Semen analysis ten years on – what do the results mean?

Thank you in advance, for your consideration.

About 10 years ago, I had a Vasectomy. I don’t recall how long afterward I was tested, but my Urologist made it clear there was a period of time and number of ejaculations which needed to pass prior to an accurate semen analysis being conducted, so I know it was a number of weeks. The first sample came back “all clear”, so he required no further testing.

I did develop a Sperm Granuloma on my right testicle pretty quickly post op, but it never progressed over pea size, and has, in fact, seemed to have softened a bit over the past decade. (Yes, I do regular self exams for testicular cancer, so I track it).

Recently, I had a pregnancy scare, which turned out to be unfounded, but thought I should be retested. So I waited over 72 hours, and produced a sample. I submitted it to the Lab and received the following results:

Volume: 3.1 ml
pH: 8.3 (High)
Spermatozoa: None Seen
No spermatozoa were seen. Results verified by concentration technique.

While I am assuming this is a confirmation of the all clear of 10 years ago, I was wondering whether it is prudent to wait 30 or 60 days and have another test, or is that just overkill?

Thank You.

This semen analysis confirms the durability of vasectomy after 10 years. A single pelleted sample at this point should be adequate to confirm that the vasectomy is still working. Some men require multiple proofs of sterility prior to feeling secure enough to have unprotected intercourse. Rest assured that any pregnancy scare in this situation was not the result of man providing the above semen analysis.

Dr. Karpman’s website

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