>I got snipped about five months ago, and I still get reoccurring bruises on my sack from internal bleeding. My doc told me that as long as they're not painful it's fine, but I can't help but feel that internal bleeding- even a little bit- isn't healthy. Thoughts?

It is not uncommon to experience some bruising and swelling after a vasectomy, but it is unusual for these symptoms to persist for five months after the procedure. It is also concerning that you are experiencing reoccurring bruises on your scrotum. In the meantime, you may take steps to reduce the risk of further injury or irritation to the affected area. This may include wearing supportive underwear, avoiding activities that put pressure on your scrotum, and applying ice to the area to reduce swelling and discomfort.

Multiple studies have measured hormone levels, especially testosterone, before and after the procedure and found no significant change in hormone levels. While changes in sexual desire are rare after a vasectomy, they are not related to hormonal changes, as a vasectomy does not affect testosterone, the hormone that fuels sex drive

Thank you all for the great questions. I'll return soon for any new questions!

There is no direct information on whether pre-existing autoimmune disease increases the chances of having an autoimmune response to sperm after vasectomy.

New findings suggest that there may be a slight increase in the risk of prostate cancer associated with vasectomy, although the absolute risk remains relatively small. It is essential to discuss the potential risks and benefits of vasectomy with a healthcare provider before making a decision.

https://pubmed.ncbi.nlm.nih.gov/32772072/

it is unclear whether there are any recent legislative efforts in Florida to limit access to contraception. However, it is worth noting that the state's political climate has been largely dominated by conservative lawmakers, and reproductive health has been a contentious issue in the state's legislature.

If there are any efforts to limit access to contraception in Florida, it would be important for the medical community to speak out and advocate for reproductive rights. While it is unclear whether the intent of any such efforts would be to only target women's reproductive access, it is important to ensure that all individuals have access to the health care services they need. The medical community has a responsibility to advocate for their patients and ensure that lawmakers are aware of the potential consequences of their actions on public health.

Its a good idea to check with / call your specific insurance provider and state to see if you are eligible for coverage. If your insurance does not cover the procedure, you may be able to work out a payment plan or sliding cost scale with your doctor. Overall, while the upfront cost of a vasectomy may be more than other forms of birth control, the long-term benefits and cost savings can make it a worthwhile investment.

Reproductive urology is a sub-specialty of urology that focuses on treating conditions related to the male reproductive system. Patients who suffer from problems like infertility, urinary incontinence, prostate issues, and sexually transmitted infections may benefit from seeing a reproductive urologist. Urologists are also skilled in performing surgical procedures on the male reproductive system, such as vasectomies and vasectomy reversals. Overall, I wanted to help patients who need specialized care in these areas and improve their quality of life

According to a recent study, Vasalgel is a promising new form of male contraceptive [3]. Vasalgel works by blocking the vas deferens, which is the tube that carries sperm from the testicles to the urethra. The procedure is minimally invasive and reversible, and does not affect hormone levels. However, it should be noted that the product is still in clinical trials and not yet available for widespread use [3].
Compared to other contraceptive methods, Vasalgel has some unique advantages. Since it is a non-hormonal method, it does not cause hormonal side effects, such as mood changes, weight gain, or decreased sex drive. Unlike condoms or other barrier methods, it does not interfere with sexual pleasure or require frequent use.
It is important to note that Vasalgel, like all contraceptive methods, is not 100% effective. The gel is designed to be more than 99% effective in preventing pregnancy, but some failures may occur. It is also important to use contraception consistently and correctly in order to maximize its effectiveness.
In conclusion, Vasalgel has the potential to be a promising new contraceptive option for men, but more research is needed to evaluate its safety and efficacy.

No-scalpel or no-clamp vasectomies appear to be a favorable option for individuals considering vasectomy. These procedures offer several benefits over traditional vasectomy, including less bleeding and infections and faster recovery time, and fewer complications such as infections and hematomas.

