As with any surgery, a certain amount of bleeding after a vasectomy is perfectly normal. The exact level of bleeding will vary depending on the man, but rest assured that bleeding is a typical part of the recovery process.
We’ll discuss what you can expect below, but the most important thing to remember is this:
If you are experiencing a level of bleeding that concerns you, contact your doctor as soon as possible.
As we’ve discussed in other articles, sometimes men experiencing post-vasectomy problems attempt to “tough it out” and hope things will get better on their own. This is not a good idea. It’s vital that men recovering from a vasectomy are vigilant about reporting potential issues to their doctor as soon as possible.
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Normal bleeding after vasectomy
In general, men will will experience a small amount of bleeding that should stop within two to three days of the vasectomy operation. In some cases bleeding will be minimal and will cease sooner than the two to three day window.
During your period of post-vasectomy bleeding, a protective garment such as a towel or pad can be used temporarily to prevent stained clothing.
As we discuss below, excessive or persistent bleeding may be indications of a complication.
Excessive bleeding after vasectomy
There’s no universal measure for what qualifies as “excessive bleeding” after your procedure. Some spotting or seeping is to be expected for a short period of time after the operation, but it should mostly go away with 72 hours.
Some sources suggest that if you have bleeding that doesn’t stop after compressing the site between two gauze pads for 10 minutes you should contact your doctor. However, we feel it’s best to err on the side of caution and contact your doctor if you are even slightly worried that your wound is bleeding too much.
Other signs of a complication
Bleeding that persists after more than a few days or any sort of discharge could be signs of an infection, hematoma, or other complication. If you experience any of these issues at any point after your vasectomy consult your doctor immediately.
Vasectomy technique and bleeding
The method of vasectomy your doctor uses can influence the amount of post-op bleeding.
Traditional vasectomy techniques that use a scalpel will usually result in more bleeding since there’s a higher chance of cutting blood vessels in the scrotum. The newer no-scalpel technique involves using a sharp forceps to puncture, rather than slice, the skin, which means that blood vessels are spread apart rather than cut open.
This reduced level of bleeding is one reason more and more men are opting for a no scalpel vasectomy, but it’s important to stress that the traditional method is perfectly safe and is still widely used by doctors around the world.
Men who are prone to poor wound healing
Men with diabetes, cancer, immunosuppression, exposure to radiation, obesity or taking chronic steroids are predisposed to poor wound healing and wound infections. Any vasectomy incision site with persistent weeping or spotting several weeks after the procedure should be evaluated by a physician.
Most men do feel back to normal after a few days after their vasectomy. However, in certain situations this healing process can take a little longer. If a man has had previous surgery related to his testicles (i.e. hydrocelectomy, spermatocelectomy, varicocelectomy, etc.) then some additional time might be necessary before getting “back to normal”.
Some men with previous scrotal surgery might have increased sensitivity or awareness of the area and any additional procedures in the region can be perceived as more painful than expected.