Fertility testing before Vasectomy

From Mike:-
I can’t find any information out there about the normalcy of fertility testing prior to getting a vasectomy. As I’m considering the procedure, I’m wondering if it would make sense to get a fertility test done first, to determine whether or not I’m even fertile (obviously, I don’t have any kids) before deciding to have more-or-less permanent elective surgery.

Is it ever standard practice to test sperm first to see whether a vasectomy would possibly be an unnecessary surgery? What if a patient requested it?

Any man that has an indication that there might be a sperm production problem should get tested for the presence of sperm prior to undergoing a vasectomy. However, the presence of any sperm regardless of how low the count is capable of impregnating a woman. Therefore, only men with complete absence of sperm on at least two centrifuged semen analyses should consider themselves naturally sterile.

Dr. Karpman’s website

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