diminished ejaculate, its color and the sensation of climaxing.

I inquired at various times about these concerns and have been told in was in my head as probably caused by not being fully aroused. Well, guess what? After having prostate radiation for cancer, my urologist and oncologist both agree this was a result of the V and has since been made worse by the radiation.

Well, it took forty-two years to find out it was not all in my head but, I knew that. The party is still not over, just not as much fun. Thanks for letting me put my two cents in.

By anon967030 — On Aug 24, 2014

I had it done, and had mild soreness for a couple days. I held off on the sex for one week. Then, if you want to start having unprotected sex, you need to have at least 25 ejaculations before having your semen tested for the presence of sperm. Once the test comes back negative, you're good to go. The only thing that I notice differently is the semen is a lot thicker but the feeling is still the same. I'm glad I had it done.

By anon954430 — On Jun 01, 2014

I was in the group that lost all sensation of orgasm immediately after a vasectomy. The situation sloowly improved over time. I was pain free at four months and back to a normal orgasm at six months.

By anon948857 — On May 02, 2014

I had it done in 2011. I can honestly say it's been disappointing. Almost three years with a low dull ache every now and again, weird pain/sensation in one or both groins especially after physical activity. I've been just told I have non bacterial congestive epididymitis. Right. That dumbed down means your sperm have nowhere to go and back pressure builds and your epididymis swells and becomes tender. The weird perineum sensation while sitting is enough to drive you nuts.

I get little help from doctors. Oh, go on some pills, they say. That should do it. No, pills don't fix it. Being on the Cipro for months puts your mind in a fog and wreaks havoc on your digestive system and doctors won't admit that a vasectomy lead to all this. I don't know why, but allergies seemed to have gotten worse -- probably all the stress and pills. I'm fed up and little support. It's not worth it.

By anon946324 — On Apr 18, 2014

I had it done six or seven months ago. I was in pain for about four days, but had sex two days afterward. That probably hindered my recovery. The bruising was the most surprising part and the vas tied off and curled up inside my testicles on both ends was a weird feeling. But all of that is long gone and nothing has changed really.

My orgasms are still just as intense and there is no numbing feeling. I guess every guy is different and some me can lose feeling. I don't know, but it didn't happen to me. I don't have to worry about unprotected sex and my partner is safe too, so it was a great decision and no regrets here.

By anon945504 — On Apr 13, 2014

All of these posters are crazy. I had a vasectomy and there is no difference in orgasm, sex drive, or visual appearance of ejaculate. Science supports this. Your sex drive comes from hormones released by your testes. Yes, the ejaculate no longer contains live sperm, but the sperm represents only 5 percent of your ejaculate by volume anyway. My wife and I are having sex all the time now because we don't need to worry about an unplanned pregnancy. I am so glad I had a vasectomy.

By anon944924 — On Apr 09, 2014

I had a vasectomy a little over a week ago and I sadly agree the feeling is different. I don't feel like I can "control" when I ejaculate as effectively as before and like others it is nowhere near as intense.

I wish the hell I had done research on this and known about this before I had the surgery. I can't help but think maybe this affects those more in tune with how their penises work and are not 20 minute men.

I don't mean that last bit as an insult to anyone but not all men are equal or are into long sex marathons.

By anon935871 — On Feb 27, 2014

I had a vasectomy done at age 37 and now am 52. I regret having it done, since I no longer have any sensation of an orgasm about 18 months after the operation. I lost all feeling, and when my penis goes soft while having sex, that is the only thing that tells me that I have ejaculated. I just wish I had read more articles on this subject. --Ian

By anon933380 — On Feb 15, 2014

I had mine done about a year ago. The procedure went fine, only about 20-30 minutes, then I drove home. Once past the initial tenderness (two or three days) I popped out some knuckle children to make sure everything still worked and it did. I've not noticed any change in my drive, ease of arousal, ability to function, any change in my ejaculate. I still ejaculate loads and it's still the milky white that it always has been.

The only thing I've noticed is a very occasional sharp twinge of pain in my sac. I talked to my doc about it and she said that twinges are very common and could happen intermittently throughout my life. Oh well, totally worth it!

By anon932928 — On Feb 13, 2014

I had a vasectomy a week ago. It was only actually painful on the day it was done. By the second day I was back to having sex. It can be tender in the upper scrotum, I assume because of the surgery. I was advised not to be too vigorous! I expected to lose the whiteness of the fluid after the first couple of times, however that has not proven to be the case so far.