No-scalpel vasectomies involve a specialized tool that creates a small hole in the scrotum without the need for a scalpel. The vas deferens is then accessed and sealed, blocking the flow of sperm. The no-clamp vasectomy method involves holding the vas deferens in place using a special clamp, rather than a traditional scalpel, while the procedure is performed.

Horseshoe kidney is a rare condition where the two kidneys are fused together at the lower end forming a U-shape. People with horseshoe kidney are more prone to developing various conditions including vesicoureteral reflux (VUR), ureteropelvic junction (UPJ) obstruction, and hydronephrosis, which makes the kidneys swell. Children with horseshoe kidneys may have symptoms such as belly pain, nausea, urinary tract infections, and kidney stones.

As for surgery to move the urinary tract, there is no information in the provided search results about such surgery for horseshoe kidney. Treatment for horseshoe kidney depends on the symptoms and complications. In some cases, surgery may be needed to correct complications such as obstruction or reflux. Surgery for horseshoe kidney may be challenging and involves a high risk of complications. Therefore, the decision to undergo surgery should be based on careful consideration of the risks and benefits. It is important to consult a medical professional with expertise (that I do not possess) for individualized advice regarding the management of horseshoe kidney.

References: [1] https://my.clevelandclinic.org/health/diseases/21745-horseshoe-kidney-renal-fusion [2] https://www.massgeneral.org/children/horseshoe-kidney [3] https://www.ncbi.nlm.nih.gov/books/NBK431105/

There does appear to be an upsurge of interest in getting vasectomies in the United States following the reversal of Roe vs. Wade in my practice. News sources report that interest in vasectomies has spiked since the Supreme Court's ruling to overturn Roe v. Wade. The news also suggests that the procedure is becoming increasingly popular as a form of permanent sterilization, and that more men are seeking vasectomies in response to the current political climate.

https://pubmed.ncbi.nlm.nih.gov/36420253/

When a vasectomy is performed, the vas deferens, the tubes that carry sperm from the testicles to the urethra, are cut, tied, or blocked [1]. After this procedure, the testes continue to produce sperm, but the sperm cannot reach the semen or be ejaculated out of the body. According to Johns Hopkins Medicine, the sperm that are produced after a vasectomy die and are absorbed by the body. The ends of the vas deferens that have been cut are sealed off, and the sperm cannot leak into the surrounding cavity. The absorption of the sperm by the body is a natural process that happens over time, and it does not pose any harm to the body. Therefore, there is no need to worry about the presence of excess sperm in the body after a vasectomy.

As for the frequency of fertility testing to verify a successful vasectomy, there is no clear consensus on this matter. It is generally recommended to wait three months after the vasectomy before undergoing a semen analysis to allow all sperm to clear the system. Depending on the results, a repeat test may be needed to ensure that the sperm count has remained at zero. After this initial test, your doctor can advise on when you should undergo subsequent testing to ensure that the vasectomy remains effective. If you have any concerns or questions, it is best to speak with your doctor, who can provide personalized recommendations based on your individual circumstances.

10 -15 minutes in the office

Choosing the right doctor is important when it comes to the success, technique, and pain for vasectomy. It is recommended to ask family, friends, and healthcare providers for recommendations when searching for the right doctor. In addition, some experts suggest that starting with a good old-fashioned word of mouth can be helpful. When choosing a doctor for vasectomy, patients should consider factors such as the doctor's experience with the procedure, their approach to pain management, and their success rates with the procedure. Patients should also feel comfortable asking their doctor about their experience and training, and how they manage pain during and after the procedure. A well-informed patient who chooses the right doctor is more likely to have a successful and comfortable vasectomy procedure.

1. Check with your insurance provider to determine whether vasectomy is covered and what expenses are included. Most insurance companies cover vasectomy
2. Consider low-cost providers: Planned Parenthood may offer vasectomy for low cost. It may be worth checking with low-cost providers in your area to find the best option.
3. Negotiate with providers: If the cost of vasectomy is prohibitive, some providers may be open to negotiation. Discuss the cost with the provider and explore whether there are any options to reduce the price.

