Ask the Doctor

From Joanne:- Thank you Dr Karpman for this site, it must help lots of people and we appreciate your time. My husband had a reversal in December and has waited for a month or so before commencing sexual activity. The first few ejaculate were very different to normal. It was very gel-like and gritty. Could [...]

I was reading your topics about women getting pregnant after their husbands had a vasectomy. How could they get pregnant after a vasectomy? Should married couples have sex with a condom, even though the man already had a vasectomy? I would like to get married and have sex someday, but I would hate to be [...]

Is it possible for young men to get vasectomies between the ages of 21-24. What’s the success rate? What type of questions should I be prepared for if they ask me around that age gap? Any man of legal age and sound mind can get a vasectomy. However, most physicians would question the intentions of [...]

From Camden:- I understand that a vasectomy will not affect my hormone levels, or ejaculatory experience. Between ejaculations, I seem to feel a build up in my testicals which is relieved following sex. Because of the mechanics of the procedure, it seems these sensations would change. Can you address whether this is the case? Thank [...]

From Bob:- I have had a vasectomy and my question is about oral sex. Before my vasectomy I would experienced a (very pleasant) sucking sensation from my testicles which I no longer get I wondered if this lost experience has a physical cause and if the lose is experienced by all men. The pleasure from [...]

From Janea:- My husband had his reversal October 22nd and just had his first semen analysis on December 29th. They told us he had less than 1 million sperm per mL, it was too low to calculate. His volume was 1.8mL. They said he had 35% motility and 50% normal forms and 50% abnormal forms. [...]

From Sam:- I have a boyfriend and he has undescended testes and we plan to get married. I want to have kids, does it mean that he is infertile or can he have kids? I am really worried. Men who have undescended testicles have a higher risk of having fertility problems than their counterparts with [...]

From Niels:- On Friday (three days ago) I had a non-scalpel vasectomy. About an inch of each tube and the ends were closed with stiches. My doctor said I have to wait 14 days after the procedure to do sexual activities again. But what about mastrubation / ejaculation? I have no issues, just very minor [...]