By anon926536 — On Jan 19, 2014

Worst thing ever! I know this is a case by case argument, but is it worth it to take a chance on destroying your sex life? After surgery, my sex drive is gone. I have no problem with erections but the orgasm is gone -- I mean, gone. A sneeze feels better. My testicles have a constant pressure, not pain really, but uncomfortable. I've done some dumb things in my life, but this was by far the worst. I have sex with my wife every other month and that's only to shut her up.

By anon359988 — On Dec 22, 2013

All I know is, I had mine done 18 years ago, and there has been no change at all regarding sex drive, ejaculate consistency and color, and it still exits as if it were a shaken soda. In fact, I had major back surgery, and I am still very sexually active at age 55. Maybe it's because I have the right partner, but sometimes I feel like I'm in my late teens again.

By anon358808 — On Dec 13, 2013

I had my vasectomy in July 2013 after hearing an ad on the radio that everything will still be the same. The main difference is the ejaculate now appears to be clear looking rather than thick and white in appearance. Much like looking at pre-ejaculate. I regret it now.

By anon353165 — On Oct 28, 2013

I had my vasectomy about 10 days ago and was in pain for about a week. I wore a jock strap and now the pain is gone. I played basketball yesterday and my sex drive is the same. I masturbated a few times to clear out any old sperm and will probably pull out for for a few months until I have my sperm count follow up. Prior to the procedure my wife was looking like a deer in headlights when we had sex because she was scared (four kids). I'm hoping this gets her drive back.

By anon350782 — On Oct 08, 2013

I don't know if the procedure was a waste of time or not. It was painful. In any case my wife was unfaithful so we still have a third kid and I love him the same as the others, he bears no fault in mom's infidelity.

By anon349628 — On Sep 27, 2013

Horror stories of vasectomy done and still getting pregnant is probably a horror story for the husband, as the wife may be doing a little on the side. Not to play devil's advocate, but there is a surprisingly high percentage of pregnancies who do not belong to the husband (I think it's like 5 or 10 percent) but that's 5 or 10 percent higher than any husband would ever want to hear.

By anon347266 — On Sep 05, 2013

Does a reversal help with semen volume to increase and more intense orgasm? I know they say sperm is only 5 percent of semen volume. But for those who immediately noticed a decrease, have you had a reversal? Only two months ago today did I have a vasectomy, and I have noticed a drastic difference.

By anon347170 — On Sep 04, 2013

My experience is almost identical to anon269456, Post 5. I had my procedure nearly 30 years ago and immediately faced the issue of poor orgasm and loss of sensation. Over time, the situation has worsened with orgasms almost completely dry with no sensation of climax. I too, consulted the medical profession on a number of occasions, only to be told it was all in my head. I would not wish a vasectomy on my worst enemy. To those contemplating having the procedure, beware.

By anon344868 — On Aug 13, 2013

I had my vasectomy done back in May 2013 and just got the all clear from my doctor, five months later.

In my experience, post vasectomy, I have found that I am much more sensitive in my scrotum. I used to wear boxers all the time, but now it can get a bit uncomfortable when I just 'hang free', and so I wear briefs and boxer-briefs more often for better protection and control.

For a brief period, post vasectomy, I didn't feel like I was getting complete relief when I would orgasm, almost felt like I was experiencing "blue balls" for lack of a better term. That has passed now, though. I do find it's more difficult to build to an orgasm (which is actually good for my partner! I feel like I last longer now), but when I do orgasm, it is back to feeling as good as it did before the procedure.

Honestly, the psychological weight of not having to worry about pregnancy anymore and just enjoying sex without a condom and feeling everything is worth its weight in gold to me.

As for the ejaculate, I find it's the same color, but definitely a bit more watery.

By anon327440 — On Mar 27, 2013

I had it done a month ago and really regret it. Nobody tells you that the feeling of orgasm is only about 80 percent what it used to be after a vasectomy. Also, the quantity of the ejaculate is noticeable -- and much less dense. Don't let anybody convince you otherwise.

I really regret having the procedure done, and would make plans to reverse it, but found out that most insurance companies do not cover reversal, and it is several thousand dollars-plus because it is a much more complex procedure to reverse it.

I would encourage guys who are considering this to look up terms like loss of libido after vasectomy, and less intense orgasms after vasectomy, etc., and you will find thousands of guys with similar stories. I wish I had done that research prior to having it done.