Oral contraception for men, also known as a male contraceptive pill, is still in the experimental stage and not yet widely available. There have been many efforts to develop male oral contraceptive pills that can suppress sperm production, but they are often met with an undesirable, yet prevailing, problem: testis shrinkage. While there have been reports of a potential hormonal oral pill for men, they still come with many side effects such as weight gain and loss of sex drive. A study published yesterday was proven in animals https://www.nature.com/articles/s41467-023-36119-6 but unsure how effective it will be in humans since it is short-acting

Unfortunately, negative studies (studies that do not show an association) do not get published due to publication bias. I am confident that it was a statistical association without a biological explanation.

A sperm granuloma is a small mass or lump that may develop following a vasectomy. This lump is an inflammation created by extravasated sperm which leaks or is forced out of the cut end of the vas deferens during surgery. These granulomas can vary in size and are usually about the size of a pea. They can be encapsulated in a lump of scar tissue. Sperm granulomas are not life-threatening or cancerous. They do not cause any harm but may cause pain and discomfort in some cases. If no pain or discomfort, not to worry

post-vasectomy pain syndrome (PVPS) is a possible complication of a vasectomy that involves chronic pain in one or both testicles that persists for three or more months after the procedure. PVPS is a rare complication, and the risk of developing PVPS after a vasectomy is low. The pain can range from a rare, dull ache to sharp, constant pain that can interfere with daily life. Possible treatments for PVPS include medication, a vasectomy reversal, or surgery to remove the epididymis or the spermatic cord, although these options may not always be effective.

https://pubmed.ncbi.nlm.nih.gov/28725617/

A vasectomy is a surgical procedure in which the vas deferens, the tubes that carry sperm from the testicles to the urethra, are cut, tied, or sealed to prevent the release of sperm during ejaculation. The procedure is usually performed at a doctor's office or surgery center under local anesthesia. During the surgery, a small section of the vas deferens is cut out and removed. The vas deferens is cut and sealed in order to prevent sperm from mixing with the semen and being released from the body during ejaculation. The procedure usually takes about 10 minutes and can be performed on both testicles during the same visit.

15 minutes on average. 1 week after vasectomy

Post-vasectomy pain syndrome (PVPS) is a possible complication of a vasectomy that involves chronic pain in one or both testicles that persists for three or more months after the procedure. PVPS is a rare complication, and the risk of developing PVPS after a vasectomy is low. The pain can range from a rare, dull ache to sharp, constant pain that can interfere with daily life. Possible treatments for PVPS include medication, a vasectomy reversal, or surgery to remove the epididymis or the spermatic cord, although these options may not always be effective

https://pubmed.ncbi.nlm.nih.gov/28725617/

In general, a vasectomy is a form of birth control that prevents the release of sperm during ejaculation by cutting or blocking the vas deferens tube. This procedure does not affect a man's ability to have an erection or orgasm. Another misconception is that the procedure will decrease testosterone levels. However, since testosterone is transported through the bloodstream rather than the vas deferens, a vasectomy should not affect testosterone levels.

There are no substantial benefits to vasectomy beyond birth control.

The risks of vasectomy can include:
Bleeding or a blood clot (hematoma) inside the scrotum, blood in the semen, bruising of the scrotum, infection of the surgery site, mild pain or discomfort, swelling, and delayed complications such as chronic pain or sperm granuloma.
Discomfort, bruising, and swelling after surgery that usually goes away within two weeks, hematoma, bleeding under the skin that can lead to painful swelling, and infection that may require medical attention.
Pain, soreness for a few days after the procedure, and other rare complications such as infection, bleeding, and inflammation.
It is important to note that serious complications from vasectomy are rare, and most men do not experience significant side effects. However, any procedure involving surgery carries some level of risk, and it is essential to discuss the potential risks and benefits of vasectomy with a healthcare provider before making a decision.

https://theconversation.com/500k-american-men-get-vasectomies-every-year-a-specialist-explains-the-easy-and-reversible-procedure-186984