Nervous about first ejaculation after vasectomy

Hi. I had a vasectomy 1 week ago. I have sent in some photo’s of my recovery. I was told by the doctor that I can resume sex in 1 week. Now that the week is up I am worried about ejaculating. This may sound crazy, but I have read all the articles and questions from others and realize my ejaculate will be the same seeing most of the ejaculate is from prostate fluid. However, I am actually concerned about the initial ejaculation being painfull or having blood in it, or the pressure from orgasm causing a rupture in one of the tubes, vas epididymis etc. Sounds silly I know, but I have the green light to have sex again (with protection until 2 sperm free samples) and instead of being excited I am very nervous about this 1st orgasm. Thanks in advance for any info.

Orgasm and ejaculation are not affected by vasectomy. The vas deferens does contract and move a little during ejaculation but this is not the primary method of sperm transport along the vas deferens. Sperm are continuously propelled forward from the testicle along the vas deferens by peristalsis of the vas deferens so that adequate sperm are available in the ejaculate. This process is continuous and occurs immediately after the vasectomy. Some men will experience some anxiety associated with their first ejaculate after a vasectomy. However, if a man has gotten the “all clear” from his physician to have intercourse and the swelling and bruising from the procedure have subsided, then there shouldn’t be any problem with ejaculation or orgasm after the vasectomy.

Dr. Karpman’s website

10 Responses to “Nervous about first ejaculation after vasectomy”

  1. Drew on 18 Dec 2008 at 12:23 am #

    I had my operation 3 weeks ago yesterday. The doctor told me to resume sex 2 weeks afterwards. I waited the 2 weeks and when I went to ejaculate I had a serious pain in my left testicle. I have tried 3 other times this week and each time I get the same pain. My doctor wants me to come in to talk about it. I feel like he just wants me charge me an office visit. There is no swelling or anything. Has anyone else had this issue? Do I just need more time?

  2. Jamie on 19 Dec 2008 at 5:57 pm #

    Recently had a vasectomy 3 days ago. Dr. had given instructions no intercourse for 1 week. During my sleep, I had a premature ejaculation, obviosuly very concerned based on the new surgery and not the full week as intended – what signs should I be looking for? Could I have damaged anything with the early encounter?

  3. Adam on 07 Jan 2009 at 10:14 pm #

    I just had mine done on December 26th and was the scalple free way. I was nervous during the procedure because the doctor had to inject more novacaine because I kept feeling it. My bruising is going away and there is still a little tenderness in my right side, but I’m going to give it a little more time hoping it’s just because of the trauma from the procedure. I did resume sex 4 days ago and except for a slight tenderness to the right testi, had no problems. Each person heals differently, but if you’re having pain when ejaculating, I would go in.

  4. Robert on 10 Mar 2009 at 6:11 am #

    i had my vasectomy on friday evening. today is monday evening. my wife and i got a little interested in each other, and, well…at least i waited 48 hours for my first ejaculation. i have no pain. not sure why all the doctors say wait one week. i think they want to prevent injury to the actual incision. we just kept the rubbing and yanking to a minimum, and the incision did not re-open or anything. so i say as soon as you feel good, go for it (gently).

  5. Steve on 16 May 2009 at 5:16 pm #

    My Dr. said I could have sex as soon as my wife said so! Been 5 days, feeling pretty confident I’m ready to gently go about it.

  6. John on 28 May 2009 at 7:14 pm #

    I had a vasectomy May 15 and resumed sexual activity May 20 with no problems. I had no scalple and they didn’t have to put a stitch in my skin. It was sore before, but I think that was due to the semen build up…once it released it was not sore at all. So i think it all depends on the person when you should have it again.

  7. Tom on 09 Sep 2009 at 4:30 pm #

    Th reason the Dr. tells you to wait a week is to let the tube that he cut in the procedure heal properly. So you wont know if you did any damage just by having pain free sex.

  8. Jason on 13 Dec 2009 at 5:17 pm #

    I have had minimal pain since my vasectomy 3 days ago and so have begun intercourse already without a problem. If there was any damage done then further swelling, pain, bruising would occur due to the inflammation process, so the doctor saying wait a week is probably just the average healing time!

  9. Jason on 05 Jan 2010 at 9:10 pm #

    I had my vaseectomy Dec. 4th Doc said when you feel comfortable having sex go ahead so me a the girlfried Dec. 5 that evening decided we would have sex for 2 full hours. Have not had any problems and have had sex at least 20 times since and will be taking a sample to the Doc Jan. 7th. By everything I have read everthing sayes that between 15 to 20 ejaculation you should be clear. We did notice that the first ejaculation had just a little color but was clear after the second. I have only talked with one other person that said they had sex the very next day. I had almost no swelling and problems.

  10. jed on 27 Apr 2010 at 2:44 am #

    i had a no scalple vasectomy on friday, the 23rd of april. i had an orgasm this morning, the 26th. no pain, no coloring. i have had no brusing and very slight tenderness due to the fact that the right vas was larger then the left and a little harder to get to. all in all i am feeling really good about it and happy to have had it done.

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