Ask the Doctor

My husband just called me and was very upset. Last week he had an appointment to schedule a Vasectomy and the DR had a hard time locating his vas deferens, telling him he was too small in the private area and thats why he (the DR) had a hard time finding the vas deferens. [...]

From Victor:-
Thank you doctor so much for your time. I recently had a vasovasectomy in March 2009 and by April my first semen sample was 38 million with all else normal except for the motility was about 38%. My second sample taken in May indicated that my sperm count was 46 million with [...]

From Bill:-
Dr. Karpman. Would love to have a few of these unanswered questions dealt with before my second vasectomy that is scheduled in less than two weeks. Long story short, had a Vasectomy in March this year. Found out about 1 month ago that I still have live sperm. It did [...]

From Ken:-
My doctor told me that he believes that it takes 50 or so ejaculations to clear out the sperm. He told me to work toward that number and come back in 2-1/2 months to get tested. It has been 3 weeks and I am up to 40 ejaculations. The question is [...]

I am wondering how common it is to have the vas deferens tethered and what is done to usually prevent this from occuring?
Tethering of the vas deferens after a vasectomy can occur and results from the scarring to adjacent tissues after the vasectomy. The biggest problems I have seen with tethering of the vas [...]

From Elaine:-
My partner had a bladder neck removal over 6 months ago. We didn’t really talk about having children, but now I’m thinking about them and was wondering if there was anything we could do to try and get him to be able to ejaculate. I think he has a slight ejaculation so is [...]

From Marty:-
Can I be put to sleep for my vasectomy or do I have to be awake?
Yes, a man can have the vasectomy performed under anesthesia. This requires additional planning and resources. Prior authorization from the insurance plan is required to avoid unnecessary charges to the patient.
Dr. Karpman’s site

From Kap:-
My husband scheduled a vasectomy without me knowing and I was wondering if I have to sign the papers for him to have it done?We both agreed that he wouldn’t have it done and that I would have a tubal ligation because I cant take any birth control and I have a heart condition [...]

From Sarah:-
Is it harmful to have an erection in the weeks after a reverse vasectomy even if there is no ejaculation? If yes , why? And in the area of the stitches, in the scrotum, it feels like a hard balloon on each side. Is this normal?
Erections are normal occurrences in young healthy men [...]

From Gary:-
Hi Dr. Karpman. I had a vasectomy procedure performed on Friday. How soon can ejaculations begin?
Ejaculations after a vasectomy can begin as soon as the patient feels comfortable to do so. It is important to remember that men are not considered sterile until they demonstrate no sperm in the ejaculate. Men should [...]