By anon323009 — On Mar 02, 2013

I had a vasectomy in 2011. If anything, my sex drive and libido seem to have increased. I can have intercourse much longer than I used to (hours instead of minutes). Ejaculation and orgasm are the same as ever. My testicles seems to hang loose a little more, but it hasn't caused any real problems. I can still wear boxers or briefs comfortably, depending on how I'm feeling any given day.

By anon322642 — On Feb 28, 2013

I got a vasectomy less than a year ago (August 2012) and I'm already back to normal. I've had no change in ejaculate or orgasms. The only difference is no fear of getting pregnant.

If you are considering a vasectomy, don't let these few complaints scare you. You want to be scared. The total cost to raise a child to age 17 is $235,000. That's without college!

By anon321339 — On Feb 22, 2013

I has a vasectomy almost seven years ago. I was in pain for about year after and every now and again, I have a bad day, usually after wearing loose tracksuit bottoms, etc. My sex drive has been unstoppable since having it done and I have no erectile problems. The semen was a bit watery. As for the smell, it always did smell, but it has gotten worse in the last few months. It has also become thicker and more yellowish.

I have had a retest and it came back negative, but since the change in color, smell and texture, my pains have gone altogether. I was 28 at the time and had four children, but as time goes on I am now in more a stable position and my eldest two are off to college, I'm thinking of having another one. There are lots of procedures other than a reversal, although I don't regret having it done. I wish I had waited another 10 years.

By anon305188 — On Nov 25, 2012

There's a clear difference in the posts between those discussing the nature of ejaculate and those commenting on their orgasms.

For me, I noticed no difference with the ejaculate. But I did notice how much my testicles had played a role in the feelings of orgasm. Now being 'cut loose', I lost all that 'extra' feeling and, indeed, my testicles are uncomfortably sensitive if touched.

Overall, the orgasm feeling has reduced dramatically. I can still achieve intense pleasure, but only through masturbation where I know how to build things up, not through intercourse. Whether it's worth it depends on your view of the risk of pregnancy. But I think that most professionals who casually say it should make no difference have no idea that orgasm evidently involves parts of the genitals that they it should not. In my case, anyway, that means the testicles when linked to the rest of the body.

I suppose we may be naive to imagine that we can tinker with nature and still expect everything to be as before. It jolly well isn't.

By anon302570 — On Nov 10, 2012

I had a vasectomy about a year ago and my ejaculate seems smaller and now is more of a trickle than a pop and the general feeling is not as intense as it was before the op. Because of this, my sex drive has diminished also.

I wish I had researched it more before agreeing to it with my partner. So if you are here for more information before the op, well done. Now research more!

By anon293450 — On Sep 25, 2012

I had one done 30 years ago. Best thing I ever did. No risk of pregnancy and the orgasms are worry free and just as intense.

By Skinlab — On Sep 17, 2012

Thank you all for sharing your experiences. It is really appreciated. I was going for a vasectomy, but now, I think I'll pass.

I wouldn't want to go through what some have gone through in these posts. It's not worth it. Even if it's 1 in a million, it's not worth it.

By anon284793 — On Aug 11, 2012

Diveman10...ask your doctor about "Spermual granuloma" I had the same pain and about a year later, it felt like a ghost with a number 10 steel toed boot kicked me in the nads...I doubled over and almost passed out...they did surgery on me a couple days later and found the vas blew out.

By anon284724 — On Aug 11, 2012

I had a vasectomy in May 2012. Until now, the ejaculatory feeling at orgasm has greatly diminished to what I can only describe as a feeling of great disappointment. I'm gutted I had the operation.

By anon281480 — On Jul 24, 2012

I got a vasectomy in '88 and never saw a difference in quantity or color. I think it's little bit more "watery" and some say the smell and the taste are much better. My sex drive increased and 20 years later I had some ED problems but it's not certain they have a link with the "v".

By anon269456 — On May 18, 2012

If you are contemplating a vasectomy, please read this!

I would not advise any man to have to go through what I have been forced to deal with.

Having had a bilateral vasectomy in the UK in 2009, I have spent the subsequent time fighting with doctors who at first told me that what I was describing was impossible. They now appear to be saying there may be a connection with my complaint and the procedure and yet they also say there is nothing they can do.

So what's my complaint? Ever since undergoing the procedure, my orgasms have been drastically dulled to the point where I can barely feel them. That deep pulsating within me which accompanied orgasm has gone, and with it, the vast majority of the subsequent pleasure.

