Medical Centric

MYTH OR FACT: ‘MALE MENOPAUSE’ AFTER A VASECTOMY

MYTH OR FACT: ‘MALE MENOPAUSE’ AFTER A VASECTOMY

  • Vasectomy is a technique that stops sperm from leaving the testicles.
  • It is an effective method of birth control for those who don’t want to conceive anymore
  • The procedure is simple with few complications and is performed using anesthesia

Let’s separate the fact from the myth:

  • There are a lot of misconceptions surrounding vasectomy as it leads to male menopause.
  • Vasectomy doesn’t have any effect whatsoever on hormonal levels or sexual functions.
  • The only thing it affects is the transport of sperm to seminal fluid.
  • An extensive damage to the testicular blood vessels during a vasectomy could impair testosterone production.
  • While this likely gave rise to the myth, it should be noted that it is an extremely rare and unexpected complication.

Does getting a vasectomy lower your testosterone levels?

  • Having a vasectomy has no impact on your hormone levels. Multiple studies have measured hormone levels before and after a vasectomy and found no significant change.
  • Some men were however concerned that because sperm isn’t leaving their testicles during ejaculation, their testosterone levels have been affected, leading to male menopause.
  • Researchers have however denounced this rumor and found that these concerns are not true.
  • It’s normal to produce less testosterone as you age and this isn’t related to whether you had a vasectomy or not.
  • Vasectomy also does not increase your risks of diseases like prostate cancer, sexual problems, autoimmune disorder, and heart diseases.

Does a vasectomy affect your libido?

  • Vasectomy has not been shown to affect sexual functions, the ability to achieve erection and ejaculate, or your libido.
  • It is however important to note that it does not protect you or your partner against sexually transmitted infections.

How does a vasectomy work?

  • Sperm travels through tubes called the vas deferens to combine with seminal fluid and get ejected through the urethra as semen.
  • Sperm makes up an estimated 2 to 5% of this fluid which contains genetic materials that can potentially fertilize an egg
  • So a vasectomy works by cutting off the vas deferens. The surgeon removes a portion of the tube that cannot grow back and then ties or clips it to further reduce the chance of growing back.
  • This is a highly effective birth control method that doesn’t cause male menopause.
  • About 10 percent of couples who use contraception rely on their partner’s vasectomy as their own birth control method.
  • Urologists are the medical specialist that performs vasectomy

Who can get a vasectomy?

  • Anyone with testicles can get a vasectomy
  • If you are dealing with an infection or genital condition, your doctor may recommend postponing your surgery.
  • Depending on your medical needs, the doctor may use a different surgical approach for you.

Are there any negative effects of a vasectomy?

  • Vasectomy can be done through a traditional incision or no-incision vasectomy.
  • No-incision vasectomies are more common. It reduces complications.
  • People are usually able to return to sexual activities faster.
  • There may be complications but they are rare. They include infection, bleeding, pain, and hematoma