After Vasectomy Instructions
1. Recline at home on the afternoon and evening of the vasectomy.
2. Ice packs are not necessary. Sitting on frozen peas or any other frozen foods is not necessary.
3. You can take acetaminophen (Tylenol), ibuprofen (Motrin, Nuprin, Advil or generic) and naproxen (Aleve) for discomfort after your vasectomy.
4. The day after the procedure, you may walk and drive as much as you like, but you should not perform any strenuous activity. If you have a desk job, you may return to work.
5. Two days after the procedure, you may return to more strenuous work and regular activities. When pain is gone and tenderness is minimal, you may return to the gym or to running, but on the first day back, do ½ of your usual workout: half the weight, half the reps, half the speed, half the distance, etc. If pain does not return, you may do your regular workout the next day.
6. You may resume sexual intercourse two (2) days after your procedure if you are comfortable.
7. A routine follow-up visit is not required.
8. It is normal to have some discoloration of the skin (black and blue) around the puncture site a day or two after the vasectomy. Some men will develop considerable discoloration of the scrotum about four (4) days after the vasectomy.
9. Some men will develop swelling and discomfort on one side, sometimes on both sides, from five (5) days to three (3) months following vasectomy. This usually represents an exaggerated form of the normal inflammatory response after vasectomy. Ibuprofen works well for this discomfort.
10. You should use a back up form of birth control for three (3) months after your vasectomy procedure.
11. Three (3) months after your vasectomy, have your semen tested to confirm the procedure has been successful. You have three options for semen testing after vasectomy with Dr. Monteith.
- Option 1. Bring your fresh (within three (3) hours) semen sample to our office. We will contact you with the test result.
- Option 2. You can take your semen sample to a nearby lab for post vasectomy semen testing. The lab will fax the result to our office and we will contact you with the result.
- Option 3. Mail a semen sample to our office with a collection container we will provide for you on the day of your procedure.
- Option 4. Skip all of the above and use an FDA approved home test approved for after vasectomy semen sample testing. The test is called the SpermCheck test and is available for purchase directly from the lab or on Amazon. The test can be mailed to your house and you can perform the test without requiring an office or lab visit. Google “SpermCheck” for more information. More information: SpermCheck test for after vasectomy
Option 1 and Option 2 are preferable because it allows for better detection of sperm motility, which is helpful when small numbers of sperm may be present. Option 3 is a suitable alternative for patients who live longer distances from our office.
Option 4 offers a more convenient way to get confirmation your procedure has been successful. No office visit, travel time, or embarrassment that some perceive when brining in a semen sample.
You can order the test on Amazon and have it shipped to your house. At the time of this posting, two test kits cost a total of $50 and can be mailed directly to your house.
Please make sure you order the “Vasectomy’ sperm test (yellow box) and do not order the “Fertility” sperm test (purple box).
12. You may discontinue birth control after your semen test shows absent sperm.
13. If you experience discomfort at any time within six (6) months of your procedure then do not hesitate to contact our office with questions or for evaluation.