What Happens after a Vasectomy?

After a vasectomy a man can still ejaculate, however this semen does not contain any sperm. Semen is produced by the glands called the seminal vesicles located in the pelvis close to the prostate gland, and is added to the sperm making up the normal ejaculate. This fluid makes up about 95% of the ejaculate, so men who have had a vasectomy don’t notice any difference in the ejaculate volume.

The production of sperm in the testicles is very efficient and continues after a vasectomy. For a few months after the vasectomy procedure, protected intercourse must be continued to allow a flushing out of the remaining sperm beyond the scrotal ties. Sperm cell production continues normally after a vasectomy, so if both vas have been tied off, the stream of sperm simply bank up in the vas tube. While some of these squashed sperm are absorbed into the walls of the epididymis, many millions of cells accumulate so the vas, epididymis and testicles swell as the immature sperm bank up with increasing pressure.

We have confirmed good sperm production in many men 20 years or more after their vasectomy and these men have fathered a child after their reversal procedures.

Options After Vasectomy

A Micro–surgical vasectomy reversal is a good option for men (who have previously had a vasectomy) who would like to start a family, with IVF generally being the only other option available.

Deciding which path to take is an individual choice, but be certain to look at success rates (not just “pregnancies”), the experience of the chosen clinic and the procedures involved with each.
At Metrocentre, we currently perform around 16 micro-surgical reversals each month, making us one of the largest clinics in Australia.

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