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 ejaculation after vasectomy, 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, a person in the middle of ejaculation after vasectomy has reduced 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, ejaculation after 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 vasectomy is very unlikely to cause only a minute difference in ejaculate. It shouldn’t change the pleasure derived from the experience, and 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.
29) 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 whilst 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
28) 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!
27) 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.
26) 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.
25) 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.
23) 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.
22) 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.
21) 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.
20) 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.
19) 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.
18) 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.
17) 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 colour, but definitely a bit more watery.
16) 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.
15) 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.
14) 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!
13) 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 colour, 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.
12) 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.
11) 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!
10) 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.
9) 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 trough 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.
8) 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.
7) 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.
6) I got a vasectomy in '88 and never saw a difference in quantity or colour. 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".
5) 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.
4) 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.
3) 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.
2) 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.
1) 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.