The fluid which used to rush out of me is now a trickle and is far smaller in volume. Imagine opening a bottle of Coke which has been shaken up. That's what orgasms were like pre-op. Post-op, they are like squeezing toothpaste out of a tube.

Having been forced into seeing a psychosexual counselor by the doctors responsible, I am now told this problem is not psychological -- as if I didn't know that already -- and there's nothing a counselor can do.

The doctors also say there is nothing they can do because they don't understand what's happened. There have been no studies surrounding this rare complaint. That, however, is better than what they originally said which were words to the effect of, “It's all in your head. Go away.”

It would seem no one can do anything about this and I am left mourning what I have lost. I am full of frustration, anger and despair and needless to say, this has destroyed what was once a healthy and active sex life with my beautiful wife.

Do not be fooled by everything you see online. This is not a risk-free procedure. Changes do happen and if you're unlucky enough to experience them you are just out of luck. This myth that vasectomy is safe and does not affect your sex life needs busting. Trawl around on the web (granted, it will take a long time) and you will find similar testimonies from men across the world.

Everything works just fine when it comes to sex but the ejaculatory pleasure is gone. So what's that like to deal with? Imagine if someone has died and you feel grief. Well that's what it's like. And to add insult to injury, it's a feeling of grief which does not pass. Couple that with the accompanying anger that often goes with grief and you end up with a man like me: devastated and utterly destroyed.

I may be one in a million, but I wouldn't wish this experience on anyone, especially as I underwent a vasectomy in the hope it would make or sex life even better. Instead it has destroyed it and done untold damage to me, my wife and our relationship.

By anon238152 — On Jan 02, 2012

I had a vasectomy about three years ago. I noticed almost immediately that my ejaculations were a lot smaller in volume and intensity. All the information out there suggested that it is in the mind, but this is very misleading as I know my body better than any doctor and the effect is all physical.

Yes, I still want to enjoy sex with my wife, but sadly having to wait sometimes up to two weeks for enough build up of fluids is, quite frankly, ridiculous, as the lack of seminal fluid lowers the desire as well.

I am speaking from my experience and going from being able to ejaculate two or three times in one love making session and up to five or six times in a night to this is pathetic.

Whenever I hear of any guy contemplating a vasectomy, I cannot stand back and ignore the conversation and simply let them know that they should not believe all they hear from their doctors and that things can change dramatically. I want to get a reversal, but unlike the vasectomy it is not covered by health insurances and is a damn sight more expensive. The vasectomy was around $600 AU with 85 percent of this covered by the health coverage I had. Now the cost of the reversal is in the vicinity of $6000 - 8000 AU and not a cent is covered by any benefits that I am aware of.

In simple terms, I now say if it works just fine now don't tempt fate. You may be very disappointed. Just go look for an alternative form of contraception.

By diveman10 — On Nov 21, 2011

I had a vasectomy 12 months ago and I am still in pain. I have been to several doctors (five) and so far, all the nonsurgical options have failed to relieve my pain. I have had two rounds of cortisone injected into my left vas deferens with only temporary relief. My suspicion is that I have pain because the left vas deferens is backed up with pressure due to the sperm not getting through.

To be honest with everyone, I cannot tell if my ejaculation is the same or not because of the pain. The doctor instructed me not to ejaculate more than once a day (most married couples with small children probably will not find this an issue) but the idea that I was not told this in the beginning is very, very, frustrating/misleading. I do not remember seeing that in the brochure or the consultation that the doctor gave my wife and me.

It makes me question whether there are other things that the Urology field is not telling us about this so-called simple procedure. Good luck with whatever decision you end up making.

By Cruze — On May 27, 2011

How can someone tell if the sperm have stopped showing up in the ejaculate after a vasectomy? Is there some way to tell, other than going back to the doctor for a test? Is there a home test to check for sperm?

I've heard horror stories about couples who have the procedure done and still get pregnant.

By Eli222 — On May 26, 2011

I can attest to the fact that there is no difference between pre and post vasectomy ejaculate. I've had a vasectomy procedure and neither myself nor my wife noticed any difference in the fluid, the stream, or even the color.

The biggest difference we noticed after my vasectomy was that we weren't living in fear of getting pregnant all the time. We already had four kids (in 6 years) and more were out of the question.

Tricia Christensen
Tricia Christensen
With a Literature degree from Sonoma State University and years of experience as a The Health Board contributor, Tricia...
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